Corp Customer Service Rep 1, Business Office, FT, 08A-4 : 30P

Baptist Health Patient Service Representative

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 validating patients identity to comply with HIPAA regulations. Analysis of patient balances. Detail review of services billed. Validating correct patient / insurance and demographic information. Identifying customers concern and assisting with resolution including follow up with other departments throughout BHSF : (i.e. Financial Assistance Program, Financial Assistance Department, Charge Review Department, Patient & Guest Services, Special Handling, UR, CPO and Claims Management Department). Responsible to answer all incoming calls from patients, attorneys, internal and external customers for all BSHF facilities. Knowledge of the Managed Care Contracts in order to submit contractual adjustments on accounts as necessary. Utilizes available system resources to resolve patient issues promptly. Responsible to process, document and work all incoming patient mail within a 7-10 day window.

Qualifications

Degrees : High School, Cert, GED, Trn, Exper.

Additional Qualifications : 4 years Customer Service experience in a healthcare setting in a call center environment preferred. Working knowledge and understanding of medical terminology, and Revenue Codes. Knowledge of Microsoft systems, Word, Excel, PowerPoint. Detail oriented, problem solver, good math, writing, and interpersonal skills required. Bilingual (preferred) Must be able to deal with difficult callers in a high call volume setting. Ability to multi-task and work under pressure to meet stringent deadlines. Knowledgeable in a healthcare setting arena. Minimum Required Experience : 4 Years.