Government Claims Admin 2, Remote, Business Office, FT, 08A-4:30P

Baptist Health South Florida; Miami (FL); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading healthcare organization in Miami is seeking a billing specialist responsible for ensuring timely reimbursement of governmental insurance accounts. The ideal candidate should have at least 4 years of experience in a hospital business office and excellent communication skills. This position offers an estimated pay range of $20.62 - $24.95 per hour depending on experience.

Qualifications

• Minimum 4 years of experience in a hospital business office.
• Knowledge of Government Programs required for billing.
• Ability to handle and communicate effectively with governmental payers.

Responsibilities

• Ensure timely and accurate reimbursement from governmental insurance accounts.
• Maximize reimbursement potential for assigned portfolio.
• Communicate billing activities with Governmental program billers.

Skills

Communication skills

Attention to detail

Time-management skills

Education

High School Diploma or GED

Associate's degree

Tools

Microsoft Office

Job description

Overview

Baptist Health is the region’s largest not-for-profit healthcare organization, with 12 hospitals, over 28,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward and Palm Beach counties. With internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences, Baptist Health is supported by philanthropy and driven by its faith-based mission of medical excellence. For 25 years, we’ve been named one of Fortune’s 100 Best Companies to Work For, and in the 2024-2025 U.S. News & World Report Best Hospital Rankings, Baptist Health was the most awarded healthcare system in South Florida, earning 45 high-performing honors.

What truly sets us apart is our people. At Baptist Health, we create personal connections with our colleagues that go beyond the workplace, and we form meaningful relationships with patients and their families that extend beyond delivering care. Many of us have walked in our patients’ shoes ourselves and that shared experience fuels our commitment to compassion and quality. Our culture is rooted in purpose, and every team member plays a part in making a positive impact – because when it comes to caring for people, we’re all in.

Responsibilities

Responsible for performing all proper and necessary actions to ensure the timely and accurate reimbursement of governmental insurance accounts assigned. Effectively works assigned portfolio to maximize reimbursement potential and attain assigned collection goals. Contacts insurance companies and governmental payers to verify COB and eligibility. Communicates billing and or adjustment activities with Governmental program billers. Estimated pay range for this position is $20.62 - $24.95 / hour depending on experience.

Qualifications

Degrees:

• High School,Cert,GED,Trn,Exper.

Additional Qualifications:

• Associates degree desirable or minimum of 6 years experience in a hospital business office with knowledge of Government Programs.
• Current BHSF employee must have a high fully meets to exceeds merit rating of 4.
• 0 or higher.
• Experience in billing and business office functions to include collections, refunds, payment remittance advices from Government programs required.
• Must work well independently and in a team environment.
• Must be able to communicate with Medicare & Medicaid fiscal intermediary, external and internal contacts to resolve accounts timely.
• Have excellent written and interpersonal skills ; be detailed oriented with strong organizational and time-management skills.
• Complete knowledge of government regulations including UB04 ;1500 claim form requirements ; MN and CCI.
• Proficient in Microsoft Office applications.
• Minimum Required Experience: 4 Years

EOE, including disability/vets