Orlando Health

A/R Rep II, Phy & Prof Sv CBO

*** Must reside in AL, AZ, CO, GA, ID, IL, MA, MI, NV, NM, NC, SC, PA, TX, VA, or WA***

Department: Patient Accounting -Physicians

Status: Full Time

Shift: Remote

Title: A/R Rep II, Phy & Prof Sv CBO

Summary:

We are seeking a detail-oriented A/R Rep II that works as a part of the team which is responsible for facilitating the timely collection of monies owed to the organization.

Forbes has named Orlando Health as one of America's Best-In-State Employers. Orlando Health is committed to providing you with benefits that go beyond the expected, with career-growing FREE education programs and well-being services to support you and your family through every stage of life. We begin your benefits on day one and offer flexibility wherever possible, so that you can be present for your passions.

“Orlando Health Is Your Best Place to Work” is not just something we say, it’s our promise to you.”

Orlando Health proudly embraces and honors the individuality of our team members. By sharing different ideas and perspectives and working together as a team, we are better able to relate to, care for and authentically serve our patients and families who make up the collective populations in our community. So, no matter who you are, what you believe or how you express yourself, you are welcome here.

ORLANDO HEALTH - BENEFITS & PERKS:

Competitive Pay

• Evening, nights, and weekend shift differentials offered for qualifying positions.

All Inclusive Benefits (start day one)

• Student loan repayment, tuition reimbursement, FREE college education programs, retirement savings, paid paternity leave, fertility benefits, back up elder and childcare, pet insurance, PTO/Holidays, and more for full time and part time employees.

Forbes Recognizes Orlando Health as a Best-In-State Employer

• Forbes has named Orlando Health as one of America's Best-In-State Employers for 2021. Orlando Health is the top healthcare organization in the Metro Orlando area to make the prestigious list. "We are proud to be named once again as a best place to work," said Karen Frenier, VP (HR). "This achievement reflects our positive culture and efforts to ensure that all team members feel respected, supported and valued.

Employee-centric

• Orlando Health has been selected as one of the “Best Places to Work in Healthcare” by Modern Healthcare.

*** Must reside in AL, AZ, CO, GA, ID, IL, MA, MI, NV, NM, NC, SC, PA, TX, VA, or WA***

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 is 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.

Education/Training:
High School graduate or GED required. Must complete staff development within the 6 months of hire date.

Experience:
One (1) year experience in related field (medical billing/collections/managed care) required. Knowledge of Microsoft Office Excel and Word required. Ability to type 30 wpm.