Job Details

Billing Coordinator, Miami Cancer Institute, FT, 8a-4:30p

Job: Non-Clinical and Administrative
Facility: Miami Cancer Institute at Baptist Health,
Primary Location: Miami
Job Schedule: Full-time
Job ID: 82925

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About Baptist Health South Florida:

Baptist Health South Florida ranked #25 on the list of 2018 Fortune 100 Best Companies to Work For! This is the 18th time Baptist Health has been named to the prestigious list and was listed #1 in diversity overall, #2 in the state of Florida, and #3 in healthcare organizations on the list. We have also been recognized for being among the best healthcare providers in the nation and the most awarded healthcare system in South Florida by U.S. News & World Reports in its 2018-2019 Best Hospitals report.

Baptist Health South Florida is the region’s largest not-for-profit healthcare organization with more than 19,500 employees working across ten hospital campuses, more than 40 physician practices and 50 outpatient and urgent care facilities throughout Monroe, Miami-Dade, Broward and Palm Beach counties. 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, 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!

Job Description:

Billing Coordinator – Identifies and recommends cost containment ideas within the organization. Maintains logs of bills sent to physicians in data base and provides reports as needed. Optimize the volume of clean claims from claims with errors and prepare transmission for electronic filing each day and monitoring the transmission to completion. Process any paper claims as needed. Performs data entry as needed. Fills in for absent clerical staff as needed to ensure smooth workflow. Queries physicians when code assignments are not defined or documentation in the record is inadequate or unclear for coding purposes. Respond to inquires on complaints from patients, physicians, and insurance companies regarding covered charges, remittance advice and billing questions. Responsible for adjusting claims and or submitting correct adjustments to be taken in host system when charges are changed/added or deleted. Responsible for correctly identifying reasons claims required additional or valid data by entering correct code which categorizes the hold reason. This also includes reviewing rejected claims to assure a resolution. Responsible for reviewing all claims in the daily download and validating claim accuracy. Identifies concerns relating to billing errors and trends and directs concerns to the manager. Marginal Function – Billing Coordinator – Assists the Business Manager in all department activities, and directed to assure compliance with quality control agency billing. Enters and tracks managed care authorizations Floats to other areas of the hospital as assigned. Home Care: Assists in generating reports and statistical data related to agency qualify control, financial management and benchmarking (i.e. quarterly Medicare outlier report) Identifies and recommends cost containment ideas within the organization. Physician Practice: Enters Physicians schedules in AIS billing System. Ensures all primary care physicians are updated in AIS. WKBH: Participates in appropriate Quality Focus programs (programs to measure assess and improve performance of services provided).

Qualifications:

High School,Cert,GED,Trn,Exper 


Associate/Bachelors degree preferred. Knowledge of Medical Terminology, Knowledge of Microsoft Systems Word, Excel, Power Point and Access a must. Must be detail-oriented team player with excellent written and communication skills. Background in coding, experience in other related areas such as collections, refunds, review and adjudication of claims and understanding of Charge Review responsibilities preferred. Experience in Medical Record review for medical necessity and bill auditing required. Proficient in English and Spanish. Able to foster/maintain a strong professional relation with physicians, hospital leaders, staff and patients. Minimum Required Experience: 3 Years

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