Insurance Collections Analyst Orlando Health - 3.8 Orlando, FL Job Details Full-time 7 hours ago Benefits Paid parental leave Loan repayment program Health insurance Tuition reimbursement Paid time off Parental leave Benefits from day one Pet insurance Qualifications Optimizing workflow processes Appeals Operational analysis Process audits Associate's degree in communications Finance Managed care organization experience Spreadsheets Overseeing healthcare denial management Healthcare Administration Business analysis Mid-level Associate's degree in healthcare administration 3 years Legislation Medical denial root cause analysis (RCA) Medical insurance appeals management Payment posting in medical billing systems Conducting training sessions Variance analysis reporting Business Administration Business operations Business Associate's degree Insurance claims appeal handling Process management Professional development training Hospital process improvement

Precepting Full Job Description Position Summary:

At Orlando Health, we are ordinary people with extraordinary individuality, working together to bring help, healing and hope to those we serve. By daily embodying our over 100-year legacy, we reinforce our reputation as a trusted and respected healthcare organization that delivers professional and compassionate care to our patients, families and communities. Through our award-winning hospitals and ERs, specialty institutes, urgent care centers, primary care practices and outpatient facilities, our 27,000+ team members serve communities that span Florida's east to west coasts and beyond.

ORLANDO HEALTH - BENEFITS & PERKS

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 2024. 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 Position Summary The Patient Accounting Analyst is responsible for tracking, performing analysis and developing performance improvements to support and enhance processes within the Patient Accounting Department.

Responsibilities:

Essential Functions Develops goals and objectives. Must track all denials and variances coming into the patient accounting department. Conducts analysis and outcome assessments on denials and variances to formulate spreadsheets for management review. Develops recommendations and presents proposals to management. Records process issues and maintain logs. Maintains all documentation for the Operations Improvement Teams within the patient accounting department. Functions as a preceptor to assist trainers and liaisons in following-up with team members on educational issues in the workplace. Audits proper use of appeal letters and account flow from identification stage through resolution. Prepares recommendations and presents proposals to management for operational Keeps up with current legislation concerning HMO appeals on both national and state levels. Communicates any issues and problems to the Patient Accounting leadership team. Assists in the analysis of managed care contracts and payment trends to identify problem areas. Participates in management and other meetings as necessary. Maintains professional growth and development in areas of expertise. Ensures implementation of process improvements. Reviews and resolves unposted payments. Handles special projects for Patient Accounting as necessary. Assists with training processes upon request. Maintains reasonably 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 Provides training sessions per needs assessments. Represents Orlando Health through community interaction.

Education/Training Qualifications:

Education/Training Associates' degree in Healthcare Administration, Communications, Business Finance, or related area of study preferred. Licensure/Certification HFMA Certified Revenue Cycle Representative (CRCR) certification required. Experience Three (3) years of revenue cycle experience in a related field (medical billing/collections/managed care) may substitute for the associate's degree.