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Patient Financial Representative II – Transplant Support - Orlando in Orlando, FL at AdventHealth

Date Posted: 2/6/2019

Job Snapshot

Job Description



Patient Financial Representative II – Transplant Support - Orlando

AdventHealth Orlando seeks to hire a Patient Financial Representative II who will embrace our mission to extend the healing ministry of Christ.



Facility Profile:

Located on a lush tropical campus, our flagship hospital, 1,368-bed AdventHealth Orlando, serves as the major tertiary facility for much of the Southeast, the Caribbean and South America. AdventHealth Orlando houses one of the largest Emergency Departments and largest cardiac catheterization labs in the country. We are already one of the busiest hospitals in the nation, providing service excellence to more than 32,000 inpatients and 125,000 outpatients each year.



Department Profile:

The transplant unit is the only dedicated 40-bed Kidney, Pancreas and Liver Transplant unit at AdventHealth. Our highly trained specialty team allow us to expedite care and guide patients through the recovery process after transplant surgery. Nurses on this unit also partner closely with the AdventHealth Transplant Institute.



Work Hours/Shifts:

Monday – Friday; 8am – 5pm



Job Summary:

Under the general direction of the Assistant Director of Operations, the Patient Financial Representative II is primarily responsible for insurance verifications and authorizations for all practice-related provider visits and procedures. This position ensures accurate charge capture and billing documentation, and serves as an informational resource to patients, assists with on-going billing-related training and professional development of providers. The Patient Financial Representative II reviews physician and physician extenders documentation to code and bill for professional services provided and is responsible for the validation of ICD-9, ICD-10, CPT and HCPCS codes. This position assists with the on-boarding, training and professional development of the Level I Patient Financial Representatives. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.



Knowledge, Skills, Education, & Experience Required:

  • Able to communicate effectively both verbally and in writing in English with patients, staff, and customers of varied backgrounds in a respectful, effective, and professional manner
  • Strong interpersonal, organizational skills and the ability to work effectively in an environment with frequent interruptions
  • Able to act in an autonomous, self-directed manner while maintaining the ability to collaborate with other professionals and non-professionals in situations of high complexity and high intensity
  • Self-motivated, with the ability to multi-task and adapt to changing demands
  • Mature judgement and the ability to handle confidential information within AdventHealth guidelines and applicable regulations
  • Knowledge of clinical documentation, exam procedures and protocols
  • Proficiency using personal computer, word processing and email system. Must have knowledge of Microsoft Excel and Microsoft Word
  • Understanding of CPT codes and ICD 9/ICD 10 coding
  • Bilingual (English/Spanish) (Preferred)
  • Knowledge of medical terminology (Preferred)
  • Four years’ experience in a complex healthcare setting with primary responsibility of providing full financial work-up and financial reimbursements
  • Associate’s degree in Healthcare, Business or related field (Preferred)


Licensure, Certification, or Registration Required:

  • Certified Professional Coder, Certified Medical Reimbursement Specialist and/or billing related certification from an accredited professional organization (Preferred)


Job Responsibilities:

Demonstrates through behavior AdventHealth’s core Values of Keep Me Safe, Love Me, Make it Easy, and Own it

  • Delivers excellent customer service to the patients/families and other care providers, focusing on family-centered care by displaying a positive attitude and demonstrates a professional demeanor with every patient encounter.
  • Performs general tasks related to insurance verifications and authorizations for office visits, surgeries and diagnostic testing. Accurately completes all associated documentation required for billing purposes. Determine patient’s financial responsibilities as stated by insurance and negotiate singe case agreements with non-contracted health plans as necessary. Performs and assists the Assistant Director with utilization reviews, medical necessity and appeals.
  • Serves as informational resource to patients with contracted and non-contracted insurances. Provide education or information about the governmental insurance exchange(s) and assisting patients as necessary with questions related to their available benefit choices. Meet with patients as necessary for translation and/or explanation services.
  • Performs general tasks related to charge capture and billing documentation. Ensure providers accurately complete and submit E&Ms with the schedule and/or bed census. Update encounter forms for all practices with new billing codes (ICD 9, ICD 10, CPT and DX codes). Serve as liaison between the billing service and the providers regarding billing related concerns.
  • Establish and maintain a working relationship with key contacts at insurance companies and other departments in AdventHealth.
  • Reviews physician and physician extenders documentation to code and bill for professional services provided. Responsible for validation of ICD-9, ICD-10, CPT and HCPCS codes as submitted by providers in addition to performance of assigning codes as deemed necessary from the review of the providers documentation.
  • Prepares and disseminates various reports to the Assistant Director or others including, but not limited to, reports related to the submission of charges, delayed charges, and delayed dictation and volume reports for validation of provider RVU reports.
  • Participates in special projects to improve quality and efficiency in an effort to improve the patient experience of care including quality and satisfaction, improve the health of the populations served and reduce the cost of clinic care.
  • Assists with the on-boarding, training and professional development of the Level I Patient Financial Representatives, provides education, support and verifies competence of the staff he/she mentors.
  • Maintains current knowledge of Medicare and Medicare rules, including any legislation affecting the transplant patients.

If you want to be a part of a team that is dedicated to delivering the highest quality in patient care, we invite you to explore the Patient Financial Representative II opportunity with AdventHealth Orlando and apply online today.



Job Keywords:

Patient Financial Representative II, Transplant, Orlando



Position Location:  Orlando
Job:  Administrative / Business Support
Organization:  AdventHealth Central Florida
Primary Location:  US-FL-Orlando
Schedule:  Full-time
Shift:  Day
Job Level:  Staff / Associate
Education Level:  None
Travel:  No
Job Posting:  Feb 6, 2019, 2:49:03 PM

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