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
Click
here to apply!
|