Claims Variance Associate 2, Remote, Business Office, FT, 8A-4:30P at Baptist Health

Description

Responsible for the gathering, verification and analysis of Managed Care Underpayment Variance reports for all BHSF entities Responsible for the organization and preparation of all Managed Care Insurance Carriers projects and Insurance Law Suits. Ability to work on more complex contracts, train and serve as a resource to others. Estimated pay range for this position is $21.56 - $32.34 / hour depending on experience.

Qualifications

Degrees: High School,Cert,GED,Trn,Exper Additional Qualifications: AA preferred or equivalent Hospital Collection Reimbursement experience required. Minimum of 5-7 years prior experience in working with Hospital Collection Reimbursement. Current BHSF employees must have a high fully meets or exceeds merit rating 3.5- 4.0. Ability to train personnel a must. Knowledgable on all required fields on a 1500 and UB for hospitals and diagnostic facilities a must. Extensive knowledge in the adjudication of claims ; working knowledge and understanding of: Insurance Explanation of Benefits ; different hospital payment methodologies ; medical terminology ; Revenue Codes ; DRG guidelines ; ICD9, CPT4, Modifiers & HCPC codes ; Online claim status ; Internet savvy ; Knowledge of Microsoft systems, Excel (must have a passing score on the Basic excel test). Extensive analytical ; critical thinking ; detail oriented ; problem solver ; good math, writing, and interpersonal skills required. Must be able to report issues to management, communicate with other internal depts and other business partners in order to resolve problem accounts. Excellent Time Management skills. Ability to multi-task and work under pressure in order to meet stringent deadlines. Minimum Required Experience: 5 Years