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Baptist Health · 9 hours ago

Government Billing Spec 2, Remote, Business Office, FT,08A-4:30P

United States

Full-time

Remote

Mid Level

$20.02/hr - $24.22/hr

4+ years exp

Baptist Health is the region's largest not-for-profit healthcare organization, with a commitment to medical excellence and compassionate care. The Government Billing Specialist 2 will be responsible for managing Governmental Program claims, ensuring compliance with regulations, and training new employees within the billing team.

Hospital & Health Care

Responsibilities

Responsible for working/editing daily download of assigned Governmental Program claims while adhering to all regulatory, contractual, compliance and BHSF mandates/guidelines

Optimizes timely transmittal of accurate and clean claims to achieve daily set thresholds

Protects payer filing deadlines by utilizing all available resources to resolve held claims

Communicates effectively with all BHSF Departments responsible for Revenue Cycle delays and works with Billing Management to achieve resolution

Responsible for training new employees and assisting management with auditing queues during the probation period

Must be willing to take on additional queues as back up to bill all carriers

Qualification

Medicare Billing experienceMedicaid Billing experienceCPC certificationRegulationsAdjudication of claimsMedical terminologyRevenue CodesICD9/10 codingCPT4 codingHIPAA knowledgeAnalytical skillsMulti-taskingCritical thinkingDetail orientedProblem solvingInterpersonal skillsTime management

Required

High School, Cert, GED, Trn, Exper

BA preferred or equivalent Medicare or Medicaid Billing experience required

4-7 years prior experience in Billing of claims

CPC, CPC-H, CCS, RMC certifications a plus

Current BHSF employees must have a high fully meets or exceeds merit rating 3

Ability to train personnel a must

Know all required fields on a 1500 and UB for hospitals and diagnostic facilities a must

Extensive knowledge with Govt related regulations National, State, and Local, for Medicare, Medicaid, Champus/Tricare

Medical Necessity and Correct Coding Initiative a must

Exp in other related Business Office functions incl Government Funded programs

Working knowledge and understanding of: medical terminology; Revenue Codes; DRG guidelines; ICD9/10, CPT4, Modifiers & HCPC codes; HIPAA; Online verifications DDE; Internet savvy; Knowledge of Microsoft Suite a must

Extensive analytical; critical thinking; detail oriented; problem solver; good math, writing, and interpersonal skills required

Must be able to report issues to management, IT support

Communicate with other depts in order to resolve pending or missing inf on the claim to meet daily transmissions

Excellent Time Management skills

Ability to multi-task and work under press

Preferred

Adjudication of claims is desirable

Company

Baptist Health

Glassdoor3.8

Baptist Health South Florida is the region’s largest not-for-profit healthcare organization with 12 hospitals, more than 29,000 employees, 4,500 physicians, and 200 outpatient centers, urgent care facilities, and physician practices spanning across Miami-Dade, Monroe, Broward, and Palm Beach counties.

Founded in 1990

Coral Gables, Florida, US

10001+ employees