Hospital Billing Analyst

🕒 July 29

🐊 Florida – Remote

🐊 Florida – Remote

💵 $16 - $21 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

📊 Billing Specialist

👻 Ghost score 13%

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Baptist Health

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

🤝 Non-profit

Healthcare • Non-profit

Baptist Health is the region's largest not-for-profit healthcare organization in South Florida. It operates 12 hospitals, more than 29,000 employees, 4,500 physicians, and roughly 200 outpatient centers, urgent care facilities, and physician practices across Miami-Dade, Monroe, Broward, and Palm Beach counties. The system includes renowned centers of excellence in cancer, heart and vascular, brain and spine, and orthopedic care, and is supported by philanthropy and a faith-based mission. Baptist Health emphasizes clinical quality, patient safety, staff development, and community-oriented care.

📋 Description

• Responsible for working/editing daily download of assigned Managed Care/HOM claims, optimizing the timely transmittal of accurate and clean claims daily • Billing Specialist I is responsible for identifying and obtaining invalid/missing claim data by communicating with other depts. to secure and/or correct the data which prevents claim transmission • Protects payer filing deadlines by utilizing all available resources to resolve held claims assures all known regulatory, contractual, compliance, and BHSF guidelines are adhered to • Must be willing to take on additional queues as back up to billing all carriers • Utilizes available system resources to resolve claim issues when appropriate reports any billing system issues to Billing management assists other Billing Specialists with claim resolution or other projects as assigned

🎯 Requirements

• High School, Cert, GED, Trn, Exper. • AA preferred or equivalent • Prior Commercial and or Government billing experience required • Managed Care/HMO contract billing experience required • 3-5 years prior experience in Billing of claims • Understanding of all required fields on a 1500 and/or UB for hospitals and diagnostic facilities is required • Background in coding or coding certification (CPC, CPC-H, CCS, or RMC) a plus • Exp in other related Business Office Functions including Federal Programs, such as: Collections, refunds, review and adjudication of claims a plus • Knowledge and understanding of: Medical terminology, Correct Coding Initiative, Revenue Codes, DRG Guidelines, ICD-9/10, CPT-4, Modifiers & HCPCS codes, HIPAA regulations, statutory regulations, On-line verifications (DDE) ; Internet savvy ; knowledge of Microsoft Suite a must • Extensive analytical ; critical thinking ; detail oriented ; problem solver ; good mathematical, writing, and interpersonal skills required • Must be able to communicate effectively with other depts. in order to resolve pending/missing information on claims to expedite the timely transmission to payers • Excellent Time-Management skills • Ability to multi-task and work under pressure in order to meet stringent deadlines.

🏖️ Benefits

• Career growth and development opportunities • 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