Baptist Health Care

The representative validates patient demographics and insurance benefits with payers to ensure accurate EMR documentation. They also create cost estimates in compliance with state transparency and no-surprise billing regulations.

The Account Representative I - Charge Entry is responsible for receiving and validating fee tickets from practice locations and completing and submitting super bills for provider services. This role is essential for ensuring accurate billing and revenue cycle management.

The Corporate Scheduler is responsible for scheduling outpatient diagnostic services for patients and physicians' offices. This role supports the Baptist Health Care system across its various hospitals and medical parks.

The Coding Auditor reviews patient records to ensure correct coding assignments and issues quarterly report cards to coders. Additionally, the role provides coding education and manages audit appeals for RAC and other third-party payers.

The Insurance Follow Up Representative is responsible for various tasks within the accounts receivables reconciliation process. The role focuses on managing insurance follow-ups to ensure proper payment and reconciliation.

The Coder II reviews outpatient records to accurately assign appropriate ICD-10-CM or CPT-4 codes following established guidelines, maintaining a 97% accuracy rate and meeting productivity standards. This role also involves reviewing outpatient records according to outpatient rules and potentially handling ER Facility Charging, along with regularly following up on outstanding unbilled accounts.