5 jobs found in Kissimmee

Job Description Job Description Job Description About the Role: We are seeking a detail-oriented and highly organized Medical Biller to join our growing team. In this role, you will be responsible for managing the full medical billing lifecycle: from eligibility verification and claim submission to payment posting and follow-up, while providing excellent service to both patients and internal stakeholders. This is a great opportunity for someone who thrives in a collaborative, fast-paced environment and takes pride in accuracy, compliance, and patient advocacy. Key Responsibilities: Verify patient insurance eligibility and benefits Review medical coding prior to claim submission to ensure accuracy and compliance Prepare, review, and submit medical claims using billing software, including both electronic and paper claims Review patient invoices for accuracy Follow up on unpaid or underpaid claims within designated timeframes Review insurance payments for...

Medical Coder $3,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life's best work.SM Delivering quality care starts with ensuring our processes and documentation standards are being met and kept at the highest level possible. This means working behind the scenes ensuring a member-centric approach to care. As a Medical Coder you will determine and record the correct medical codes for all treatments and health services. Ensuring proper records is just one way...

POSITION SUMMARY: The MEDICAL BILLING SPECIALIST performs clerical and accounting functions for patient billing, including verification of invoice information, maintenance of third-party billing records, and resolution of problems. Follows up on submitted and patient billing; resubmit claims or corrects inaccuracies. May handle cash items and accounts receivable posting. Works with others in a team environment. PRINCIPAL DUTIES AND RESPONSIBILITIES: Psychiatry Office.Processes billing to patients and third-party insurance companies. Maintains supporting documentation files and current patient addresses. Researches and responds by telephone and/or in writing to patient inquiries regarding billing issues and problems. Monitors submitted claims, follows up on unpaid claims, and initiates dialogue with insurance companies. Resubmit claims to insurance companies as necessary. May receive and receive cash items and third-party reimbursements Posts and reconciles...

Company Overview: Upward Health is an in-home, multidisciplinary medical group providing 24/7 whole-person care. Our clinical team treats physical, behavioral, and social health needs when and where a patient needs help. Everyone on our team from our doctors, nurses, and Care Specialists to our HR, Technology, and Business Services staff are driven by a desire to improve the lives of our patients. We are able to treat a wide range of needs - everything from addressing poorly controlled blood sugar to combatting anxiety to accessing medically tailored meals - because we know that health requires care for the whole person. It's no wonder 98% of patients report being fully satisfied with Upward Health! Job Title & Role Description: The Certified Medical Coder is responsible for analyzing provider documentation to accurately select ICD-10 and CPT/HCPCS codes, ensuring compliance with coding guidelines, third-party reimbursement policies, and accreditation standards. This...

Remote Certified Coder Altegra Health is a total solutions partner for healthcare data auditing and analytics. Altegra provides end-to-end solutions to help improve payment integrity data, to support accreditation programs, and to meet regulatory requirements. Altegra's nationwide network of registered nurses and certified coders professionally acquire, audit, and analyze healthcare data for healthcare organizations. Altegra Health specializes in: CMS HCC Risk Adjustment HEDIS Medical Record Reviews (Accreditation) And more Job Description These are a remote/home based temporary positions forecast to run through the end of 2015 and Coders will be paid by the chart. Remote Certified Coders review medical records and apply appropriate ICD-9-CM diagnostic codes and Altegra Health Flagged Event. Codes must meet Altegra Health QA standards (following both Official Coding Guidelines and Risk Adjustment Guidelines). Responsibilities: Abstract pertinent information...