Baptist Health

Analyst

• Supports financial analysis, modeling, and implementation of managed care contracts within Epic.
• Translates contract terms into accurate reimbursement models.
• Evaluates contract performance.
• Supports payer negotiations through data-driven insights.
• Partners with Managed Care, Revenue Cycle, Finance, and Epic application teams to ensure contract accuracy, optimal reimbursement, and revenue integrity.

Managed Care Analyst

Insurance

• Responsible for the accounts receivables reconciliation process for patient accounts including but not limited to: examining, correcting and consistently updating patient health information to ensure accurate insurance payment/follow-up and applying appropriate contractual allowances.
• Resolves patient and insurance carrier inquiries in a timely manner to avoid increasing A/R days.
• Uses on-line systems provided by multiple payers to verify eligibility and benefits as well as checking claim status appropriately.
• Makes telephone calls to the payer to ensure receipt of claims filing and payment on submitted claims.
• Maintains appropriate/consistent documentation on accounts worked utilizing the accounts receivables work listing or patient accounting system.
• Identifies non-payment trends by payer and notify management and comes to the table with potential solutions to these non-payment trends.
• Applies proper account management principles to accounts to ensure accurate follow up.

Insurance Follow Up Representative

Community Manager

• Develop and execute governmental relations strategies
• Serve as a liaison between Baptist Health Care and local, state, and federal officials
• Monitor legislative and regulatory activity affecting healthcare delivery
• Prepare policy briefings and advocacy materials
• Coordinate site visits and public events
• Support executive leadership in advocacy initiatives
• Collaborate with internal leaders to ensure coordinated advocacy efforts
• Manage Baptist Health Care’s involvement with the Northwest Florida Business Alliance (NWFLBA)

Managed Care Analyst

Insurance Follow Up Representative

Manager – Community Impact, Government Relations