Accounts Receivable Representative, Admin and Billing Job at Boca Raton Regional Hospital

Boca Raton Regional Hospital Boca Raton, FL

Baptist Health has a commitment to strengthening the compassionate care we provide. With the addition of Boca Raton Regional Hospital, Baptist Health is able to provide the Palm Beach community expanded access to healthcare services.

Boca Raton Regional Hospital is an advanced tertiary medical center with 400 beds and is a recognized leader in Cardiovascular Care, Oncology, Women's Health, Orthopedics, Emergency Medicine and the Neurosciences, all of which offer state-of-the-art diagnostic and imaging capabilities. The Hospital is now a part of Baptist Health South Florida, the largest healthcare organization in the region, with 12 hospitals, more than 24,000 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 assisting in the increase of cash collections and the decrease of Accounts Receivables (AR) aging for designated plan(s) using effective and efficient collection techniques, including, but not limited to, the use of individual plan(s) escalation and/or appeal processes, patient and/or physician office contact. Understand and effectively interpret payer contracts, Remittance Advices (RA) and Explanation of Benefits (EOB) statements. Understand and follow processes needed to ensure clean claims are submitted timely using a third party claim editor system. Responsible for the compliant resolution of moderate to complex third party claim edit rejections in the patient accounting system and the billing editor. Responsible for submitting claims and following up with insurance companies. Analyzes, oversees and evaluates patient account payer denials and rejections. Expected to have knowledge of insurance and billing forms and to have the ability to investigate and resolve debit and credit account balances. Estimated pay range for this position is $15.88 - $20.64 / hour depending on experience.

Qualifications:


Degrees: High School,Cert,GED,Trn,Exper Additional Qualifications: Two years related experience and/or training (one year in billing and/or collections experience in healthcare collections preferred). Minimum Required Experience:
EOE



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