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ADVENTHEALTH CENTRA CARE - SPECIAL PROJECT - PFS in Maitland, FL at AdventHealth

Date Posted: 4/16/2019

Job Snapshot

  • Job Schedule
    Full-Time
  • Location:
    Maitland, FL
  • Job Category
  • Date Posted:
    4/16/2019
  • Job ID:
    275561
  • Job Function
    Administrative / Business Support
  • Travel
    No
  • Shift
    Day
  • Application Zone
    2-Legacy System
  • Organization
    AdventHealth Centra Care

Job Description

Our Mission is to extend the healing ministry of Christ.

Employees are hired to help Adventist Health System extend the healing ministry of Christ. They are expected to exhibit a continuous behavior of professionalism, which includes but is not limited to, treating customers and co-workers with respect and dignity, aligning behavior with customer service principles, maintaining customer and patient confidentiality, abiding by employee guidelines for professional behavior, appearance, and communication, exhibiting teamwork behaviors, being effective in conflict resolution, helping others to understand issues and accept changes, demonstrating high standards of work performance and flexibility, maintaining positive interdepartmental relationships, keeping a positive attitude, and adhering to the policies and procedures of the organization.

 

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 JOB RESPONSIBILITIES:

•         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



Position Location:  
Job:  Administrative / Business Support
Organization:  AdventHealth Centra Care
Primary Location:  US-FL-Maitland
Schedule:  Full-time
Shift:  Day
Job Level:  Staff / Associate
Education Level:  High School Diploma / GED
Travel:  No
Job Posting:  Jan 15, 2019, 2:13:58 PM

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