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Orlando Health

Orlando Health is a nonprofit healthcare provider with a network of facilities throughout Orlando, Florida. The provider’s network of facilities consists of specialty hospitals f

Accounts Receivable Rep II

Location

United States

Posted

4 days ago

Salary

0

Seniority

Mid Level

No structured requirement data.

Job Description

Accounts Receivable Rep II

Orlando Health

Role Description Works as a part of the team which is responsible for facilitating the timely collection of monies owed to the organization. Responsibilities Essential Functions: - Thorough knowledge of multi-specialty ICD-9 and CPT coding. - Telephone insurance carrier/patient to seek resolution on account. - Resolve inappropriate payments with insurance carriers that are not in compliance with payer contracts or governmental agency rates on individual accounts. - Utilize specialized knowledge of contracts, regulatory or contractual billings guidelines to determine an account’s ability to pay after initial rejection from payer. - Coordinate duplicate billings, coordination of benefits, medical records or clinical documents as needed to expedite payment of insurance claims. - Identify trends in payer non-compliance and inform management if not able to resolve with payer. - Negotiate within specified guidelines with payers. - Ensure secondary carrier is appropriately billed or self-pay portion is pursued. - Determines an individual’s ability to pay and seeks additional assistance either through governmental programs or uncompensated care programs. - Follows up with appropriate staff to locate missing information. - Ensures accurate and timely billing of all outstanding account balances to the appropriate third party payers and patient guarantors. - Maintains necessary logs. - Responsible for answering telephone calls in area when needed. - Assist Physician & Professional Services A/R Representative III with the planning and organization of departmental activities as needed. - Participate in departmental meetings as necessary. - Seek to gain needed knowledge and experience to promote to Physician & Professional Services Accounts Receivable Representative III. - Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state and local standards. - Maintains compliance with all Orlando Health policies and procedures. Other Related Functions: - Perform other related duties as needed. Qualifications - High School graduate or GED required. Must complete staff development within 6 months of hire date. Requirements - 1 Year in related field (medical billing/collections/managed care) required. - Knowledge of Microsoft Office Excel and Word and ability to type 30 wpm required.

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Limitlessli logo

AR Specialist

Limitlessli

The Limitless way to staff and build remote teams

Full TimeRemoteTeam 51-200H1B No Sponsor

• Follow-up with payers to ensure timely resolution of all outstanding claims via phone or websites • Meets and maintains daily productivity/quality standards established in departmental policies • Utilizes the workflow system, client host system, and other available tools to collect payments and resolve accounts • Adheres to the policies and procedures established for the client/team • Knowledge of timely filing deadlines for each designated payer • Performs research regarding payer-specific billing guidelines as needed • Ability to proactively analyze, identify, and trend claims issues to reduce denials • Communicate with management about any issues and trends identified • Initiate appeals when necessary • Understanding of under or over-payments and credit balance processes • Use, protect, and disclose patients protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards

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