Physician Practice RM Claims Specialist 1, Remote, BHMG Revenue Management, FT, 08A-4:30P

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

Provides billing and/or claims management support to the Baptist Health Medical Group revenue management team. Complies with payer filing deadlines by utilizing all available resources to resolve held claims, Assures all known regulatory, contractual, compliance, and BHSF guidelines are adhered to with regards to claim billing processes. Communicates with various teams within the organization. Utilizes coding compliance and understanding of ICD-10, HCPCS, CPT-4 and associated modifiers to successfully resolve claims management issues. Estimated pay range for this position is $18.59 - $22.49 / hour depending on experience.

Qualifications

Degrees: High School,Cert,GED,Trn,Exper Licenses & Certifications: AHIMA Certified Coding Specialist-Physician-based AHIMA Certified Coding Specialist AHIMA Certified Coding Associate AAPC Certified Professional Coder Additional Qualifications: Minimum two years of charge entry or claims/billing management experience. Years of experience may suffice for initial certification requirement. AHIMA Certified Coding Associate, AHIMA Certified Coding Specialist, AHIMA Certified Coding Specialist-Physician-based is preferred. No certification is required. Must possess working knowledge of coding and charge entry or claims management processes. Knowledgeable in physician billing, regulatory, and compliance guidelines, as well as appeal processes. Possesses effective verbal and written communication skills. Experienced with Microsoft Word and Excel and work well with new applications. Experience with Soarian Financials/Change healthcare preferred, as well as hospital-based software. Minimum Required Experience:

EOE