<p>Position Summary Orlando Health - Patient Accounting -Physicians Department: Accounting Status: Full Time Shift: Day Title: Patient Account Specialist II Summary: The Patient Accounts Specialist II is responsible for promoting accurate reimbursement for the organization by ensuring timely and accurate billing and collection of accounts. This individual identifies and analyzes payment variances to enact and effectively communicate corrective measures that resolve payer errors. Forbes has named Orlando Health as one of America's Best-In-State Employers. Orlando Health is committed to providing you with benefits that go beyond the expected, with career-growing FREE education programs and well-being services to support you and your family through every stage of life. We begin your benefits on day one and offer flexibility wherever possible, so that you can be present for your passions. "Orlando Health Is Your Best Place to Work" is not just something we say, it's our promise to you." Orlando Health proudly embraces and honors the individuality of our team members. By sharing different ideas and perspectives and working together as a team, we are better able to relate to, care for and authentically serve our patients and families who make up the collective populations in our community. So, no matter who you are, what you believe or how you express yourself, you are welcome here. ORLANDO HEALTH - BENEFITS & PERKS: Competitive Pay Evening, nights, and weekend shift differentials offered for qualifying positions. All Inclusive Benefits (start day one) Student loan repayment, tuition reimbursement, FREE college education programs, retirement savings, paid paternity leave, fertility benefits, back up elder and childcare, pet insurance, PTO/Holidays, and more for full time and part time employees. Forbes Recognizes Orlando Health as a Best-In-State Employer Forbes has named Orlando Health as one of America's Best-In-State Employers for 2021. Orlando Health is the top healthcare organization in the Metro Orlando area to make the prestigious list. "We are proud to be named once again as a best place to work," said Karen Frenier, VP (HR). "This achievement reflects our positive culture and efforts to ensure that all team members feel respected, supported and valued. Employee-centric Orlando Health has been selected as one of the "Best Places to Work in Healthcare" by Modern Healthcare. Responsibilities Essential Functions • Resolvesinaccurate payments with insurance carriersthat are notin compliance with payer contracts or governmental agency rates on individual accounts. • Utilizesspecialized knowledge of contracts, regulatory or contractual billing guidelinesto determine an account's ability to pay after initial rejection from payer. • Coordinates duplicate billings, coordination of benefits, medical records and clinical documents as needed to expedite payment of insurance claims. • Assists Patient Accounting Rep III with the planning and organizing of departmental activities as needed. • Analyzes underpayments and overpayments to identify root causes and examines claimsto ensure payers are complying withcontractual agreements. • Collaborates with payer contracting and other areas of the revenue cycle, if necessary, to resolve issues pertaining to a claim payment. • Communicates directly with payersto follow up on outstanding claims and resolve payment variances, respondsto payer inquires and concerns, and works to develop and maintain positive relationships with payers. • Helps to work and resolve accountsfrom other team members' workloadsto prevent backlogs and fills in as needed for absent team member • Assists Patient Accounting Rep III with the planning and organizing of departmental activities as needed. • Responsible for accountfollow-up for all assigned accounts. • Maintains system work queues based on electronic payers' error reports as assigned including but not limited to DNB, Claim Edits, Front End Rejections, and No Response from payers, Variances, underpayments, overpayments. • Maintainsreasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state, and local standards. • Maintains compliance with all Orlando Health policies and procedures. Other Related Functions • Participatesin departmental meetings • Performs other duties as assigned Qualifications Education/Training • High School diploma or GED required. • Must complete Orlando Health team member development within 6months of hire date • Works efficiently with Microsoft applications (Outlook, Word, Excel, PowerPoint. Licensure/Certification • HFMA Certified Revenue Cycle Representative (CRCR) certification received within six (6)months. Experience • One (1) year experience as a Patient Accounts Specialist I or Minimum of two (2) years' experience in a related field (medical billing/collections/managed care). • Associate degree in Healthcare Administration, Communications, Business Finance, or related area of study may substitute for 2 years of related experience.</p> <p>Education/Training • High School diploma or GED required. • Must complete Orlando Health team member development within 6months of hire date • Works efficiently with Microsoft applications (Outlook, Word, Excel, PowerPoint. Licensure/Certification • HFMA Certified Revenue Cycle Representative (CRCR) certification received within six (6)months. Experience • One (1) year experience as a Patient Accounts Specialist I or Minimum of two (2) years' experience in a related field (medical billing/collections/managed care). • Associate degree in Healthcare Administration, Communications, Business Finance, or related area of study may substitute for 2 years of related experience.</p> <p>Essential Functions • Resolvesinaccurate payments with insurance carriersthat are notin compliance with payer contracts or governmental agency rates on individual accounts. • Utilizesspecialized knowledge of contracts, regulatory or contractual billing guidelinesto determine an account's ability to pay after initial rejection from payer. • Coordinates duplicate billings, coordination of benefits, medical records and clinical documents as needed to expedite payment of insurance claims. • Assists Patient Accounting Rep III with the planning and organizing of departmental activities as needed. • Analyzes underpayments and overpayments to identify root causes and examines claimsto ensure payers are complying withcontractual agreements. • Collaborates with payer contracting and other areas of the revenue cycle, if necessary, to resolve issues pertaining to a claim payment. • Communicates directly with payersto follow up on outstanding claims and resolve payment variances, respondsto payer inquires and concerns, and works to develop and maintain positive relationships with payers. • Helps to work and resolve accountsfrom other team members' workloadsto prevent backlogs and fills in as needed for absent team member • Assists Patient Accounting Rep III with the planning and organizing of departmental activities as needed. • Responsible for accountfollow-up for all assigned accounts. • Maintains system work queues based on electronic payers' error reports as assigned including but not limited to DNB, Claim Edits, Front End Rejections, and No Response from payers, Variances, underpayments, overpayments. • Maintainsreasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state, and local standards. • Maintains compliance with all Orlando Health policies and procedures. Other Related Functions • Participatesin departmental meetings • Performs other duties as assigned</p>