Hospital Billing Analyst, Patient Accounting, Bethesda East, FT, 8A-4:30P Remote

Baptist Health is the region's largest not-for-profit healthcare organization, with 12 hospitals, over 29,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward and Palm Beach counties. With internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences, Baptist Health is supported by philanthropy and driven by its faith-based mission of medical excellence.

For 26 years, we've been named one of Fortune's 100 Best Companies to Work For, and in the  U.S. News & World Report Best Hospital Rankings, Baptist Health was the most awarded healthcare system in South Florida, earning 63 high-performing honors.

• Career growth and development opportunities, with clear pathways and ongoing support
• Comprehensive health and wellness resources that go beyond traditional benefits
• A wellness program that can help employees eliminate their medical plan deductible, reducing out-of-pocket healthcare costs
• Tuition reimbursement to support continued learning and advancement
• And so much more

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 $16.28 - $21.16 / hour depending on experience.

• High School,Cert,GED,Trn,Exper.

• AA preferred or equivalent.
• Prior Commercial and or Government billing experience required.
• 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

EOE, including disability/vets