Account Manager Medicare

Account Representative Manager Billing / Collections / Denials

Location : 900 WINDERLEY PL, Maitland, 32751

Work Hours / Shift : Full Time Monday - Friday 8 : 00 - 5 : 00pm

You Will Be Responsible For :

Managing the cohesive relationship between insurance and hospital. Working with insurance payers to ensure proper follow up on billing / denials / variances takes place on all assigned patient accounts. Compiling the Accounts Receivable issue report to expedite resolution of accounts.

Being well versed in the NUBC guidelines. Maintaining an understanding of federal, state, local and industry standards, guidelines, rules and regulations to ensure compliance.

Managing department team members by providing application assistance and work flow knowledge and training. Showing respect and consideration for co-workers needs, concerns and beliefs. Assisting the Supervisor with managing the day to day operations.

Working reports daily, maintaining established goal(s), and notifying Director, of issues preventing achievement of such goal(s). Managing the follow up on daily correspondence to appropriately resolve patient accounts with one touch resolution.

Assisting Customer Service with patient concerns / questions to ensure prompt and accurate resolution is achieved. Producing written correspondence to payers and patients regarding status of claim, requesting additional information, etc. Participating in insurance claim event to reduce outstanding AR if necessary.

Qualifications

What You Will Need :

Bachelors Degree in Business, Healthcare or related field

Three years of experience in a Revenue Cycle Department or related area (registration, finance, collections, customer service, medical, or contract management

Two-year of supervisory / management experience

OR Seven years of Management experience in Revenue Cycle Department or related area (registration, finance, collections, customer service, medical, or contract management

Two-year of supervisory / management experience

Masters Degree (Preferred)

Job Summary :

Protects the financial standing of AdventHealth, Central Florida Division South, by performing functions related to the collections, payment and customer service for all payer and patient accounts. Manager monitors and directs the process of follow up with insurance in a timely accurate manner. Provides leadership with daily updates on volumes, dollars, and related systemic issues. Reviews daily assigned electronic claims and submission reports. Maintains a strong working relationship with HIM, Coding, Revenue Integrity, Patient Access, and Patient Financial Services Leadership to address process and outstanding claim errors. Processes daily error logs, stalled reports, aging claims, and any ah-hoc reports.

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 : 25039242