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

Baptist Health; Miami (FL); On-site; USD 30,000 - 39,000; Full time

Job summary

Baptist Health in Miami is seeking a Revenue Cycle/Billing Specialist focused on Government Programs to ensure timely reimbursement and maximize collections. You will verify COB, communicate with Medicare/Medicaid payers, and handle government remittance matters within a team environment.

Minimum 4 years in hospital billing required; Associates degree desirable. Proficiency in Microsoft Office and UB04 knowledge are essential. EOE, including disability/vets.

Qualifications

• Minimum 4 years of hospital billing or government programs experience.
• Associates degree desirable; at least 6 years experience acceptable.
• Must communicate with Medicare/Medicaid and payers.
• Proficient in Microsoft Office applications.

Responsibilities

• Ensure timely, accurate reimbursement of government insurance accounts.
• Coordinate with payers to verify COB and eligibility.
• Communicate billing adjustments and remittance to government programs.
• Maintain knowledge of UB04, 1500 claim form requirements, MN and CCI.

Skills

Detail oriented

Medicare/Medicaid liaison

Microsoft Office

Team collaboration

Education

Associates degree desirable

High School / GED

Tools

UB04 knowledge

CCI knowledge

Job description

Baptist Health is the region's largest not-for-profit healthcare organization, with 12 hospitals, over 29,000 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 26 years, we've been named one of Fortune's 100 Best Companies to Work For, and in the 2025-2026 U.S. News & World Report Best Hospital Rankings, Baptist Health was the most awarded healthcare system in South Florida, earning 63 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 out 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.

Benefits

At Baptist Health, we’re committed to supporting our employees at every stage of their journey, both personally and professionally. Our approach is rooted in a "grow our own" philosophy, designed to help our team members build meaningful, long-term careers with us, supported by benefits that make a real difference, including:

• Career growth and development opportunities, with clear pathways and ongoing support
• Comprehensive health and wellness resources that go beyond traditional benefits
• A wellness program that can help employees eliminate their medical plan deductible, reducing out-of-pocket healthcare costs
• Tuition reimbursement to support continued learning and advancement
• And so much more

Together, these benefits and others reflect our commitment to caring for our people, so they can build fulfilling careers with us while making a meaningful impact every day.

Description

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 $21.66 - $27.51 / 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