40 jobs found in Miami, FL

About the job Medical Record Audit / Coding Auditor OUR CLIENT is a contracting and data management services organization dedicated to primary care physicians throughout Florida IN THIS ROLE YOU are responsible to assist in the development, undertaking and maintenance of a long term comprehensive, clinical coding audit program for inpatient and outpatient activity. To develop and Implement policies to support the clinical coding audit function Receive, review and communicate findings on patient billing coding related complaints. Identify training needs through the audit program of work and liaise with the clinical coding training manager and audit manager to provide the necessary training identified Conduct routine, risk based, proactive or reactive compliance reviews of procedural and diagnosis coding/billing and medical record documentation performed by clinical service providers Prepare reports as required relative to these monitoring and review activities. Work...

Position Summary We are seeking an experienced, team player and detail-oriented Medical Biller and Collector to join our team in Miami, Florida. The ideal candidate will have over 7 years of experience in medical billing and collections, with a strong background in Coding, Pre-Authorization, Workers Comp Claims, and Insurance Certification. Essential Duties and Responsibilities Accurately process and submit claims to insurance companies. Follow up on unpaid claims and handle denials or rejections. Manage pre-authorization processes to ensure timely approval of services. Ensure timely collection of outstanding balances from patients and insurance companies. Maintain detailed records of billing activities and collections. Collaborate with healthcare providers to resolve billing discrepancies. Stay updated with the latest healthcare billing regulations and practices. Knowledge, Skills, and Abilities Excellent communication and organizational skills. Ability...

Current Employees: If you are a current employee at the University of Miami, please exit this website and log into Workday to apply using the internal application process. To learn how to apply for a faculty position using the Career worklet, please review this tip sheet. Where Excellence Meets Purpose The University of Miami is among the top research universities and academic medical centers in the nation, and one of the largest private employers in South Florida. With more than 16,000 faculty and staff, the University strives for excellence, and is driven by a powerful purpose to transform and impact the lives of its students, patients, members of the community, and people across the globe. The University is committed to fostering a culture of belonging, where everyone feels valued and has the opportunity to add value. Through values of Diversity, Integrity, Responsibility, Excellence, Compassion, Creativity, and Teamwork (DIRECCT) the U community works together to create...

Summary: Ambulance Medical Billing Specialist is responsible for billing and collection processes for National Health Transport's ambulance trips. Ambulance Medical Billing Specialist answers inquiries from insurance companies, patients, and processes claims accordingly. Essential duties and responsibilities : Promotes, develops, and fosters the mission, vision, and values of National Health Transport Inc. Provides the highest level of customer service to a wide variety of internal and external customers Manage and maintain National Health Transport Inc. billing processes. File complaints with the appropriate payer or their governing authority. Identify and separate denials by code and payer Follow through with payers correspondence in a timely manner. Review account status routinely as required for each payer type; minimum of 20 days. Identify recurring denials and make necessary system changes to resolve them. Assist customers with their account information....

Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please review this tip sheet. The University of Miami/UHealth Central Business Office has an exciting opportunity for a full-time Sr. Medical Biller to work in Miami, FL. The Senior Medical Biller processes billing information in appropriate system and assists supervising staff in maintaining quality control of data by identifying potential problems and offering and implementing solutions. Assists management with the training of new staff. Runs reports weekly on accounts and monitors to keep the contents at a minimum. Verifies all claims and ensures edits are collected and released in a timely fashion. Reports edits by billing area to managing staff on a monthly basis. Verifies that all controls are followed...

Biller, Medical Biller, Medical, Remote, Healthcare, Education

Medical Billing Specialist***Not a Remote Position*** Summary: Ambulance Medical Billing Specialist is responsible for billing and collection processes for National Health Transport's ambulance trips. The specialist answers inquiries from insurance companies and patients and processes claims accordingly. Essential Duties and Responsibilities: Promotes, develops, and fosters the mission, vision, and values of National Health Transport Inc. Provides the highest level of customer service to a wide variety of internal and external customers. Manages and maintains National Health Transport Inc. billing processes. Files complaints with the appropriate payer or their governing authority. Identifies and separates denials by code and payer. Follows through with payers' correspondence in a timely manner. Reviews account status routinely as required for each payer type; minimum of 20 days. Identifies recurring denials and makes necessary system changes to resolve...

Current Employees: If you are a current employee at the University of Miami, please exit this website and log into Workday to apply using the internal application process. To learn how to apply for a faculty position using the Career worklet, please review this tip sheet. Where Excellence Meets Purpose The University of Miami is among the top research universities and academic medical centers in the nation, and one of the largest private employers in South Florida. With more than 16,000 faculty and staff, the University strives for excellence, and is driven by a powerful purpose to transform and impact the lives of its students, patients, members of the community, and people across the globe. The University is committed to fostering a culture of belonging, where everyone feels valued and has the opportunity to add value. Through values of Diversity, Integrity, Responsibility, Excellence, Compassion, Creativity, and Teamwork (DIRECCT) the U community works together to create...

Back to Career Site We are transforming healthcare to be value-driven, creating a seamless, consumer-centric care experience that maximizes value for all. We believe that all health consumers are entitled to high quality, coordinated healthcare. We uniquely align the interests of health consumers, providers, and payors to make high-quality healthcare accessible and affordable to all populations across the ACA Marketplace, Medicare, and Medicaid. This in an onsite position. The Medical Coder will work closely with Providers on conducting documentation and coding chart reviews, medical records audits, and provider education. The medical coder will identify and extract Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM), ROLE RESPONSIBILITIES Perform medical record chart review/audits to validate the accuracy of documentation and coding assignment...

Position Summary We are seeking an experienced, team player and detail-oriented Medical Biller and Collector to join our team in Miami, Florida. The ideal candidate will have over 7 years of experience in medical billing and collections, with a strong background in Coding, Pre-Authorization, Workers Comp Claims, and Insurance Certification. Essential Duties and Responsibilities ccurately process and submit claims to insurance companies. Follow up on unpaid claims and handle denials or rejections. Manage pre-authorization processes to ensure timely approval of services. Ensure timely collection of outstanding balances from patients and insurance companies. Maintain detailed records of billing activities and collections. Collaborate with healthcare providers to resolve billing discrepancies. Stay updated with the latest healthcare billing regulations and practices. Knowledge, Skills, and Abilities Excellent communication and...

Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please review this tip sheet. The University of Miami/UHealth Central Business Office has exciting Full-Time Senior Medical Biller opportunities work remotely. The Senior Medical Biller processes billing information in appropriate system and assists supervising staff in maintaining quality control of data by identifying potential problems, and offering and implementing solutions. CORE QUALIFICATIONS Assists management with the training of new staff. Runs reports weekly on accounts and monitors to keep the contents at a minimum. Verifies all claims and ensures edits are collected and released in a timely fashion. Reports edits by billing area to managing staff on a monthly basis. Verifies that all controls...

Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please review this tip sheet. The University of Miami/UHealth Department of Central Business Office has an exciting opportunity for a full-time Medical Biller to work in Miami, FL. The Medical Biller compiles amounts owed to medical facility and maintains order, invoice, and payments records. 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...

Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please review this tip sheet. The Central Business Office has an exciting opportunity for a Full-Time Medical Biller to work Remote. The Medical Biller compiles amounts owed to medical facility and maintains order, invoice, and payments records. Reviews and releases all physician charges from the assigned WQ's in a timely fashion. Reviews encounters received for all pertinent information: patient demographic information, guarantor and insurance information, place of service, referrals, claim info record, and managed care authorization requirements. Runs insurance eligibility and fixes registration issues. Manually enters paper vouchers received for missing charges. Reviews and fixes erroneous and/or rejected...

Job Description Job Description Summary: Ambulance Medical Billing Specialist is responsible for billing and collection processes for National Health Transport's ambulance trips. Ambulance   Medical Billing Specialist answers inquiries from insurance companies, patients, and processes claims accordingly. Essential duties and responsibilities : Promotes, develops, and fosters the mission, vision, and values of National Health Transport Inc. Provides the highest level of customer service to a wide variety of internal and external customers Manage and maintain National Health Transport Inc. billing processes. File complaints with the appropriate payer or their governing authority. Identify and separate denials by code and payer Follow through with payers correspondence in a timely manner. Review account status routinely as required for each payer type; minimum of 20 days.  Identify recurring denials and make necessary system changes to resolve them. Assist...

Job Description Job Description JOB SUMMARY: This role is responsible for auditing the quality of incoming loads, ensuring compliance with established standards, and identifying any deviations. ESSENTIAL FUNCTIONS: Responsibilities: Observe the quality of loads on arrival Review loads for violations Identify and document root causes through tablet procedures Communicate violations by gathering up to 30 photographs using multiple angles if necessary Validate information prior to reporting violations *Performs Additional Responsibilities As Assigned* QUALIFICATIONS: Education and/or experience: High school diploma   Knowledge, skills and abilities: Demonstrated interpersonal and communication skills (written and verbal) Attention to detail Familiarity with pallet building standards Demonstrated commitment to safety standards Ability to work in a warehouse environment (concrete floors, changing temperatures)   Physical Requirements:...

Job Description Job Description About Us: We are a service-based company and as a licensed Third-Party Administrator, we are seeking only top talent and experienced personnel in order to meet and exceed our client's expectations. We’re an innovative company creating a unique experience for healthcare professionals. While many industry-wide solutions exist, nothing comes close to our ground-breaking approach. Responsibilities: Conduct quality assurance audits to ensure coding accuracy and compliance. Assign and sequence ICD-10, CPT, and HCPCS codes to diagnoses and procedures. Ensure codes are accurate and compliant with government and insurance regulations. Review clinical documents, medical records, and patient charts for correct coding. Ensure coding is timely, accurate, and compliant with healthcare guidelines. Collaborate with healthcare providers and administrative staff to resolve coding discrepancies. Prepare and submit coded data for insurance claims,...

Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please review this tip sheet . The Department of Health Information Management (HIM) has exciting Remote Full-Time opportunities for the following roles: Professional Coders 1, 2, and 3 are responsible for reviewing the clinical documentation contained in the UHealth patient health records to validate the codes assigned by physicians. The incumbent validates and, as necessary, applies E&M and procedure codes for medical specialties including Ancillary, Non-Surgical, and Surgical services. The Professional Coder 1 will have a thorough understanding of ICD-10-CM diagnosis, CPT with E&M, and procedural codes used in reimbursement and data collection. Professional Coder 1 High School diploma or equivalent...

Full Time - $5000 Sign-On Bonus - 100% Remote (Must Live in FL, TN, GA, LA, WA State, or TX) At Houston Methodist, the Inpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately to inpatient encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory guidelines. PEOPLE ESSENTIAL FUNCTIONS Interacts and communicates effectively with members of the coding team and the appropriate stakeholders. Participates and provides good feedback during coding section meetings and coding education inservices as well as takes initiative to assist others and shares knowledge with the appropriate stakeholders. SERVICE ESSENTIAL FUNCTIONS Responds promptly to internal and external customer requests. Responds promptly and appropriately to requests to code or review coded accounts for accuracy. Initiates queries with physicians to obtain or clarify diagnoses and/or...

Job Description The Supervisor, Medical Learning and Development oversees the learning and development of shipboard medical staff through leadership development initiatives and learning opportunities, facilitating staff promotions, and ensuring compliance with training requirements. Additionally, the Supervisor collaborates with various stakeholders to optimize staffing solutions, participate in quality improvement initiatives, and support ad hoc projects to improve the overall effectiveness of onboard medical services. The role collaborates with the Supervisor of Medical Staff Performance, to support the performance and professional development of medical staff, including doctors, nurses, and other healthcare professionals. This role involves evaluating performance measures, implementing improvement initiatives, and facilitating corrective actions to enhance patient care. This role will interface with North America brands, medical teams onboard, shoreside health services,...

Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here (https://www.myworkday.com/umiami/d/task/1422$7248.htmld) to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER_eRecruiting_ApplyforaJob.pdf) . The Department of Health Information Management (HIM) has exciting Remote Full-Time opportunities for the following roles: The primary focus of this role is to capture all encounter-specific diagnoses and procedure codes for accurate reimbursement, data collection, and research purposes. Inpatient Coder 1 Minimum 2 years of current ICD-10 acute care facility coding experience High School Diploma or equivalent and graduation from an accredited Health Information Technology or Coding program Certified Coding Specialist (CCS), Registered Health...

POSITION: Remote Professional Fee Dermatology Coder DEPARTMENT: Health Information Management START: ASAP LOCATION: Remote JOB DESCRIPTION: This is a Profee Surgical & non-Surgical coding position with a focus on Dermatology encounters. Candidates must have experience coding all things Dermatology. Candidate must have surgical coding experience for a Level 1 trauma center and E/M. Under indirect supervision, is responsible for the accurate coding of Dermatology encounters for a University Health System. Outpatient visit procedures, diagnoses, and conditions, working from the appropriate documentation in the medical record. Classification systems include ICD-10-CM, CPT, Healthcare Common Procedure Coding System (HCPCS) as well as other specialty systems as required by diagnostic category and facility Reimbursement guidelines. All work is carried out in accordance with the rules, regulations, and coding conventions of the American Hospital Association (Coding...

OVERVIEW: The core mission of Southeastern Institute is to provide targeted educational services that meet community needs. The role of campus Faculty members is to engage students, foster learning, role model professionalism, and ultimately produce competently trained students prepared for professional careers. BUSINESS CONTRIBUTIONS: Faculty and instructional staff are responsible for leveraging their expertise to deliver education services to students through: •Delivering course lectures •Facilitating student engagement •Working one-on-one with students •Assessing students and providing developmental feedback ESSENTIAL FUNCTIONS: Prepare Course Plans and Materials: •Review Course Control Document (CCD) •Prepare syllabus •Create lesson plans •Create exams, quizzes, and projects/assignments •Coordinate with librarian and bookstore for availability of materials Deliver Courses: •Administer pre-test/post-test •Deliver lectures/facilitate labs •Grade projects and...

Job Description Job Description Job description Now Hiring FULL-TIME Medical Billing Specialist  B. R. Valentine Billing Services is seeking a medical billing specialist for a busy medical billing office in the South Broward area.  B. R. Valentine Billing Services offers a competitive salary and compensation package for all its full-time employees.   Responsibilities As a medical billing specialist you will be responsible for performing administrative/billing functions to ensure efficient operation of medical claims. Must be detail orientated and organized. The target is to complete all activities accurately, with high quality and in a timely manner.   Accurately enter patient data into a medical billing software Prepare and submit clean claims to the insurance carriers Understand procedure and diagnosis coding based off billing guidelines Review and identify rejected claims and billing errors Generate and mail patient statements Answer patient calls,...