BayCare Health System logo
BayCare Health System
Posted 5 days agoVerified live 1d ago

Patient Financial Rep - Appeals

Brief overview

Remote
High SchoolOr in progress
1+ yrsMinimum
Insurance AppealsMedical TerminologyRegulatory StandardsWritten and Verbal Communication

About the company

BayCare Health System logo
BayCare Health Systembaycare.org/bmg

BayCare is a leading not-for-profit academic health care system that connects individuals and families to a wide range of services at 16 hospitals, including a children’s hospital, and hundreds of other convenient locations throughout the Tampa Bay and central Florida regions.

Job description

Summary

BayCare Health System is a healthcare organization providing hospital, home health, outpatient, and physician services. The Patient Financial Representative performs patient accounting functions, including billing, collections, customer service, cash applications, payment posting, account documentation, and insurance appeal follow-up.

Responsibilities

  • The Patient Financial Representative performs patient accounting functions including billing, collections, customer service, and cash applications, documents patient account activity, responds to customer billing inquiries, posts payments, implements billing guideline changes and identifies trends at a payer specific level, applies federal and state guidelines to collection efforts, interprets and follows up on Explanation of Benefits, inventories supplies, reports and tracks equipment maintenance, performs other duties as assigned

Skills

  • Required High School or equivalent
  • 1 year customer service
  • Appeals - write and submit an appeal to an insurance company
  • Customer service skills
  • Administrative and clerical skills
  • Organizational skills
  • Knowledge of regulatory standards appropriate to position
  • Medical terminology use and understanding
  • Written and verbal communication skills
  • Work with a team
  • Computer skills appropriate to position

Qualifications

Must Haves

  • Required High School or equivalent
  • 1 year customer service
  • Appeals - write and submit an appeal to an insurance company
  • Customer service skills
  • Administrative and clerical skills
  • Organizational skills
  • Knowledge of regulatory standards appropriate to position
  • Medical terminology use and understanding
  • Written and verbal communication skills
  • Work with a team
  • Computer skills appropriate to position

Benefits

  • Benefits (Medical, Dental, Vision)
  • Paid Time Off
  • Tuition Assistance
  • 401K Match and additional yearly contribution
  • Annual performance appraisals and team award bonus
  • Family resources and wellness opportunities
  • Community perks and discounts
  • Remote position; team members must reside in Florida

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