Workers Compensation Claims Accounting Coordinator at 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.

Shift:   Monday- Friday Full time 8am-5pm

Job Location: Altamonte Springs, FL

The role you will contribute:

The WC/Claims Accounting Coordinator is responsible for supporting the claims and accounting functions of the workers' compensation and risk claims departments by reviewing and processing approved medical payments, invoices, and other claim related bills using Origami, RMX, Perceptive Content, and MedImpact software and customized scripting tools. This role will Maintain electronic documentation for all payments, voids, collections, vendors and refunds and ensure all medical payments are processed and paid within jurisdictional timeframes.

The value you will bring to the team:

• Collects necessary data, including patient details, medical services provided, pharmacy prescriptions, and related expenses.
• Verifies accuracy of collected data to ensure it matches the services rendered and prescriptions filled.
• Uses standardized medical and pharmacy codes (e.g., ICD, CPT, NDC) to categorize services and prescriptions for billing purposes.
• Submits claims to insurance providers or payers electronically using secure data transfer protocols (e.g., EDI).
• Adjudicates claims to determine coverage, eligibility, and payment amount based on the patient's insurance plan.
• Processes payments electronically, transferring funds to the medical provider or pharmacy's account once approved.
• Reconciles transactions by matching received payments with submitted claims to ensure all transactions are accounted for and resolves any discrepancies.
• Generates reports for financial tracking, auditing, and compliance purposes.
• Ensures compliance with regulations and standards, such as HIPAA, to ensure data privacy and security throughout the payment processing activities.
• Performs other duties as assigned.

The expertise and experiences you’ll need to succeed:

·         High School Grad or Equiv

·         Ability to type 35 to 40 WPM

·         Demonstrated computer skills and the ability to learn and fluidly navigate Origami, RMX, Perceptive Content, MedImpact and Microsoft Office Suite software programs

·         Effectively communicate verbally and in writing in the English language

·         Prior claims software experience

·         Prior Accounting, bookkeeping and/or money handling experience

·         Prior document management software experience

Preferred Qualifications:

·         Associate Degree

·         Bachelor's Degree

·         Encouraged to pursue All-lines adjusting license in order to advance within the department Upon Hire