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Payment Integrity Representative

HealthFund Solutions LLC
Posted 21 hours ago, valid for 20 days
Location

Orlando, FL, US

Salary

$20 per hour

Contract type

Full Time

Life Insurance

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Sonic Summary

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  • The Payment Representative role is based in Orlando, FL, requiring onsite work five days a week from 8:00 am to 4:30 pm.
  • Candidates should have three to five years of related experience in medical billing or accounting, with a high school diploma required and a college degree preferred.
  • The position offers a salary of $40,000 to $50,000 per year, depending on experience.
  • Responsibilities include verifying insurance information, managing patient files, and pursuing refunds from insurance companies.
  • Benefits include medical, dental, and vision insurance, life insurance, and a 401(k) with up to a 4% employer match.

Description

Reporting to our Payment Integrity Manager, the Payment Representative acts as a liaison between our patients and their insurance companies. This is an onsite role 5 days a week at our corporate office in Orlando, Fl. Monday-Friday 8:00am-4:30pm. Prior experience with insurance technology, medical background, and payment management of accounts preferred. 


Benefits:

  • Medical, Dental, and Vision Insurance
  • Life Insurance
  • Short-Term and Long-Term Disability
  • Critical Illness & Accident Plans
  • 401(k) with up to 4% employer match
     

Responsibilities:

  • Interact with Company departments and external vendors
  • Send, receive, and review contracts with external vendors
  • Update Company databases, with extreme attention to detail
  • Work in compliance with banking portals
  • Verify Insurance information on patient account for accuracy and contract compliance
  • Assist in making patient insurance premiums payments
  • Accurately record payments made in company database per outlined procedures
  • Review exception reports
  • Actively pursue refunds owed by insurance companies
  • Maintains accurate and organized patient files (both paper and electronic versions)
  • Other duties as assigned


Requirements:

  • High School Diploma required
  • College Degree or some college preferred
  • Three (3) to five (5) years of related experience in medical billing or accounting is preferred
  • Organized
  • Extreme Attention to Detail
  • Process Initiative
  • Ability to communicate effectively in speaking and writing
  • Work effectively with individuals from diverse backgrounds
  • Ability to establish and maintain effective working relationships
  • Ability and desire to communicate effectively by telephone
  • Perform basic operations in Microsoft Office Suite
  • General Accounting experience is helpful
  • Prior experience in medical insurance invoicing and payment management of accounts is helpful


 NOTE: This job description is not intended to be all-inclusive. Duties may be adjusted as needed to meet organizational needs.

All candidates must successfully pass a national background check and a 12-panel drug screening. HealthFund Solutions is a drug-free workplace. We are an equal opportunity employer. All qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status




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