Government Claims Admin 2, Remote, Business Office, FT, 08A-4:30P

Summary

Baptist Health is a not-for-profit healthcare organization serving South Florida. The Government Claims Admin 2 is responsible for ensuring timely and accurate reimbursement of governmental insurance accounts, maximizing collections, verifying eligibility and coordination of benefits, and communicating billing and adjustment activities.

Responsibilities

• Responsible for performing all proper and necessary actions to ensure the timely and accurate reimbursement of governmental insurance accounts assigned
• Effectively works assigned portfolio to maximize reimbursement potential and attain assigned collection goals
• Contacts insurance companies and governmental payers to verify COB and eligibility
• Communicates billing and or adjustment activities with Governmental program billers

Skills

• High School,Cert,GED,Trn,Exper
• Current BHSF employee must have a high fully meets to exceeds merit rating of 4
• 0 or higher
• Experience in billing and business office functions to include collections, refunds, payment remittance advices from Government programs required
• Must work well independently and in a team environment
• Must be able to communicate with Medicare & Medicaid fiscal intermediary, external and internal contacts to resolve accounts timely
• Have excellent written and interpersonal skills ; be detailed oriented with strong organizational and time-management skills
• Complete knowledge of government regulations including UB04 ;1500 claim form requirements ; MN and CCI
• Proficient in Microsoft Office applications
• Minimum Required Experience: 4 Years
• Associates degree desirable or minimum of 6 years experience in a hospital business office with knowledge of Government Programs

Qualifications

Must Haves

• High School,Cert,GED,Trn,Exper
• Current BHSF employee must have a high fully meets to exceeds merit rating of 4
• 0 or higher
• Experience in billing and business office functions to include collections, refunds, payment remittance advices from Government programs required
• Must work well independently and in a team environment
• Must be able to communicate with Medicare & Medicaid fiscal intermediary, external and internal contacts to resolve accounts timely
• Have excellent written and interpersonal skills ; be detailed oriented with strong organizational and time-management skills
• Complete knowledge of government regulations including UB04 ;1500 claim form requirements ; MN and CCI
• Proficient in Microsoft Office applications
• Minimum Required Experience: 4 Years

Nice to Haves

• Associates degree desirable or minimum of 6 years experience in a hospital business office with knowledge of Government Programs

Benefits

• 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