Patient Financial Analyst, Revenue Cycle Boca Raton, FT, 8A-4:30P

Baptist Health South Florida is the region’s largest not-for-profit healthcare organization with 12 hospitals, more than 27,000 employees, 4,000 physicians, and 200 outpatient centers, urgent care facilities, and physician practices spanning across Miami-Dade, Monroe, Broward, and Palm Beach counties. Baptist Health has internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences. Baptist Health is supported by philanthropy and committed to its faith-based charitable mission of medical excellence.

Our mission, vision, and values make us who we are at Baptist Health and are at the center of everything we do. At Baptist Health, we positively impact the human experience for patients, employees, and physicians. Our success comes from a culture of quality and dedication that is instilled into every member of the Baptist Health family.

This year, and for 24 years, we’ve been named one of Fortune’s 100 Best Companies to Work For, based on employee feedback. We’ve also been recognized as one of America’s Most Innovative Companies and People Magazine included us in 50 Companies That Care. Based on the U.S. News & World Report 2023-2024 Best Hospital Rankings, Baptist Health is the most awarded healthcare system in South Florida, with its hospitals and institutes earning 45 high-performing honors.

But really, the reason we’re excited to come to work is the people.

Working together, we form personal connections with our colleagues that are stronger than most of us have experienced at other jobs. We develop caring relationships with our patients and their families that go beyond just delivering healthcare. After all, we know what it’s like to be in their shoes. Many of us have been patients here and have had family members as patients here. We’re committed to delivering quality care in the most compassionate way possible because we feel a personal stake in the outcomes. When it comes to caring for people, we’re all in.

Boca Raton Regional Hospital is an advanced tertiary medical center with 400 beds and is a recognized leader in Cardiovascular Care, Oncology, Women’s Health, Orthopedics, Emergency Medicine and the Neurosciences, all of which offer state-of-the-art diagnostic and imaging capabilities.

Description

Responsible for : Validating patient’s identity to comply with HIPAA Regulations Analysis of patient balances detail review of services billed validating correct patient/insurance and demographic information Identifying customer’s concern and assisting with resolution including follow up with other departments throughout BHSF: (i.e. Financial Assistance Program, Financial Assistance Department, Charge Review Department, Patient & Guest Services, Special Handling, UR, CPO and Claims Management Department). Responsible to answer all incoming calls through the Inter-active Voice Response System from patients, attorney’s, Internal and External customers for all BSHF facilities and document all action taken onto the SMS/Invision System. Knowledge of the Managed Care Contracts in order to submit contractual adjustments on accounts as necessary. Utilizes available system resources to resolve patient issues promptly. Responsible to process, document and work all incoming patient mail within a 7-10 day window. Estimated pay range for this position is $17.53 – $22.79 / hour depending on experience.

Qualifications

Degrees:

• High School,Cert,GED,Trn,Exper.

Additional Qualifications:

• 3 years Customer Service experience in a healthcare setting in a call center environment a must.
• Knowledgeable in a healthcare setting arena.
• Working knowledge and understanding of: medical terminology ; Revenue Codes ; DRG guidelines ; ICD9, CPT4, Modifiers & HCPC codes ; HIPAA and Statutory regulations ; Online verifications Avality ; Internet savvy ; Knowledge of Microsoft systems, Word, Excel, PowerPoint, Access, Vista Hipath Pro-Center Agile.
• Detail oriented ; problem solver ; good math, writing, and interpersonal skills required.
• Must be able to deal with difficult callers in a high call volume setting.
• Ability to multi-task and work under pressure in order to meet stringent deadlines.
• Bilingual a must.

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