Claims Variance Associate 3, Remote, Business Office, FT, 08A-4:30P

Company: Baptist Health
Location: Miami
Posted on: September 20, 2023

Job Description:

Baptist Health South Florida is the largest healthcare organization in the region, with 12 hospitals, more than 27,000 employees, 4,000 physicians and 100 outpatient centers, urgent care facilities and physician practices spanning across Miami-Dade, Monroe, Broward and Palm Beach counties. Baptist Health has internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences. A not-for-profit organization supported by philanthropy and committed to its faith-based charitable mission of medical excellence, Baptist Health has been recognized by Fortune as one of the 100 Best Companies to Work For in America and by Ethisphere as one of the World's Most Ethical Companies.Everything we do at Baptist Health, we do to the best of our ability. That includes supporting our team with extensive training programs, millions of dollars in tuition assistance, comprehensive benefits and more. Working within our award-winning culture means getting the respect and support you need to do your best work ever. Find out why we're all in for helping you be your best.Description:
Responsible for serving as a lead expert in data analysis, reporting and formulating recommendations. Provides guidance and support to all variance associates. Responsible for assisting management with the gathering, verification and analysis of Managed Care underpayment variance reports for all BHSF entities Responsible for the organization and preparation of all Managed Care Insurance Carriers projects and Insurance Law Suits.
Estimated pay range for this position is $25.00 - $30.25 / hour depending on experience.Qualifications:Degrees:
High School,Cert,GED,Trn,Exper

Additional Qualifications:
Prior experience in working with Hospital Collection Reimbursement. Ability to train personnel a must. Knowledgeable on all required fields on a 1500 and UB for hospitals and diagnostic facilities a must. Extensive knowledge in the adjudication of claims ; working knowledge and understanding of: Insurance Explanation of Benefits ; different hospital payment methodologies ; medical terminology ; Revenue Codes ; DRG guidelines ; ICD9, CPT4, Modifiers & HCPC codes ; Online claim status ; Internet savvy ; Knowledge of Microsoft systems, Excel (must have a passing score on the Basic excel test). Extensive analytical ; critical thinking ; detail oriented ; problem solver ; good math, writing, and interpersonal skills required. Must be able to report issues to management, communicate with other internal depts and other business partners in order to resolve problem accounts. Excellent Time Management skills. Ability to multi-task and work under pressure in order to meet stringent deadlines.

Minimum Required Experience:
10 YearsJoin ourand stay up-to-date on our career opportunities. We'll send you alerts of new jobs matching your interests as well as exciting news and events happening at Baptist Health South Florida.EOE, including disability/vets

Keywords: Baptist Health, Miami , Claims Variance Associate 3, Remote, Business Office, FT, 08A-4:30P, Administration, Clerical , Miami, Florida