Our promise to you:
Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.
All the benefits and perks you need for you and your family:
- 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
Schedule:
Full time
Shift:
Day (United States of America)
Address:
9395 CROWN CREST BLVD
City:
PARKER
State:
Colorado
Postal Code:
80138
Job Description:
- Independently manage complex, high-value, and escalated accounts receivable.
- Analyze payer contracts and reimbursement methodologies to ensure accurate payment and resolve underpayments.
- Lead denial management, appeals, corrected claims, and reimbursement discrepancy resolution.
- Perform root cause analysis of denial trends and implement corrective actions to prevent recurrence.
- Monitor payer-specific policies, denial patterns, and reimbursement updates to optimize collections.
- Serve as the primary contact for payer escalations, audits, projects, and reimbursement issue resolution.
- Monitor A/R aging, productivity, KPIs, and reporting to identify performance improvement opportunities.
- Prepare detailed account documentation, summaries, and reports for internal and external review.
- Resolve complex patient and payer billing inquiries with professionalism, accuracy, and empathy.
- Maintain complete, accurate, and compliant account documentation and communication.
- Mentor, train, and support Account Representatives while assisting with onboarding and performance feedback.
- Conduct quality audits and collaborate with leadership to improve workflows and operational best practices.
- Ensure compliance with HIPAA, regulatory requirements, corporate policies, and ethical standards.
- Meet departmental productivity, quality, and turnaround expectations while supporting organizational goals.
- Perform other duties as assigned.
Knowledge, Skills, and Abilities:
- Ability to serve as liaison for patients and families in the absence of a patient representative [Required]
- Ability to use discretion when discussing confidential personnel or patient-related matters [Required]
- Ability to respond effectively to changing hospital and operational needs [Required]
- Working knowledge of Revenue Cycle operations and departmental workflows including Patient Access, PreAccess, HIM, Coding, Charge Capture, Case Management, and Patient Financial Services [Required]
- Self-motivated, analytical thinker with strong research and problem-solving skills [Required]
- Professional verbal and written communication skills [Required]
- Proficiency in basic math functions [Required]
- Typing skills of at least 20–27 words per minute [Required]
- Proficiency in Microsoft Office applications including Word, Excel, and Outlook [Required]
Education:
- High School Grad or Equiv [Required]
- Associates degree [Preferred]
Field of Study:
- in accounting, finance or related field
Work Experience:
- 2+ years of experience in Patient Access, Patient Financial Services, finance, collections, coding, customer service, insurance reimbursement, medical office operations, or contract management [Required]
Additional Information:
- N/A
Licenses and Certifications:
- N/A
Physical Requirements: (Please click the link below to view work requirements) Physical Requirements - https://tinyurl.com/23km2677
Pay Range:
$21.19 - $33.90
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.
Seen 22 days ago.
Original posting on AdventHealth's site ↗
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