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

Baptist Health; Doral (FL); Remote; USD 40,000 - 55,000; Full time

Job summary

Baptist Health is seeking an Accounts Receivable Specialist to support denial management and ensure compliance with billing standards. The ideal candidate will be skilled in ICD-10 and CPT-4 coding with excellent communication abilities. This role also involves independent workload management and adherence to filing deadlines within a collaborative environment.

Qualifications

• High School diploma required; certifications preferred.
• Excellent verbal and written communication skills needed.
• Proficient in MS Office, particularly Word, Excel, Outlook.

Responsibilities

• Provides AR/follow-up including denial management support.
• Ensures compliance with regulatory, contractual, and compliance guidelines.
• Communicates with various teams within the organization.

Skills

Communication

MS Office

Knowledge of ICD-10

Knowledge of CPT-4

Customer Service

Education

High School diploma, GED, certificate, training, or experience

CPC-A, CCA, CCS, CCS-P, NCIS certifications

Job description

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-10, CPT-4, and associated modifiers to resolve claims management issues.

Qualifications:

• High School diploma, GED, certificate, training, or experience.

Additional Qualifications:

• One of the following certifications is preferred: CPC-A (AAPC Certified Professional Coder), CCA (AHIMA Certified Coding Associate), CCS (AHIMA Certified Coding Specialist), CCS-P (AHIMA Certified Coding Specialist – Physician-Based), NCIS (NCCT, National Certified Insurance Specialist). Other recognized coding and billing certifications may also be considered.
• Excellent verbal and written communication skills, including the 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.
• Must be able to work under pressure and meet deadlines, while maintaining a positive attitude and providing exemplary customer service.
• Ability to work independently and carry out workload completion.

Minimum Required Experience:

EOE, including disability/vets