YOU ARE REQUIRED TO SUBMIT A RESUME WITH YOUR APPLICATION!
Account Representative Supervisor
Location Address: 900 Winderley Place, Maitland FL
Top Reasons to work at AdventHealth
Career growth and advancement potential
Full time hours with Benefits
Conveniently located near i-4 and Apopka expressway 414
We have Positive values with a productive and energetic atmosphere
Work Hours/Shift:
Full Time M-T 7:00-4:30pm and Friday 7:30-2pmYou Will Be Responsible For:
Demonstrates, through behavior, AdventHealth Orlando’s service standards.
Assist in the management of daily patient business office operations. Coordinates with Insurance payors to ensure proper reimbursement on patient accounts. Manages the participation in conference calls, review accounts receivable reports, and/or create reports to compile issues in order to expedite resolution of accounts. Is responsible for the employee performance evaluations for the staff.
Responsible for examining and interpreting contracts to ensure patient accounts are properly reimbursed. Trends and reports any issues to leadership or as requested. Is well versed in the NUBC guidelines by maintaining an understanding of Federal, State, local and industry standards, guidelines, rules and regulations to ensure compliance. (Medicare, Medicaid, HIPAA, etc.)
Reviews quality assurance reports with appropriate Leadership and staff. Creates, prepares and updates various weekly and monthly reports as assigned by Management within specified time frame. Analyzes and reviews statistical reports when requested by Leadership. Proactively identify opportunities for process and system utilization improvements.
Specifically takes responsibility for patient satisfaction and employee engagement scores, meeting goals set by Florida Hospital and PA/PFS department. Develops action plans based on the employee engagement scores. Promotes an atmosphere of open communication for staff. Assists Customer Service with Patient concerns/questions to ensure prompt and accurate resolution is achieved.
Provides continuing education of all team members on process and A/R requirements. Provides team members with tools and training needed to assist in meeting productivity and accuracy goals. Able to conduct interviews for open positions. Manages new hire training to ensure staff successfully meets 90-day standards. Coordinate and manage insurance claim event to reduce outstanding AR.
Required to constantly ensure a high level of team productivity by proactively assigning and directing workload distribution amongst all team members. Enables staff to meet goals and deadlines by monitoring time management of staff. Limits use of overtime. Documents employee performance and attendance. Furnishing actionable feedback and performance improvement requirements to the staff. Offers suggestions on hiring.
Monitors and assists team members regularly, providing feedback, ensuring both goals and job requirements are met as assigned by Supervisor and/or Manager. Trains inexperienced staff, performs audits of work performed, and communicates progress to appropriate Supervisor. Provides continuing education of all team members on process and A/R requirements
Adheres to HIPAA regulations by verifying pertinent information to determine caller authorization level receiving information on account.
The above statements reflect the general duties and responsibilities necessary to describe the principal functions of the job, as identified, and shall not be considered an exhaustive list of job responsibilities which may be inherent in the job. Responsibilities are subject to change.
YOU ARE REQUIRED TO SUBMIT A RESUME WITH YOUR APPLICATION!
Account Representative Supervisor
Location Address: 900 Winderley Place, Maitland FL
Top Reasons to work at AdventHealth
Career growth and advancement potential
Full time hours with Benefits
Conveniently located near i-4 and Apopka expressway 414
We have Positive values with a productive and energetic atmosphere
Work Hours/Shift:
Full Time/ DaysYou Will Be Responsible For:
Demonstrates, through behavior, AdventHealth Orlando’s service standards.
Assist in the management of daily patient business office operations. Coordinates with Insurance payors to ensure proper reimbursement on patient accounts. Manages the participation in conference calls, review accounts receivable reports, and/or create reports to compile issues in order to expedite resolution of accounts. Is responsible for the employee performance evaluations for the staff.
Responsible for examining and interpreting contracts to ensure patient accounts are properly reimbursed. Trends and reports any issues to leadership or as requested. Is well versed in the NUBC guidelines by maintaining an understanding of Federal, State, local and industry standards, guidelines, rules and regulations to ensure compliance. (Medicare, Medicaid, HIPAA, etc.)
Reviews quality assurance reports with appropriate Leadership and staff. Creates, prepares and updates various weekly and monthly reports as assigned by Management within specified time frame. Analyzes and reviews statistical reports when requested by Leadership. Proactively identify opportunities for process and system utilization improvements.
Specifically takes responsibility for patient satisfaction and employee engagement scores, meeting goals set by Florida Hospital and PA/PFS department. Develops action plans based on the employee engagement scores. Promotes an atmosphere of open communication for staff. Assists Customer Service with Patient concerns/questions to ensure prompt and accurate resolution is achieved.
Provides continuing education of all team members on process and A/R requirements. Provides team members with tools and training needed to assist in meeting productivity and accuracy goals. Able to conduct interviews for open positions. Manages new hire training to ensure staff successfully meets 90-day standards. Coordinate and manage insurance claim event to reduce outstanding AR.
Required to constantly ensure a high level of team productivity by proactively assigning and directing workload distribution amongst all team members. Enables staff to meet goals and deadlines by monitoring time management of staff. Limits use of overtime. Documents employee performance and attendance. Furnishing actionable feedback and performance improvement requirements to the staff. Offers suggestions on hiring.
Monitors and assists team members regularly, providing feedback, ensuring both goals and job requirements are met as assigned by Supervisor and/or Manager. Trains inexperienced staff, performs audits of work performed, and communicates progress to appropriate Supervisor. Provides continuing education of all team members on process and A/R requirements
Adheres to HIPAA regulations by verifying pertinent information to determine caller authorization level receiving information on account.
The above statements reflect the general duties and responsibilities necessary to describe the principal functions of the job, as identified, and shall not be considered an exhaustive list of job responsibilities which may be inherent in the job. Responsibilities are subject to change.
Qualifications
What You Will Need:
Associate Degree in Business, Healthcare or related field
Three years of experience in a Revenue Cycle department or a related field, such as, registration, finance, collections, customer service, medical, or contract management with a minimum of two years working collections on HMO, PPO or Government claims
One-year lead or supervisory experience
OR Five years of experience in a Revenue Cycle department or a related field, such as, registration, finance, collections, customer service, medical, or contract management with a minimum of two years working collections on HMO, PPO or Government claims
Bachelors Degree in Business, Healthcare or related field (Preferred)
Job Summary:
Under management, assist in the management of daily patient business functions of all insurance collections, denials and billing areas and teams. Ensures proper reimbursement on patient accounts, identifying error trends and reporting to leadership as needed. Ensures proper billing and follow up on patient accounts timely. Coordinates with Insurance payors and interprets contracts to ensure proper reimbursement on patient accounts. Proactively identifies opportunities for process and system improvements. Ensures team success in meeting and exceeding accuracy and productivity goals set by Patient Access/Patient Financial Services department. Responsible for employee performance evaluations. Specifically takes responsibility for patient satisfaction and employee engagement scores, meeting goals set by AdventHealth, Central Florida Division South, and Patient Access/Patient Financial Services department. Performs managerial duties in absence of Manager.
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.
Category: Accounting/Finance
Organization: AdventHealth Orlando
Schedule: Full-time
Shift: 1 - Day
Req ID: 24043942
We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.