Patient Account Billing Representative AdventHealth Hendersonville

Location Address: 100 Hospital Dr, Hendersonville, NC 28792

Top Reasons to Work at AdventHealth Hendersonville

Community Involvement

Located in the beautiful mountains of Western North Carolina

Great Benefits

Co-workers that feel like family

Faith Based

Work Hours/Shift:

Full Time

You Will Be Responsible For:

• Reviews Work Items daily and carries out action needed for claim resolution.  Documents all activity clearly including information essential for future follow-up.
• Relies on online resources for claim status and updates. Monitors websites for Payer policy changes and shares information with management and team members. 
• Resolves denied claims that do not require an appeal.  Claims needing appeal are referred to denial team.
• Processes correspondence and email in a timely manner; responds to requests for additional information promptly.
• Maintains days in A/R, aging of accounts and collections for rep assignment within corporate defined goals.
• Communicate effectively with physician offices.
• Prepare analysis of ATB greater than 60 days with detailed understanding of problems creating payment delay, as needed, and reports this to Assistant Director.
• Process correspondence and emails in a timely manner and completes necessary actions.
• Maintain days in A/R, aging of accounts and collections within corporate defined goals.
• Make appropriate decisions for resolution of unpaid claims.
• Accept other duties as assigned.

What You Will Need:

• High school graduate or equivalent required.
• Experience with medical terminology, insurance reimbursement, ICD-10 and CPT coding preferred.

Job Summary:

Reviews all 72 hour and OP to OP overlaps for possible combining according to policy.  Works in other areas as assigned.