Insurance Collection Specialist

🔥 0 minutes ago

🐊 Florida – Remote

🐊 Florida – Remote

💵 $19 - $24 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔒 Insurance

👻 Ghost score 0%

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

🎯 Requirements

• High School, Cert, GED, Trn, Exper. • 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 • Wellness program that can help employees eliminate their medical plan deductible • Tuition reimbursement

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