Note: The job is a remote job and is open to candidates in USA. AdventHealth is a healthcare organization focused on whole-person care and service. The Account Representative II manages revenue cycle activities, including billing, collections, denials, appeals, payer communication, and account resolution while maintaining productivity, confidentiality, and HIPAA compliance.
Responsibilities
- 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
- 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
- Performs other duties as assigned
Skills
- Ability to maintain confidentiality and exercise discretion with sensitive information. [Required]
- Adaptability to changing organizational and operational needs. [Required]
- Working knowledge of the Revenue Cycle, including Charge Capture, Access, HIM, Coding, Utilization Management, and Patient Financial Services. [Required]
- Strong communication skills (verbal and written). [Required]
- Self-motivated with strong problem-solving ability. [Required]
- Typing proficiency (minimum 20 WPM). [Required]
- Basic math proficiency. [Required]
- Proficiency in Microsoft Office (Word, Excel). [Required]
- Strong analytical and research skills. [Required]
- Ability to work in remote or hybrid environments. [Required]
- High School Grad or Equiv [Required]
- In business or a related field
- 3+ years of experience or revenue cycle operations experience [Required]
- Experience with SSI Claims Scrubber [Preferred]
- Experience with Epic [Preferred]
- Associates degree [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
- Fully Remote
Company Overview