This is a fully remote position, open to applicants in Alabama, +16 more states.

📋 Description

• Review and resolve medical claims submitted to commercial insurance entities, third-party organizations, and government payers.

• Analyze explanations of benefits to ensure accurate and suitable payment to Baptist Health.

• Follow up on rejected billings, adjustments, corrected claims, overpayments, and denied claims.

• Manage assigned accounts based on balance and age to facilitate timely resolution and reimbursement.

• Communicate with insurance and third-party representatives to finalize claims processing and address outstanding issues.

• Collaborate with internal departments to resolve factors contributing to claim denials or payment delays.

• Identify and report denial trends and other revenue cycle issues to leadership.

⛳️ Requirements

• 1–2 years of experience in Revenue Cycle Operations.

• Less than 1 year of experience in billing.

• Less than 1 year of experience in medical insurance.

• Less than 1 year of experience in reimbursement.

• Less than 1 year of experience in accounts receivable.

• Knowledge of CPT, ICD-10, HCPCS, and modifiers.

• Proven competency in at least two revenue cycle areas, including Registration, Eligibility, Charge Capture, Clearinghouse, Payment Posting, Claim Denial, or Credit Management.

• High School Diploma.

• Must reside in one of the following remote-approved states: Alabama, Florida, Georgia, Idaho, Indiana, Kentucky, Louisiana, Mississippi, North Carolina, Ohio, Oklahoma, Oregon, South Carolina, South Dakota, Tennessee, Texas, Virginia, West Virginia, or Wyoming.