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 Insurance collections/self-pay collections/training of new collectors and agency project/events coordinator. Responsible for serving as a lead expert in the working/collections of a large queue of unpaid medical claims. All insurance claims have been processed and billed by the client's front office and will require expert appeals. Responsible for contacting consumers/insurance providers/attorneys in order to collect payment in full and/or negotiate payment arrangements on aged or high balance debt, while following federal, state and client and collection agency guidelines and laws. Responsible for generating outgoing calls and receiving incoming calls in a high-volume bad debt A/R environment that handles multiple product lines. Collector must be able to “break down” a medical claim as it pertains to contractual adjustment, hospital reimbursement and patient responsibility. Must represent the department with professional and ethical work standards consistent with the mission and management of the company. Responsible for training of new employees and assisting management in review and auditing of additional work queues. Will serve as leader on billing projects. Employee will assume a lead role in department and will be responsible for providing on insurance/self-pay resolution issues to agency staff. Estimated pay range for this position is $17.53 - $21.21 / hour depending on experience.
Qualifications:
- Degrees: High School Diploma or equivalent
- Additional Qualifications: Minimum 3 years collection agency experience, prior agency self-pay collections/customer service experience/claims review experience—knowledge of billing of medical claims in a third-party collection agency environment.
- Candidate must have excellent knowledge of generating successful appeals on denied claims.
- Understanding of all required fields on a 1500 and/or UB for hospitals and diagnostic facilities is required.
- Knowledge and comprehension of medical and collection terminology, knowledge of Medicaid/medically needy share of cost program, skip tracing experience, predictive dialer experience.
- Must be able to read credit bureau reports, excellent computer skills, excellent written and verbal communication skills, must operate calculator, good math skills required.
- Must have prior training on the Fair Debt Collection Practices Act, Health Insurance Portability and Accountability Act and Closed Border Rule.
- Candidate must be goal oriented, assertive in nature and be able to train and lead personnel.
- Extensive analytical, critical thinking, detail oriented, problem solver, excellent mathematical and interpersonal skills required.
- Able to operate in a high-volume blended call environment.
- Must be able to complete various billing projects and report results directly to management.
- Must be able to multi-task to meet agency financial deadlines.
EOE
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