Accounts Receivable Representative, Admin and Billing, FT,8A-4:30P

Company: Baptist Health South Florida
Location: Boca Raton
Posted on: November 23, 2022

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, the largest healthcare organization in the region, with 12 hospitals, more than 24,000 employees, 4,000 physicians and 100 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. A not-for-profit organization supported by philanthropy and committed to its faith-based charitable mission of medical excellence, Baptist Health has been recognized by Fortune as one of the 100 Best Companies to Work For in America and by Ethisphere as one of the World's Most Ethical Companies.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 we're all in for helping you be your best.Description:Responsible for assisting in the increase of cash collections and the decrease of Accounts Receivables (AR) aging for designated plan(s) using effective and efficient collection techniques, including, but not limited to, the use of individual plan(s) escalation and/or appeal processes, patient and/or physician office contact. Understand and effectively interpret payer contracts, Remittance Advices (RA) and Explanation of Benefits (EOB) statements. Understand and follow processes needed to ensure clean claims are submitted timely using a third party claim editor system. Expected to have knowledge of insurance and billing forms and to have the ability to investigate and resolve debit and credit account balances.Minimum experience required:3+ years of experience in Hospital Billing and CollectionsConducting daily research and follow up on unpaid claims for Managed Care and Government payersUnderstands the reconsideration and appeal Payer processesKnowledge of payer contracting and reimbursementDetailed orientedOncology/Hematology billing and collectionexperience preferredClaims Editor system experienceEstimated pay range for this position is $15.00 - $19.50/ hour depending on experience.Qualifications:Degrees: High School,Cert,GED,Trn,Exper Additional Qualifications: Prior cashier, data entry, and 10 Key adding machine experience a plus. Requires proficiency in Microsoft Excel, working knowledge of Windows O/S with general computer skills, and attention to detail. Experience with McKesson STAR or Soarian Financials a plus. Ability to analyze insurance carrier Explanations of Benefits and identify carrier denials and partial payments. Ability to identify and differentiate between carrier payments, contractual allowances, and patient responsibility. Ability to query and identify correct account for which payment(s) is to be applied. Possess good analytical, organizational, and communication skills. Ability to work independently in a team atmosphere. Excellent Time-Management skills. Ability to multi-task and work under pressure in order to meet stringent deadlines. A minimum of 3-4 years office, banking, or healthcare receivables experience preferred. Minimum Required Experience:

Keywords: Baptist Health South Florida, Boca Raton , Accounts Receivable Representative, Admin and Billing, FT,8A-4:30P, Other , Boca Raton, Florida