Accounts Receivable Representative, Revenue Cycle, FT, 8A-4 : 30P

Baptist Health Collections Specialist

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.

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 $17.79 - $23.13 / 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 : 2 Years

EOE, including disability / vets