Physician Practice AR Collection Spec, Remote, BHMG Revenue Management, FT, 08A-4:30P

Baptist Health; Doral (FL); Remote; USD 80,000 - 100,000; Full time

Job summary

Baptist Health is seeking an Accounts Receivable Specialist to provide follow-up support and manage billing-related tasks. This role involves ensuring compliance with regulatory guidelines while fostering team collaboration. The ideal candidate will have a strong customer service focus and proficiency in billing practices.

Qualifications

• Knowledge of physician billing and compliance guidelines.
• Familiarity with ICD-10, HCPCS, CPT-4, and modifiers.
• Billing/coding certifications (CCA, CCS, or CCS-P) preferred.

Responsibilities

• Provides AR and denial management support for outstanding receivables.
• Ensures compliance with payer guidelines and regulations.
• Communicates with various internal teams regarding claims management.

Skills

Communication

Computer Proficiency

Customer Service

Work Under Pressure

Education

High School Diploma or equivalent

Associate's degree preferred

Tools

MS Office

Job description

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 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.

Description:

Provides AR/follow up including denial management support to collect on outstanding accounts receivables. Complies with payer filing deadlines by utilizing all available resources to resolve held claims, Assures all known regulatory, contractual, compliance, and BHSF guidelines are adhered to with regards to claim billing processes. Communicates with various teams within the organization. Utilizes coding compliance and understanding of ICD-9, CPT-4 and associated modifiers to resolve claims management issues.Estimated pay range for this position is $18.59 - $22.49 / hour depending on experience.

Qualifications:

Degrees:

• High School,Cert,GED,Trn,Exper.

Additional Qualifications:

• Associate's degree preferred.
• Excellent verbal and written communication skills, including ability to effectively communicate with internal and external customers.
• Excellent computer proficiency (MS Office – Word, Excel and Outlook) .
• Knowledge of physician billing,regulatory and compliance guidelines Knowledge of ICD-10, HCPCS, CPT-4 and modifiers.
• CCA, CCS or CCS-P certification or any billing/coding certification preferred.
• Must be able to work under pressure and meet deadlines, while maintaining a positive attitude and providing exemplary customer service.
• Ability to work independent and carry out completion of workload.

Minimum Required Experience:

EOE, including disability/vets