Submit claims to insurance companies by appropriately clearing any system edits.
Provides effective follow up with insurance companies to inquire about outstanding payment.
Responsible for working denials and formatting appeals.
Documents appropriate level of detail to maintain a record of all resolution attempts and activities.
Maintains acceptable standard of account balances >90 days and reduced days in A/R.
Demonstrates flexibility in responding to priorities and organizational change.
Demonstrates the ability to work under pressure and follow through on assignments despite setbacks.
What You Will Need:
High school diploma or equivalent.
6 - 12 months related experience and/or training; or equivalent combination of education and experience.
One year or more of health care billing experience, preferred
This position is responsible for the timely billing of paper and electronic hospice or home health claims on the appropriate claim format, the collection of all appropriate cash, processing of adjustments, appropriate notes and processing accounts for collections following departmental processes. Clear communication verbally and in writing is required to address payment issues. Involves working insurance denials and the research of underpayments and overpayments.
At AdventHealth, Extending the Healing Ministry of Christ is our mission. It calls us to be His hands and feet in helping people feel whole. Our story is one of hope — one that strives to heal and restore the body, mind and spirit. Our more than 80,000 skilled and compassionate caregivers in hospitals, physician practices, outpatient clinics, urgent care centers, skilled nursing facilities, home health agencies and hospice centers are committed to providing individualized, wholistic care.