Job Information

AdventHealth Account Representative Medicaid Manager in Maitland, Florida



Account Representative Medicaid Manager

Location Address: Maitland, FL

Top Reasons to work at AdventHealth

  • Career growth and advancement potential

  • Full time hours with Benefits

  • We have Positive values with a productive and energetic atmosphere

Work Hours/Shift:

  • Full Time Days Monday- Friday

You Will Be Responsible For:

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

  • Be well versed in the NUBC guidelines. Maintain an understanding of Federal, State, local and industry standards, guidelines, rules and regulations to ensure compliance.

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

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

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


What You Will Need:

  • Bachelor’s 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

  • Master’s 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.

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

Category: Accounting/Finance

Organization: AdventHealth Orlando

Schedule: Full-time

Shift: 1 - Day

Travel: AdventHealth Orl Support

Req ID: 21039460

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.