Patient Account Representative

Our promise to you:

Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

All the benefits and perks you need for you and your family:

• Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance
  
• Paid Time Off from Day One
  
• 403-B Retirement Plan
  
• 4 Weeks 100% Paid Parental Leave
  
• Career Development
  
• Whole Person Well-being Resources
  
• Mental Health Resources and Support
  
• Pet Benefits
  

Schedule:
Full time

Shift:
Day (United States of America)

Address:
1219 S Pine Ave

City:
Ocala

State:
Florida

Postal Code:
34471

Job Description:

• Manages the preparation and submission of claims to insurance companies, ensuring accuracy and compliance.
• Works directly with physician practices and patients to process and secure payment for claims.
• Reviews and assists with appeals for unpaid and denied claims, collaborating with physician offices and the Central Billing Office.
• Resolves tasks related to real-time eligibility (RTE) and claim denials to obtain payment.
• Verifies patients' insurance coverage through eligibility systems, patient contact, or insurance company calls.
• Assists offices with referrals and authorization processes to ensure timely and accurate submissions.
• Supports the Central Billing Office by obtaining copies of medical records as needed.
• Provides training and education to front office staff on eligibility, authorizations, tasks, claim edits, and denials.
• Offers software training related to front office duties and revenue cycle skills.
• Facilitates communication between offices and insurance companies to resolve billing issues.
• Ensures compliance with all relevant regulations and standards in billing and claims processing.
• Other duties as assigned.

Knowledge, Skills, and Abilities:

• Demonstrated effective communication and interpersonal relation skills [Required]

• Demonstrated computer experience using word processing and data entry software [Required]

• Must be able to type 40 wpm and know 10 key by touch [Required]

• Previous insurance billing experience [Required]

• Previous collections work experience in a physician office setting [Required]

• Strong understanding of bundling issues, modifiers, medical necessity guidelines and physician office billing [Required]

• Proficiency in Medical Terminology [Required]

• Solid understanding of all Federal and local regulations by payer [Required]

• Previous customer service work experience [Required]

• Problem Solving Skills and Attention to Detail [Required]

Education:

• Associate [Preferred]

• High School Grad or Equiv [Required]

Field of Study:

• N/A

Work Experience:

• 1+ experience working in health care or completed a certificate or degree from a medical billing program [Required]

• Experience working with ICD-9, ICD-10 and CPT coding [Required]

• Insurance and A/R experience specific to eligibility, authorizations and claim denials [Required]

• Previous customer service work experience [Required]

• Electronic Health Record (EHR) experience [Preferred]

Additional Information:

• N/A

Licenses and Certifications:

• N/A

Physical Requirements: (Please click the link below to view work requirements)
Physical Requirements -

Pay Range:

$16.63 - $26.60

Background Screening Requirement (Florida Law)

Certain positions are subject to Florida Level 2 background screening , including fingerprinting, as required by state law.

Applicants may review general information about Florida's background screening requirements at the Florida Care Provider Background Screening Clearinghouse :

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.