Account Representative II

About the Role

Demonstrate AdventHealth's service standards through consistent behavior. Collaborate with insurance payers to ensure accurate billing, collections, and denial resolution. Participate in calls, review AR reports, and escalate issues as needed.

Responsibilities

• Analyze payer contracts to ensure proper reimbursement and identify inconsistencies; communicate findings and updates to the team.
• Work daily follow-up reports to meet productivity goals; escalate barriers to leadership as needed.
• Respond to correspondence related to denials, underpayments, and billing issues.
• Provide written communication to payers and patients regarding claim status or additional information requests.
• Review account history and determine appropriate actions to resolve accounts, including billing, follow-up, or collections.
• Initiate contact with patients, insurers, or employers as needed; submit primary and secondary claims appropriately.
• Accurately document all billing, denial, and collection activities, including escalations.
• Process appeals, refunds, reinstatements, and claim rejections.
• Maintain consistent communication with team members and leadership; participate in meetings and assigned projects.
• Support team development by assisting with training, audits, and performance feedback.
• Ensure HIPAA compliance by verifying caller authorization prior to sharing account information.
• Take on additional departmental projects and other duties as assigned.
• Maintain productivity standards and handle increased workload expectations as experience grows.
• Ability to pass Epic training in first 30 days of starting.

Qualifications

• High School Grad or Equiv [Required]
• Associates degree in business or a related field [Preferred]
• 3+ years of experience or revenue cycle operations experience [Required]

Required Skills

• Ability to maintain confidentiality and exercise discretion with sensitive information.
• Adaptability to changing organizational and operational needs.
• Working knowledge of the Revenue Cycle, including Charge Capture, Access, HIM, Coding, Utilization Management, and Patient Financial Services.
• Strong communication skills (verbal and written).
• Self-motivated with strong problem-solving ability.
• Typing proficiency (minimum 20 WPM).
• Basic math proficiency.
• Proficiency in Microsoft Office (Word, Excel).
• Strong analytical and research skills.
• Ability to work in remote or hybrid environments.

Preferred Qualifications

• Experience with SSI Claims Scrubber [Preferred]
• Experience with Epic [Preferred]
• Certified Revenue Cycle Rep (CRCR) [Preferred]

Benefits

• Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance
• Paid Time Off from Day One
• 403-B Retirement Plan
• 4 Weeks 100% Paid Parental Leave
• Career Development
• Whole Person Well-being Resources
• Mental Health Resources and Support
• Pet Benefits

Schedule

Full time, Day shift

Pay

$19.41 - $36.10