Claims Resolution Specialist II, Hospital Billing, Baptist Metro
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About Baptist Health
Recognized as a top place to work in health care, Baptist Health cares for more patients in Northeast Florida than any other provider, ranking as “most preferred” for more than 30 years. We’re Jacksonville's only locally governed, faith-based, not-for-profit health system and provide a full spectrum of preventive and specialty care through 200+ locations and six hospitals. Our centers of excellence include Baptist MD Anderson Cancer Center, Baptist Heart Hospital, Baptist Neurological Institute and Wolfson Children's Hospital.
Baptist Health is looking to add a Claims Resolution Specialist II to our Hospital Billing team at Baptist Metro Square. This is a Full-Time Days opportunity.
The Claims Resolution Specialist II should have expertise in the following areas within the revenue Cycle: Registration, Eligibility, Charge Capture, Clearinghouse, Payment Posting, Claim Denial, and Credit Management.
As a Claims Resolution Specialist II, you will be responsible for:
Appropriately resolving each medical claim sent to commercial insurance companies, third party organizations and/or government payers.
Analyzing explanation of benefits to insure proper payment to Baptist Health from paying entities.
Communicating with third-party representatives as necessary to complete claims processing and /or resolve problem claims.
Follow-up daily on post processing activity including but not limited to, rejected billings, adjustments, corrected claims, overpayments, and denied claims.
Working all assigned accounts on worklist in order depending on balance and age.
Identifying and communicating trends in denials to leadership.
Communicating with various departments to resolve any outstanding issues with claim to resolve denials.
Possessing up to date knowledge related to CPT codes, ICD/10 codes.
This Claims Resolution Specialist II will be located at Baptist Metro Square. If you are interested in this Full-Time Days opportunity, please apply now.
Primary Location:
Metro SquareAutomatically Apply to the Best Remote Jobs
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