Medical Billing Specialist

7 days ago


Doral, Florida, United States NeueHealth Full time
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.

Starting pay $17/hr

JOB SUMMARY


The Medical Billing Specialist is responsible for the accuracy of the super bill/claim prior to transmission to payer, including validation of appropriate Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), and International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM).

DUTIES & RESPONSIBILITIES


The Billing Specialist job description is intended to point out major responsibilities within the role, but it is not limited to these items.

Assign/remove CPT, HCPCS and modifiers as part of the super bill/claim validation process.

Prepare and review super bill/claims prior to submission.

Identify coding trends and opportunities to improve quality, efficiency and productivity.

Checking each insurance payment for accuracy.

Ensure compliance with billing and payers' guidelines.

Calling insurance companies regarding any discrepancy in payments if necessary

Researching and appealing denied claims.

EDUCATION AND PROFESSIONAL EXPERIENCE
(Licensures AND Certifications)

High school diploma or GED equivalent

Minimum of 1 year of experience as a medical biller.

PROFESSIONAL COMPETENCIES
Knowledge of insurance guidelines including HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.

Knowledge of CPT, ICD-10-CM and HCPCS codes.

Knowledge of coding principles and guidelines.

Knowledge of billing principles and guidelines.


Knowledge of federal, state, and payer-specific regulations and policies pertaining to documentation, coding, and billing for professional and technical services.

Excellent written and verbal communication skills


Prefer certification as any of the following - American Academy of Professional Coder (AAPC) Certified Professional Coder (CPC) or American Health Information Management Association (AHIMA) Certified Coding Specialist (CCS).

Bilingual English and Spanish required.


As an Equal Opportunity Employer, we welcome and employ a diverse employee group committed to meeting the needs of NeueHealth, our consumers, and the communities we serve.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.



  • Doral, Florida, United States Bright Health Full time

    Back to Career SiteWe 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...

  • Demand Specialist

    7 days ago


    Doral, Florida, United States United Auto Insurance Full time

    COMPANY OVERVIEW:Founded in 1989, United Automobile Insurance Company is an innovative and established organization looking for a PIP Demand Specialist to join our team. Family-owned, UAIC, is one of the largest privately held property and casualty insurance companies in the United States. The key to our growth and success is a commitment to providing...


  • Doral, Florida, United States The Heico Companies Full time

    Join our team at Ceco Concrete Construction Ceco Concrete Construction LLC is one of the nations largest concrete subcontractors. We are currently in need of a Project Controls Specialist to work in our fast-paced construction environment located in Miami, FL** NOTE This opportunity is located in Deerfield Beach, FLPrimary ResponsibilitiesUltimately...


  • Doral, Florida, United States Ensemble Health Partners Full time

    Thank you for considering a career at Ensemble Health PartnersEnsemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the...


  • Doral, Florida, United States SCA Health Full time

    About the Company:Join the exceptional team at SCA Health, a leading healthcare organization with 11,000 dedicated professionals providing top-notch care to 1 million patients yearly. Collaborating with physician specialists, SCA Health focuses on delivering high-quality outcomes and enhanced experiences for patients and providers, all while reducing the...

  • Wax Specialist

    7 days ago


    Doral, Florida, United States European Wax Full time

    Wax Specialist Job Description Wax Specialist/Licensed Esthetician:_Our fast-paced, waxing center is looking to add to our dynamic team Our mission is to make ourfabulous guests' feel gorgeous and confident in their own skin, we just need YOU, the expertTurn your passion into a rewarding role with European Wax Center - the world's leading expertsin...


  • Doral, Florida, United States New Health Partners Full time

    Company DescriptionNew Health Partners is a Health Insurance Broker Agency located in Miami, FL. We specialize in forming true partnerships with our agents, carriers, and providers to deliver targeted member growth. Our core products include Medicare Advantage and the Affordable Care Act. With over 30 years of industry experience, our founding team...


  • Doral, Florida, United States Nursing South Corp. Full time

    Job Description Job Description This Position offers an exciting chance for an experienced home healthcare financial professional to tackle challenging and diverse assignments. The position must function as a team member, business supervisor, billing, collection, and other related administrative duties. Responsibilities:The candidate will be responsible for...


  • Doral, Florida, United States Advanced Diabetes Supply Full time

    : $2,500 Sign On BonusAbout Our CompanyAdvanced Diabetes Supply was founded on the bold principle of creating a knowledgeable, reliable and demonstrably superior diabetes supply company. Our approach, coupled with a commitment to service and innovation, has catapulted Advanced Diabetes Supply to a national leader in the industry. Creating high-performance,...


  • Doral, Florida, United States Richemont Full time

    Richemont owns some of the world's leading luxury goods Maisons, with particular strengths in jewellery, fine watches and premium accessories. Each Maison represents a proud tradition of style, quality and craftsmanship and Richemont seeks to preserve the heritage and identity of each of its Maisons. At the same time, we are committed to innovation and...


  • Doral, Florida, United States SCA Health Full time

    Business Office Manager - The Surgery Center at DoralJOB_DESCRIPTION.SHARE.HTMLCAROUSEL_PARAGRAPHJOB_DESCRIPTION.SHARE.HTMLDoral, FloridaThe Surgery Center at DoralBusiness OpsRegularFull-time1USD $60,000.00/Yr.USD $70,000.00/Yr.33291 Job Description OverviewToday, SCA Health has grown to 11,000 teammates who care for 1 million patients each year and support...


  • Doral, Florida, United States SCA Health Full time

    Business Office Manager - The Surgery Center at DoralJOB_DESCRIPTION.SHARE.HTMLCAROUSEL_PARAGRAPHJOB_DESCRIPTION.SHARE.HTMLDoral, FloridaThe Surgery Center at DoralBusiness OpsRegularFull-time1USD $60,000.00/Yr.USD $70,000.00/Yr.33291 Job Description OverviewToday, SCA Health has grown to 11,000 teammates who care for 1 million patients each year and support...


  • Doral, Florida, United States North American Credit Services Inc Full time

    Job Description Job DescriptionEstimates Specialist, SBOAbout MedSrv As the healthcare industry continues to grow, so does the need for consistent, effective Revenue Cycle Management. But it takes more than just technology and technical expertise. It takes innovation, a willingness to adapt, and passion to deliver the best. MedSrv, LLC is the difference in...


  • Doral, Florida, United States Bristol-Myers Squibb Full time

    Senior Mental Health Account Specialist (Florida) page is loaded Senior Mental Health Account Specialist (Florida) Apply locations Miami - FL - US Tampa - FL - US Orlando - FL - US time type Full time posted on Posted 2 Days Ago job requisition id R Working with UsChallenging. Meaningful. Life-changing. Those aren't words that are usually associated with a...


  • Doral, Florida, United States CEI Full time

    Are you a motivated and resilient leader who is interested in joining a leading firm in the Fueling Construction Industry? If so, you could be perfect for us. We are recruiting an EHS Specialist who will promote and sustain our commitment to Safety without Compromise. Here at CEI, where our Core Values are Community, Excellence, and Integrity, we invite...


  • Doral, Florida, United States NextEra Energy , Inc. Full time

    Requisition ID: 79550FPL Energy Services (FPLES) operates 14 unique businesses and is continuously creating new businesses to serve residential, commercial and governmental customers to deliver savings and protection. Our smart, reliable and affordable solutions span a broad array of offerings, including, but not limited to, LED lighting, home protection...


  • Doral, Florida, United States University of Miami Full time

    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 Supply Chain has an exciting opportunity for a...

  • Accounting Manager

    7 days ago


    Doral, Florida, United States Miami Marketing Solutions Full time

    Accounting ManagerFull-time Salaried PositionIndustry Segment: Marketing ServicesWe are looking for a skilled Accounting Manager to play a key role on our growing team. You'll be responsible for recording all our financial transactions including purchases, sales, receipts, and payments, and posting information to accounting journals and QuickBooks. The ideal...


  • Doral, Florida, United States Banesco Full time

    Job Title Information Security Specialist Banesco USA is seeking an Information Security Specialist for our Information Security unit. Primary Job Duties:Information and Cyber SecurityAssists in real-time analysis of the organizations security posture to include wireless, firewall, web application, UTM, and SIEM.Experience in cloud security governance, risk...


  • Doral, Florida, United States AIT Worldwide Logistics Full time

    International Operations Agent IIIJob LocationsUS-FL-MiamiID CategoryFreight ForwardingPosition TypeRegular Full-TimeIntroductionCome move the world with us Wake up each day to be part of a global movement.A movement tomake an impact. A movement togo for itA movement toprovide best-in class solutions. A movement to beempowered. A movement todo the right...