Accounts Receivable Representative, Business Office Boca Raton, Part Time, 8A-4:30P, M,W, F

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

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. Responsible for the compliant resolution of moderate to complex third party claim edit rejections in the patient accounting system and the billing editor. Responsible for submitting claims and following up with insurance companies. Analyzes, oversees and evaluates patient account payer denials and rejections. Expected to have knowledge of insurance and billing forms and to have the ability to investigate and resolve debit and credit account balances.
Estimated pay range for this position is $15.88 - $20.64 / hour depending on experience.

Qualifications:
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. Responsible for the compliant resolution of moderate to complex third party claim edit rejections in the patient accounting system and the billing editor. Responsible for submitting claims and following up with insurance companies. Analyzes, oversees and evaluates patient account payer denials and rejections. Expected to have knowledge of insurance and billing forms and to have the ability to investigate and resolve debit and credit account balances.
Estimated pay range for this position is $15.88 - $20.64 / hour depending on experience.Degrees: High School, Cert, GED, Trn, Exper Additional Qualifications: Two years related experience and/or training (one year in billing and/or collections experience in healthcare collections preferred). Minimum Required Experience: UB04 hospital billing and collection experience for both Medicare and Managed Care payers preferred. Medical terminology preferred.
Candidates must be able to work 20 hours per week to maintain part time status, Monday, Wednesday, Friday.Degrees: High School, Cert, GED, Trn, Exper Additional Qualifications: Two years related experience and/or training (one year in billing and/or collections experience in healthcare collections preferred). Minimum Required Experience: UB04 hospital billing and collection experience for both Medicare and Managed Care payers preferred. Medical terminology preferred.
Candidates must be able to work 20 hours per week to maintain part time status, Monday, Wednesday, Friday.