Insurance Collection Rep 1, Remote, Business Office,FT Job at Baptist Health South Florida
Baptist Health South Florida is the largest healthcare organization in the region, with 12 hospitals, more than 27,000 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.
EOE, including disability/vets
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:
*** FULLY REMOTE ***
Responsible for follow up to insurance companies and patients in order to obtain payment of accounts.
- Call insurance companies for follow up and collect payments within the established time frame. Contact patients in order to seek their assistance to obtain account resolution/payment.
- Informs management of those payors who are causing reimbursement delays and report all contract discrepancies to the appropriate level of management.
- Work the number of accounts established in the departments Standard Operating Procedures. Document all action taken on patient accounts and use the proper collector activity code. Comply with the HIPPA guidelines.
- Escalates unresolved accounts to the insurance upper management in order to expedite reimbursement.
- Utilize work list to resolve accounts utilizing all available systems to obtain claim status, such as WEB MD, Availity, etc.
- Ensures that all documentation required by the insurance carrier for payment is resubmitted utilizing the tools available.
- Review incoming correspondence and take the corrective action required also responding to any insurance and patient inquiries timely.
- Understand and analyze the various managed care contracts and the various CPT, HCPCS, DRG codes in order to ensure proper reimbursement.
Estimated pay range for this position is $16.52 - $19.99 / hour depending on experience.
Qualifications:
Degrees: High School, Cert, GED- Additional Qualifications: Must operate a 10 key calculator, excellent communication skills, both written and verbal, with people of various backgrounds, detailed oriented, problem solver, good math skills.
- 5 plus years of previous collection experience.
- Microsoft experience a must.
- Proficient in managed care terminology and reimbursement.
- ICD9-and CPT knowledge desirable. AA degree preferred.
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EOE, including disability/vets
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