Description

AdventHealth Corporate

All the benefits and perks you need for you and your family:

• Benefits from Day One
• Career Development
• Whole Person Wellbeing Resources
• Mental Health Resources and Support

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.

Schedule: Full-time

Shift: Monday-Friday

Job Location: Remote

The role you’ll contribute:

The Reconciliation Services department helps ensure that assigned cash and accounts receivable accounts are properly stated by preparing periodic reconciliations. The scope of the department also includes performing reconciliation processes prior to and subsequent to the posting of insurance remittances to patient accounts. The Enrollment Specialist position will be responsible for identifying and enrolling all eligible insurance payers for electronic remittance advice (ERA) and electronic funds transfer (EFT).

The value you’ll bring to the team:

• Support the enrollment process by initiating, monitoring, and maintaining enrollment requirements set forth by payers, payer intermediaries, and clearinghouses regarding electronic remittance advice (ERA). This may include the following duties:
• Staying abreast of payer mergers and acquisitions impacting enrollment
• Working with clearinghouse partners and third-party intermediaries to complete, submit, monitor, and maintain ERA enrollment activities
• Troubleshooting and escalation of issues with AdventHealth leadership and vendors
• Support the enrollment process by initiating, monitoring, and maintaining enrollment requirements regarding electronic funds transfers (EFT). This may include the following duties:
• Analyze and evaluate bank lockbox activity for direct EFT opportunities
• Research and acquisition of supporting documentation, form completion, and signatures
• Identifying payers funding thru alternative payment methods (e.g. virtual credit cards) and convert to preferred ACH payment method.
• Research global billing errors impacting payment with facility patient finance leadership
• Maintain a general understanding of payer electronic data interchange (EDI) requirements as it relates to claims adjudication
• Achieve and maintain performance consistent with requirements for productivity, quality, and service levels
• Develop and maintain productive team-oriented relationships through individual contacts and group meetings
• Perform other duties as assigned

Qualifications

The expertise and experiences you’ll need to succeed:

Minimum qualifications:

• High school diploma or equivalent
• Minimum eighteen (18) months relevant healthcare revenue cycle experience (e.g. commercial insurance billing/collections) or twelve (12) months healthcare enrollment experience

KNOWLEDGE AND SKILLS REQUIRED:

• The ability to multitask
• The ability to work with minimal oversight, self-starter
• Demonstrate strong attention to detail and thoroughness
• Work well under pressure
• The ability to communicate clearly and effectively to internal and external partners across both verbal and non-verbal mediums (e.g. conference calls, emails, virtual meetings, and team chats)
• Demonstrate the ability for root cause analysis and correction rather than acute resolution alone

Preferred qualifications:

• One-year of 837 claim and/or 835 payment EDI experience
• Prior experience with healthcare clearinghouses (e.g. SSI, Availity, Change Healthcare)
• Prior insurance billing or collection experience

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.