45 jobs found in Miami

Patient Support Medical Claims Processing ? Representative Contract Remote Role - Location (Open to Remote US) As the only global provider of commercial solutions, IQVIA understands what it takes to deliver nationally and internationally. Our teams help biopharma, medical device and diagnostic companies get their therapies to the people who need them. We help customers gain insight and access to their markets and ultimately demonstrate their product's value to payers, physicians, and patients. A significant part of our business is providing patient support programs on the behalf of our customers. With the right experience, you can help provide support to patients in need of available therapies. IQVIA has the world's largest Commercial Sales & Medical Solutions (CSMS) organization dedicated to the launch and marketing of pharmaceutical and medical products. With a focus on providing talent for patient support, field/inside sales, medical device support, clinical...

Patient Support Medical Claims Processing ? Representative Contract Remote Role Location (Open to Remote US)As the only global provider of commercial solutions, IQVIA understands what it takes to deliver nationally and internationally. Our teams he Processing, Medical, Support, Claims, Patient, Representative, Technology

Risk Adjustment Nurse/Coder AvMed, a division of Sentara Health Plans in the Florida market, is hiring a Risk Adjustment Nurse/Coder (RN/CPC, COC, CIC, CCS-P, CCS, RHIT, RHIA) in Doral, FL! Full-time permanent position (40 hours) Standard working hours: 8am to 4:30pm EST, M-F This is a hybrid position, 2 days onsite in AvMed Doral Office, 3470 NW 82nd Ave Suite 1100, Doral, FL 33122, and 3 days remote. Job Profile Summary The Risk Adjustment Clinical Coder/Nurse performs compliance activities focused on risk adjustment in accordance with Centers for Medicare & Medicaid Services (CMS) and U.S. Department of Health & Human Services (HHS). Performs prospective/retrospective medical record reviews (MMR) & CMS/HHS Risk Adjustment Data Validation (RADV) audits. Reviews provider coding for professional & inpatient/outpatient services to ensure capture of diagnostic conditions supported within the provider's documentation for CMS/HHS Hierarchical Condition Categories...

Patient Support Medical/Biller Claims Processing Representative (Home-Based) Miami, United States of America | Full time | Home-based IQVIA understands what it takes to deliver nationally and internationally. Our teams help biopharma, medical device and diagnostic companies get their therapies to the people who need them. We help customers gain insight and access to their markets and ultimately demonstrate their product's value to payers, physicians, and patients. A significant part of our business is providing patient support programs on the behalf of our customers. With the right experience, you can help provide support to patients in need of available therapies. IQVIA has the world's largest Commercial Sales & Medical Solutions (CSMS) organization dedicated to the launch and marketing of pharmaceutical and medical products. With a focus on providing talent for patient support, field/inside sales, medical device support, clinical support, and medical affairs our CSMS...

Job Description Job Description Benefits: 401(k) Company parties Dental insurance Health insurance Paid time off Job Description: Candidate must have minimum of 1 year experience as Medical Charge Poster (coder); Need to be proficient with ICD-10 and coding guidelines. Good benefits; paid vacation, paid holidays, medical insurance, 401K with employer contribution, flexible morning start time. CPC preferred. Professionally rewarding environment due to exposure to several PM/EMR systems (eCW, Kareo, Care Cloud, Meditouch, Intergy, and more) and various specialties. Requirements and/or Responsibilities as a Charge Poster Specialist: Enthusiastic, success-driven business professional with exceptional organizational skills and the ability to develop and maintain business relationships with physician offices Able to exercise independent judgment and take action on it. Ability to interpret diagnostic and procedural phrases used by healthcare providers into coded form by...

Department: Health Information Management Address: 1611 NW 12 Ave, Miami, FL 33136 Shift Details: Monday to Friday, 7:30 AM to 4 PM (Remote but open to applicants who reside in the state of Florida) Jackson Health System is a nationally and internationally recognized academic medical system offering world-class care to any person who walks through our doors. For more than 100 years, Jackson has evolved into one of the world's top medical providers for all levels of care, no matter if it's for a routine patient visit or for a lifesaving procedure. With more than 2,000 licensed beds, we are also proud of our role as the primary teaching hospital for the University of Miami Miller School of Medicine. Here, the best people come together to deliver Jackson's mission for our diverse communities. Our employees are committed to providing the best CARE by demonstrating compassion, accountability, respect, and expertise in everything we do. Summary HIM Outpatient Coder 2 is responsible...

A healthcare organization is seeking a Front Office Supervisor to manage the operation of the Front Desk in Miami, FL. Responsibilities include overseeing scheduling, ensuring compliance with policies, and maintaining outstanding customer service. The ideal candidate will have a high school diploma or equivalent, strong organizational skills, and at least 3 years of experience in a medical office environment. This role offers an opportunity to lead a dedicated team and enhance patient care quality. #J-18808-Ljbffr

The Miccosukee Tribe of Indians of Florida Clinic is seeking a Medical Biller & Coder is responsible for accurately translating medical services, diagnoses, and procedures into standardized codes and submitting claims to insurance companies, government programs, and other payers. This role supports timely reimbursement, regulatory compliance, and effective communication with providers, payers, and patients. Duties and Responsibilities Review medical records, provider notes, and clinical documentation to assign accurate ICD-10, CPT, and HCPCS codes Prepare, submit, and track insurance claims Verify patient insurance coverage, eligibility, and benefits Identify, research, and resolve claim denials, rejections, and payment discrepancies Post payments, adjustments, and refunds accurately in the billing system Communicate with insurance companies, healthcare providers, and patients regarding billing issues Ensure compliance with HIPAA, CMS, and other federal, state, and...

A leading healthcare provider in Florida is seeking an HIM Outpatient Coder 2 to accurately code outpatient medical records. The ideal candidate should have 3 to 5 years of relevant experience, preferably in an inpatient setting, and hold a high school diploma. Responsibilities include coding outpatient surgeries, verifying patient information for discrepancies, maintaining coding accuracy, and serving as a quality reviewer. This role offers a remote work option for applicants residing in Florida. #J-18808-Ljbffr

Company Description *Candidate should ideally be located in Miami, FL or Orlando, FL* Monro's family of brands is one of the leading automotive service and tire dealers in the United States. We work on approximately five million vehicles a year, but with us, it is personal. Every guest is important, and every teammate is valued. That is our people-first approach. Headquartered in our hometown of Rochester, New York, where our founder, Chuck August, opened his first store in 1957, we have grown to 1,115 auto repair shops and tire dealers in 32 states from coast to coast. Monro powers 16 highly respected tire and auto service brands, supporting each company's regional strength and community connections. From big cities to small towns to rural crossroads, you will find us in neighborhoods of every shape, size, and color. Under the Monro banner, we are united TEAM, and share the same mission to bring our guests the highest quality tire and auto service in the industry. Do you have...

A healthcare clinic is seeking a Medical Biller & Coder responsible for translating medical services into codes and submitting claims to insurers. This role includes reviewing records, preparing claims, and ensuring compliance with regulations. Candidates should have 1-3 years of experience, knowledge of billing systems, and excellent communication skills. Drug testing and background screening are required for applicants. #J-18808-Ljbffr

A leading automotive service provider in Miami is seeking a Compliance Auditor to evaluate store operations and adherence to compliance standards. The ideal candidate will have over 4 years of experience in Retail Management and strong interpersonal and analytical skills. This role requires frequent travel to various locations and offers competitive compensation along with benefits like health insurance and a 401K plan. #J-18808-Ljbffr

Inpatient Coder Do you have the career opportunities as an Inpatient Coder you want with your current employer? We have an exciting opportunity for you to join Parallon which is part of the nation's leading provider of healthcare services, HCA Healthcare. Our teams are a committed, caring group of colleagues. Do you want to work as an Inpatient Coder where your passion for creating positive patient interactions is valued? If you are dedicated to caring for the well-being of others, this could be your next opportunity. We want your knowledge and expertise! Job Summary and Qualifications As a work from home Inpatient Coding Specialist, you will review and evaluate hospital inpatient medical record documentation to assign, sequence, edit, and/or validate the appropriate ICD-10 -CM and ICD-10- PCS codes. You will perform coding and/or code/DRG validation across multiple entities. What you will do in this role: Assigns, sequences, validates, and/or edits codes/DRGs and...

Medical Biller Specialist NeueHealth is a value-driven healthcare company grounded in the belief that all health consumers are entitled to high-quality, coordinated care. By uniquely aligning the interests of health consumers, providers, and payors, we help to make healthcare accessible and affordable to all populations across the ACA Marketplace, Medicare, and Medicaid. NeueHealth delivers clinical care to health consumers through our owned clinics Centrum Health and Premier Medical as well as unique partnerships with affiliated providers across the country. We also enable providers to succeed in performance-based arrangements through a suite of technology and services scaled centrally and deployed locally. Through our value-driven, consumer-centric approach, we are committed to transforming healthcare and creating a better care experience for all. Job Summary The Biller Specialist is responsible for the accuracy of the super bill/claim prior to transmission to payer,...

Laboratory Supervisor (Aventura) As Mount Sinai grows, so does our legacy in high-quality health care. Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community. In delivering an unmatched level of clinical expertise, our medical center is committed to recruiting and training top healthcare workers from across the country. We offer the latest in advanced medicine, technology, and comfort in 12 facilities across Miami-Dade (including our 674-bed main campus facility) and Monroe Counties, with 38 medical services, including cancer care, 24/7 emergency care, orthopedics, cardiovascular care, and more. Mount Sinai takes pride in being South Florida's largest private independent not-for-profit hospital, dedicated to continuing the training of the next generation of medical pioneers. Culture of Caring: The Sinai Way Our hardworking, tight-knit community of more than 4,000 dedicated employees fosters an environment of care and...

Medical Coder Wound Care (Long-Term Care) Pinnacle Wound Management is a physician-led wound care provider dedicated to improving healing outcomes for patients in skilled nursing and long-term care facilities. We partner with facilities to deliver advanced wound care at the bedside, supported by thorough documentation, EMR integration, and compliance with payer guidelines. We are seeking a Medical Coder with wound care experience to join our team. This role is critical in ensuring timely, accurate coding and billing for patient encounters and cellular tissue product usage across multiple facilities. Key Responsibilities Accurately review and code wound care services performed in long-term care and post-acute settings, ensuring compliance with ICD-10, CPT, HCPCS, and payer requirements Code independently without reliance on a provider superbill, using clinical notes and documentation as the source of truth Release daily coding batches to support timely revenue cycle...

Medical Biller The Medical Biller compiles amounts owed to medical facility and maintains order, invoice, and payments records. Core Responsibilities: Assists patients, insurance companies, and laboratories with inquiries regarding billing issues. Reviews records for patient information, insurance information, service descriptors, diagnosis codes and managed care authorization requirements, and coordinates corrections. Prints daily appointment voucher report and reconciles all vouchers to report. Enters, reviews, and retrieves patient account information from system and ensures accuracy. Submits completed batches to appropriate billing offices daily. Follows up on claims submitted routinely to monitor payment status. Transmits coded patient treatment information to payers and other recipients. Coordinates insurance reimbursements with care providers. Adheres to University and unit-level policies and procedures and safeguards University assets. Core...

Nurse Supervisor Medical Oncology-lead an elite cancer care team at a forward-thinking, sunshine-filled health system where purpose, innovation, and career growth accelerate your impact . The Nursing Supervisor Oncology role thrives in a mission-driven, patient-first culture that consistently prioritizes clinical excellence, safety, and experience with strong quality scores and low infection rates, while recent media momentum and trusted brand reputation highlight an award-winning workplace culture that supports shared governance, evidence-based practice, and rapid professional growth through high-acuity exposure, AI-assisted tools, virtual nursing, advanced imaging, and innovation-forward models like hospital-at-home-an ideal environment for a Nursing Supervisor Oncology who values wellbeing resources, transparent career ladders, and leadership that genuinely listens. The Nurse Supervisor Medical Oncology will help steward a premier Oncology and Medical Oncology program...

Medical Biller Location: Kendall, Florida, United States Job Type: Temporary, Full-Time Primary Industry: Health, Medical and Related Secondary Industry: Accounting Salary: $20.00 - $21.00 per hour Job Description The Medical Biller is responsible for accurately preparing and submitting medical claims to insurance companies and government agencies for reimbursement. This role involves reviewing patient information, verifying insurance coverage, coding diagnoses and procedures according to established guidelines, and following up on unpaid or denied claims. The Medical Biller ensures compliance with healthcare regulations and billing standards to optimize revenue cycle management within the healthcare facility. Job Duties Review and verify patient information, insurance details, and treatment documentation for billing accuracy. Assign appropriate medical codes to diagnoses and procedures using current coding standards. Prepare and submit clean...

Supervisor, Medical Collections (H) The University of Miami/UHealth Central Business Office has an exciting opportunity for a full-time Supervisor, Medical Collections (H) to work in Miami, FL. The Supervisor, Medical Collections (H) oversees staff responsible for third-party medical collections to ensure that outstanding accounts are resolved efficiently and accurately. Further, the incumbent acts as department expert on collection rules and regulations and mentors collections staff. Core Job Summary The Supervisor, Medical Collections (H) oversees staff responsible for third-party medical collections to ensure that outstanding accounts are resolved efficiently and accurately. Further, the incumbent acts as department expert on collection rules and regulations and mentors collections staff. Core Job Functions Supervises and trains collection staff and prepares performance reports. Ensures timely payment of invoices and expenses and maintains accurate records and control...