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Baptist Health

Accounts Receivable Representative, Business Office, FT, 08A-4:30P

Baptist Health, Boca Raton, Florida, United States, 33431

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Baptist Health Collections Specialist

Responsible for assisting in the increase of cash collections and the decrease of Accounts Receivables (AR) aging for designated plan(s) using effective and efficient collection techniques, including, but not limited to, the use of individual plan(s) escalation and/or appeal processes, patient and/or physician office contact. Understand and effectively interpret payer contracts, Remittance Advices (RA) and Explanation of Benefits (EOB) statements. Understand and follow processes needed to ensure clean claims are submitted timely using a third party claim editor system. Responsible for the compliant resolution of moderate to complex third party claim edit rejections in the patient accounting system and the billing editor. Responsible for submitting claims and following up with insurance companies. Analyzes, oversees and evaluates patient account payer denials and rejections. Expected to have knowledge of insurance and billing forms and to have the ability to investigate and resolve debit and credit account balances. Estimated pay range for this position is $17.53 - $22.79 / hour depending on experience. Degrees: High School,Cert,GED,Trn,Exper. Additional Qualifications: Two years related experience and/or training (one year in billing and/or collections experience in healthcare collections preferred). Minimum Required Experience: 2 years of experience in billing and/or collections required EOE, including disability/vets