Insurance Collection Specialist 2, Remote, Business Office, FT, 08A-4:30P

Baptist Health is the region's largest not-for-profit healthcare organization, with 12 hospitals, over 29,000 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 26 years, we've been named one of Fortune's 100 Best Companies to Work For, and in the 2025-2026 U.S. News & World Report Best Hospital Rankings, Baptist Health was the most awarded healthcare system in South Florida, earning 63 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 out 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.

At Baptist Health, we’re committed to supporting our employees at every stage of their journey, both personally and professionally. Our approach is rooted in a “grow our own” philosophy, designed to help our team members build meaningful, long-term careers with us, supported by benefits that make a real difference, including:

• Career growth and development opportunities, with clear pathways and ongoing support
• Comprehensive health and wellness resources that go beyond traditional benefits
• A wellness program that can help employees eliminate their medical plan deductible, reducing out-of-pocket healthcare costs
• Tuition reimbursement to support continued learning and advancement
• And so much more
   

Together, these benefits and others reflect our commitment to caring for our people, so they can build fulfilling careers with us while making a meaningful impact every day.

Description:

Timely follow up for all assigned accounts utilizing A/R reports and account maintenance activities to ensure timely collection of all outstanding balances. Utilizes all available resources for proper claims resolution. Understands payer guidelines for effective denial management utilizing understanding of ICD-10, CPT-4 and associated modifiers. Understands the different levels in the appeals process to optimize recovery efforts. Reviews medical record documentation and understands the documentation needed for the overturning of denials generated by insurance companies. Recognizes resources for drug information and medical necessity terms and definitions. Understands the components of the FDA Label. Uses compendia resources to assist in medical necessity appeals. Assist in training of new collection specialists. Estimated pay range for this position is $19.25 - $24.45 / hour depending on experience.

Qualifications:

Degrees:

• High School,Cert,GED,Trn,Exper.

Additional Qualifications:

• Desired completion of an accredited Certified Coding Specialist program.
• Experience in billing, collections and appeals.
• Demonstrate proficiency with MS Word and Excel.
• Excellent communications skills (both written and verbal) detail oriented and excellent problem solver.
• Knowledge and understanding of medical terminology, explanation of benefits and insurance verification applications.
• Knowledge and understanding of ICD-10, CPT-4 and modifiers.

Minimum Required Experience: 5 Years

EOE, including disability/vets