Billing Specialist, Bhmg North Marcus Neuro Institute, Ft, 8a-4: 30p
Company: Baptist Health South Florida
Location: Boca Raton
Posted on: January 23, 2023
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Job Description:
Baptist Health has a commitment to strengthening the
compassionate care we provide. With the addition of Boca Raton
Regional Hospital, Baptist Health is able to provide the Palm Beach
community expanded access to healthcare services.Boca Raton
Regional Hospital is an advanced tertiary medical center with 400
beds and is a recognized leader in Cardiovascular Care, Oncology,
Women's Health, Orthopedics, Emergency Medicine and the
Neurosciences, all of which offer state-of-the-art diagnostic and
imaging capabilities. The Hospital is now a part of Baptist Health
South Florida is the region's largest not-for-profit healthcare
organization with more than 23,000 employees working across 11
hospital campuses and more than 100 outpatient facilities
throughout Miami-Dade, Monroe, Broward, and Palm Beach counties. In
2016 we welcomed the newest weapon in the fight against cancer, the
world-class Miami Cancer Institute and proton therapy
center.Baptist Health South Florida is once again one of the 2019
Fortune 100 Best Companies to Work For! This is the 19th time
Baptist Health has been recognized on the list. We have also been
recognized for being among the best healthcare providers in the
nation by U.S. News & World Reports in its 2019-2020 Best Hospitals
report and have been honored as one of PEOPLE's 2019 50 Companies
That Care by PEOPLE magazine and Great Place to Work.Everything we
do at Baptist Health, we do to the best of our ability. That
includes supporting our team with extensive training programs,
millions of dollars in tuition assistance, comprehensive benefits
and more. Working within our award-winning culture means getting
the respect and support you need to do your best work ever. Find
out why this is the best place to be your
best!Description:Responsible for working/editing daily download of
assigned Managed Care/HOM claims, optimizing the timely transmittal
of accurate and clean claims daily Billing Specialist I is
responsible for identifying and obtaining invalid/missing claim
data by communicating with other depts. to secure and/or correct
the data which prevents claim transmission Protects payer filing
deadlines by utilizing all available resources to resolve held
claims assures all known regulatory, contractual, compliance, and
BHSF guidelines are adhered to. Must be willing to take on
additional queues as back up to billing all carriers. Utilizes
available system resources to resolve claim issues when appropriate
reports any billing system issues to Billing management assists
other Billing Specialists with claim resolution or other projects
as assigned.Estimated pay range for this position is $15 $17.99 /
hour depending on experience.Qualifications:Degrees: High
School,Cert,GED,Trn,Exper Additional Qualifications: AA preferred
or equivalent. Managed Care/HMO contract billing experience
required. 3-5 years prior experience in Billing of claims.
Understanding of all required fields on a 1500 and/or UB for
hospitals and diagnostic facilities is required. Background in
coding or coding certification (CPC, CPC-H, CCS, or RMC) a plus.
Exp in other related Business Office Functions including Federal
Programs, such as: Collections, refunds, review and adjudication of
claims a plus. Knowledge and understanding of: Medical terminology,
Correct Coding Initiative, Revenue Codes, DRG Guidelines, ICD-9/10,
CPT-4, Modifiers & HCPCS codes, HIPAA regulations, statutory
regulations, On-line verifications (DDE) ; Internet savvy ;
knowledge of Microsoft Suite a must. Extensive analytical ;
critical thinking ; detail oriented ; problem solver ; good
mathematical, writing, and interpersonal skills required. Must be
able to communicate effectively with other depts. in order to
resolve pending/missing information on claims to expedite the
timely transmission to payers. Excellent Time-Management skills.
Ability to multi-task and work under pressure in order to meet
stringent deadlines. Minimum Required Experience: 3 Years
Keywords: Baptist Health South Florida, Boca Raton , Billing Specialist, Bhmg North Marcus Neuro Institute, Ft, 8a-4: 30p, Accounting, Auditing , Boca Raton, Florida
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