Job Description
Baptist Health is the region's largest not-for-profit healthcare organization, with 12 hospitals, over 29,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward and Palm Beach counties. With internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences, Baptist Health is supported by philanthropy and driven by its faith-based mission of medical excellence. For 26 years, we've been named one of Fortune's 100 Best Companies to Work For, and in the 2025-2026 U.S. News & World Report Best Hospital Rankings, Baptist Health was the most awarded healthcare system in South Florida, earning 63 high-performing honors. What truly sets us apart is our people. At Baptist Health, we create personal connections with our colleagues that go beyond the workplace, and we form meaningful relationships with patients and their families that extend beyond delivering care. Many of us have walked in our patients' shoes ourselves and that shared experience fuels out commitment to compassion and quality. Our culture is rooted in purpose, and every team member plays a part in making a positive impact – because when it comes to caring for people, we're all in. At Baptist Health, we’re committed to supporting our employees at every stage of their journey, both personally and professionally. Our approach is rooted in a “grow our own” philosophy, designed to help our team members build meaningful, long-term careers with us, supported by benefits that make a real difference, including: Career growth and development opportunities , with clear pathways and ongoing support Comprehensive health and wellness resources that go beyond traditional benefits A wellness program that can help employees eliminate their medical plan deductible , reducing out-of-pocket healthcare costs Tuition reimbursement to support continued learning and advancement And so much more Together, these benefits and others reflect our commitment to caring for our people, so they can build fulfilling careers with us while making a meaningful impact every day. Description: Responsible for serving as a lead expert in data analysis, reporting and formulating recommendations. Provides guidance and support to all variance associates. Responsible for assisting management with 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. Estimated pay range for this position is $28.55 - $34.55 / hour depending on experience. Qualifications: Degrees: High School,Cert,GED,Trn,Exper. Additional Qualifications: Prior experience in working with Hospital Collection Reimbursement. Ability to train personnel a must. Knowledgeable 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: 10 Years EOE, including disability/vets