Baptist Health South Florida
Supervisor Claims Management, Remote, Business Office, FT, 08A-4:30P
This job is now closed
Job Description
- Req#: 140290
Employer Industry: Healthcare Services
Why Consider this Job Opportunity:
- Competitive pay up to [highest pay]
- Opportunity for career advancement and growth within the organization
- Comprehensive benefits package
- Supportive and collaborative work environment
- Chance to make a positive impact on patient care
- Training provided to enhance skills and knowledge
What to Expect (Job Responsibilities):
- Supervise, monitor, and audit claims management unit activities related to underpayments, overpayments, and credits
- Review and process underpayments to maximize cash collection
- Review and process credits and refund requests from insurance companies, patients, and other sources
- Identify internal and external issues and report them to Management
- Gather necessary data, validate accuracy for payers litigation, and participate in legal actions as necessary
What is Required (Qualifications):
- High School Diploma, Certification, GED, Training, or equivalent
- Knowledge of reimbursement methodologies, DRGs, APCs, EAPGs, and medical coding
- Experience with UB-02, HCFA 1500, and insurance contracts
- Proficiency in Microsoft Word and Excel
- Strong analytical, critical thinking, mathematical, and interpersonal skills
How to Stand Out (Preferred Qualifications):
- 0-2 years of experience in healthcare claims management or related field
#HealthcareServices #CareerOpportunity #CompetitivePay #TrainingProvided #PatientCare
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We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.About the company
Baptist Health South Florida is a faith-based, not-for-profit healthcare organization and clinical care network in southern Florida.
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