AdventHealth Careers for Veterans

Job Information

AdventHealth ADVENTHEALTH CENTRA CARE - CORPORATE REIMBURSEMENT SPECIALIST - PFS in Maitland, Florida

Description

GENERAL SUMMARY:

The Reimbursement Specialist

is responsible for maintaining the accounts receivable while following the

pre-established legal and financial guidelines of Adventist Health System and

Florida Hospital. Additional duties

include knowledge of contracts, customer service and center support. Adheres to Florida Hospital Corporate

Compliance Plan and to all rules and regulations of all applicable local,

state, and federal agencies and accrediting bodies. Actively participates in outstanding customer

service and accepts responsibility in maintaining relationships that are

equally respectful to all.

PRINCIPLE DUTIES AND JOBRESPONSIBILITIES :

  • Demonstrates through behavior Florida Hospital’s core values of

Integrity, Compassion, Balance, Excellence, Stewardship and Teamwork

  • Processes Explanation of Benefits and denials according to contract

specifications.

  • Makes collection calls to responsible parties.

  • Provide customer service to patients, insurance companies and centers.

  • Ensure accuracy of account balance according to Managed Care contracts

  • Coordinate with Coding Educator on questions regarding ICD-10 and CPT

coding

  • Identify encounters that are ready for bad debt placement

KNOWLEDGE AND SKILLS REQUIRED:

  • Perform basic math functions

  • Capable of communicating professionally with an acceptable use of English and spelling

  • Aptitude for strong organizational skills

  • Ability to work with people of various backgrounds

KNOWLEDGE AND SKILLS PREFERRED:

  • Basic knowledge of ICD-10 & CPT coding

EDUCATION AND EXPERIENCE REQUIRED:

  • High School degree or equivalent

EDUCATION AND EXPERIENCE PREFERRED:

  • Medical Billing or accounts receivable

  • Experience using NextGen

LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:

  • N/A

LICENSURE, CERTIFICATION OR REGISTRATION PREFERRED:

  • N/A

Qualifications

Job: Administrative / Business Support

Primary Location: US-FL-Maitland

Organization AdventHealth Centra Care

Schedule Full-time

Shift Day

Job Level Staff / Associate

Education Level High School Diploma / GED

Travel No

Job Posting May 1, 2019, 9:29:37 AM

Req ID: 280030

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.

DirectEmployers