Baptist Health South Florida is the region's largest not-for-profit healthcare organization with 12 hospitals, more than 27,000 employees, 4,000 physicians, and 200 outpatient centers, urgent care facilities, and physician practices spanning across Miami-Dade, Monroe, Broward, and Palm Beach counties. Baptist Health has internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences. Baptist Health is supported by philanthropy and committed to its faith-based charitable mission of medical excellence.

Our mission, vision, and values make us who we are at Baptist Health and are at the center of everything we do. At Baptist Health, we positively impact the human experience for patients, employees, and physicians. Our success comes from a culture of quality and dedication that is instilled into every member of the Baptist Health family.

This year, and for 24 years, we've been named one of Fortune's 100 Best Companies to Work For, based on employee feedback. We've also been recognized as one of America's Most Innovative Companies and People Magazine included us in 50 Companies That Care. Based on the U.S. News & World Report 2023-2024 Best Hospital Rankings, Baptist Health is the most awarded healthcare system in South Florida, with its hospitals and institutes earning 45 high-performing honors.

But really, the reason we're excited to come to work is the people.

Working together, we form personal connections with our colleagues that are stronger than most of us have experienced at other jobs. We develop caring relationships with our patients and their families that go beyond just delivering healthcare. After all, we know what it's like to be in their shoes. Many of us have been patients here and have had family members as patients here. We're committed to delivering quality care in the most compassionate way possible because we feel a personal stake in the outcomes. When it comes to caring for people, we're all in.

Description:

Responsible for working/editing daily download of assigned Governmental Program claims while adhering to all regulatory, contractual, compliance and BHSF mandates/guidelines. Optimizes timely transmittal of accurate and clean claims to achieve daily set thresholds. Protects payer filing deadlines by utilizing all available resources to resolve held claims. Communicates effectively with all BHSF Departments responsible for Revenue Cycle delays and works with Billing Management to achieve resolution. Responsible for training new employees and assisting management with auditing queues during the probation period. Must be willing to take on additional queues as back up to bill all carriers. Estimated pay range for this position is $17.02 - $20.59 / hour depending on experience.

Qualifications:

Degrees: High School,Cert,GED,Trn,Exper Additional Qualifications: BA preferred or equivalent Medicare or Medicaid Billing experience required. 4-7 years prior experience in Billing of claims. CPC, CPC-H, CCS, RMC certifications a plus. Current BHSF employees must have a high fully meets or exceeds merit rating 3.5 - 4.0. Ability to train personnel a must. Know all required fields on a 1500 and UB for hospitals and diagnostic facilities a must. Extensive knowledge with Govt related regulations National, State, and Local, for Medicare, Medicaid,Champus/Tricare. Medical Necessity and Correct Coding Initiative a must. Exp in other related Business Office functions incl Government Funded programs. Adjudication of claims is desirable. Working knowledge and understanding of: medical terminology ; Revenue Codes ; DRG guidelines ; ICD9/10, CPT4, Modifiers & HCPC codes ; HIPAA ; Online verifications DDE ; Internet savvy ; Knowledge of Microsoft Suite a must. Extensive analytical ; critical thinking ; detail oriented ; problem solver ; good math, writing, and interpersonal skills required. Must be able to report issues to management, IT support. Communicate with other depts in order to resolve pending or missing inf on the claim to meet daily transmissions. Excellent Time Management skills. Ability to multi-task and work under press Minimum Required Experience: 4 Years

EOE