Insurance Collection Specialist

🔥 21 hours ago

🐊 Florida – Remote

🐊 Florida – Remote

💵 $19 - $24 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔒 Insurance

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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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

• Timely follow up for all assigned accounts utilizing A/R reports and account maintenance activities • Ensure timely collection of all outstanding balances • Utilize available resources for proper claims resolution • Apply payer guidelines for effective denial management • Understand and apply ICD-10, CPT-4 and associated modifiers • Navigate different levels in the appeals process to optimize recovery efforts • Review medical record documentation and identify documentation needed to overturn insurance denials • Recognize resources for drug information and medical necessity terms and definitions • Understand the components of the FDA Label • Use compendia resources to assist in medical necessity appeals • Assist in training new collection specialists

🎯 Requirements

• High School, Cert, GED, Trn, Exper. • 5 years of experience • Experience in billing, collections and appeals • Proficiency with MS Word and Excel • Excellent written and verbal communication skills • Detail-oriented and excellent problem solver • Knowledge and understanding of medical terminology, explanation of benefits and insurance verification applications • Knowledge and understanding of ICD-10, CPT-4 and modifiers • Desired completion of an accredited Certified Coding Specialist program

🏖️ Benefits

• Career growth and development opportunities, with clear pathways and ongoing support • Comprehensive health and wellness resources • 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