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Gov't Billing Specialist Medicare, Patient Accounting, Bethesda East Remote, FT, 8A-4:30P

Company: Baptist Health South Florida
Location: Boynton Beach
Posted on: January 9, 2022

Job Description:

Baptist Health has a commitment to strengthening the compassionate care we provide. With the addition of Bethesda Hospital East and Bethesda Hospital West, Baptist Health is able to provide the Palm Beach community expanded access to healthcare services.

Bethesda Hospitals East and West are two not-for-profit hospitals in Boynton Beach, Florida and are a part of Baptist Health South Florida, the region's largest not-for-profit healthcare organization with more than 23,000 employees working across 11 hospital campuses and more than 100 outpatient facilities throughout Miami-Dade, Monroe, Broward, and Palm Beach counties. In 2016 we welcomed the newest weapon in the fight against cancer, the world-class Miami Cancer Institute and proton therapy center.

Baptist Health South Florida is once again one of the 2021 Fortune 100 Best Companies to Work For! This is the 21st time Baptist Health has been recognized on the list. We have also been recognized for being among the best healthcare providers in the nation by U.S. News & World Reports in its 2020-2021 Best Hospitals report and have been honored as one of PEOPLE's 2020 50 Companies That Care by PEOPLE magazine and Great Place to Work.

Everything we do at Baptist Health, we do to the best of our ability. That includes supporting our team with extensive training programs, millions of dollars in tuition assistance, on-site Early Learning Center for children, comprehensive benefits and more. Working within our award-winning culture means getting the respect and support you need to do your best work ever. Find out why this is the best place to be your best!


Responsible for working/editing daily download of assigned Governmental Program claims while adhering to all regulatory, contractual, compliance and BHSF mandates/guidelines. Optimizes timely transmittal of accurate and clean claims to achieve daily set thresholds. Protects payer filing deadlines by utilizing all available resources to resolve held claims. Communicates effectively with all BHSF Departments responsible for Revenue Cycle delays and works with Billing Management to achieve resolution.

Degrees: High School,Cert,GED,Trn,Exper Additional Qualifications: AA preferred or equivalent work experience required. CPC, RMC, CPC-H, CCS a plus. Experience and understanding of all required fields on a 1500 and UB for hospitals and diagnostic facilities is required. Government related billing regulations (National and Local), particularly Medicare, Medicaid and Champus/Tricare, including Medical Necessity and Correct coding Initiative. Coding background or coding certification a plus. Exp in other related Business Office Functions, including Government Funded Programs, i.e..: Collections, refunds, review and adjudication of claims. Knowledge and understanding of medical terminology; Revenue Codes; DRG guidelines; ICD9 / 10, CPT4, Modifiers, HCPCS codes; HIPAA, Statutory regulations. On line verifications (DDE); Internet savvy; Knowledge of all apps in Microsoft Suite a must. Extensive analytical; critical thinking; detail oriented; problem solver; good mathematical, writing and interpersonal skills required. Must be able to report issues accordingly to management and IT support, and to communicate effectively with other depts. in order to resolve pending or missing information on claims to expedite the timely transmission to payers. Excellent Time-Management skills. Ability to multi-task and work under pressure in order to meet stringent deadlines. Minimum Required Experience: 3 Years
Primary Location: Insurance
Schedule: Corporate
Shift: Full-time
Job Posting: Nov 29, 2021, 4:21:21 PM

Keywords: Baptist Health South Florida, Boynton Beach , Gov't Billing Specialist Medicare, Patient Accounting, Bethesda East Remote, FT, 8A-4:30P, Accounting, Auditing , Boynton Beach, Florida

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