Medical Claims Specialist
1 month ago
We are seeking a skilled Medical Claims Specialist to join our team at Mount Sinai Medical Center of Florida. In this role, you will be responsible for billing all claims to assigned payers electronically or via hardcopy on a daily basis.
Key Responsibilities- Process and submit claims to all assigned payers in a timely and accurate manner.
- Work corrections on assigned payers in Epic, ensuring that DRG revisions are billed according to policy.
- Review and work fail claims, collaborating with billing, hospital, and accounting teams as needed.
- Strong knowledge of Epic Systems and revenue cycle processes.
- Excellent analytical and problem-solving skills.
- Ability to work in a fast-paced environment and meet deadlines.
What We Offer
A competitive salary and benefits package, as well as opportunities for professional growth and development.
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Medical Claims Specialist
4 weeks ago
Miami, Florida, United States Mount Sinai Medical Center of Florida Full timeMedical Claims Specialist OpportunityMount Sinai Medical Center of Florida is seeking a skilled Medical Claims Specialist to join our team. As a Medical Claims Specialist, you will be responsible for working on payer claims projects and collections work queues, including denials and/or underpayment patterns. You will identify edits and errors for corrected...
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Medical Claims Specialist
4 weeks ago
Miami, Florida, United States North Shore Medical Center Full timeJob OverviewWe are seeking a highly skilled Medical Claims Specialist to join our team at North Shore Medical Center.The successful candidate will be responsible for performing patient account follow-up, credit balance review and resolution, and ensuring the hospital's accounts receivable are accurate.Key Responsibilities:Insurance follow-up, as...
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Medical Claims Specialist
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Miami, Florida, United States HirefinderRPO Full timeWe are seeking a highly skilled Medical Biller and Collector to join our medical practice in Miami, Florida. The ideal candidate will have over 5 years of experience in medical billing, collections, preauthorization with a strong background in Coding and Billing, Pre-Authorization, and Insurance Certification.Key Responsibilities:Accurately process and...
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Medical Billing Specialist
4 weeks ago
Miami, Florida, United States North Shore Medical Center Full timepWe are seeking a skilled bMedical Billing Specialist/b to join our team at North Shore Medical Center. As a key member of our revenue cycle team, you will be responsible for ensuring accurate and timely submission of Medicaid claims./ppbKey Responsibilities:/b/pulliReview claims for missing modifiers, charges, and/or implants/liliValidate and make...
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Medical Claims Examiner
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Miami, Florida, United States Insight Global Full timeJob SummaryWe are seeking a skilled Medical Claims Examiner to join our team at Insight Global. As a Medical Claims Examiner, you will be responsible for analyzing and adjudicating routine claims, determining approval on file, eligibility, identifying discrepancies, and applying all cost containment measures to assist in the claim adjudication process.Key...
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Medical Claims Adjudicator
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Miami, Florida, United States SNI Companies Full timeJob Summary We are seeking a skilled Medical Claims Adjudicator to join our team at SNI Companies. As a key member of our revenue and expense process, you will be responsible for adjudicating medical and non-medical provider claims and submitting enrollments/disenrollment to Florida Medicaid and CMS. This position is crucial to our organization's success,...
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Medical Claims Collector
3 days ago
Miami, Florida, United States Baptist Health Enterprises Full timeBaptist Health Enterprises is seeking a highly skilled Medical Claims Collector to join our team. This is a full-time, remote position.The ideal candidate will have a strong background in insurance collections and a proven track record of successfully resolving medical claims disputes.In this role, you will be responsible for:Conducting thorough...
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Medical Claim Professional
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Miami, Florida, United States Secure Eclaims LLC Full timeAbout Secure Eclaims LLCSecure Eclaims LLC is a leading benefits management company serving Puerto Rico and South Florida.Job OverviewWe are seeking a highly skilled Medical Claim Analyst to join our team. The selected candidate will be responsible for reviewing medical/surgical billings, examining coding of operative reports, and performing hospital length...
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Insurance Claims Examiner
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Miami, Florida, United States Staffing Now Full timeClaims Adjudication RoleWe are seeking a detail-oriented Claims Adjudication Specialist to review, process, and resolve insurance claims at Staffing Now.Key Responsibilities:Review and analyze insurance claims to ensure compliance with company policies and guidelines.Communicate with claimants and healthcare providers to resolve claims efficiently.Maintain...
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Senior Medical Claims Operations Manager
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Miami, Florida, United States PayerFusion Full timePayerFusion is seeking an experienced Senior Medical Claims Operations Manager to lead our claims department. As a member of our team, you will be responsible for supervising the claims operations, ensuring timely and accurate processing of claims, and maintaining a high level of customer satisfaction.**About Us:**We are a leading provider of medical claims...
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Warranty Claims Specialist
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Disability Claims Quality Assurance Specialist
4 weeks ago
Royal Palm Beach, Florida, United States Dane Street, LLC Full timeJob DescriptionDane Street, LLC is seeking a highly motivated Disability Claims Quality Assurance Specialist to join our team. As a Disability Claims Quality Assurance Specialist, you will play a crucial role in ensuring the quality of our disability claims process.Key Responsibilities:Evaluate the quality of physician reports and determine if they meet...
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Medical Billing Specialist
1 month ago
Miami, Florida, United States VensureHR Full timeJob SummaryWe are seeking a highly skilled Medical Billing Specialist to join our team at VensureHR. The ideal candidate will have a strong background in medical billing, collections, and pre-authorization processes.Key ResponsibilitiesAccurately process and submit claims to insurance companies.Follow up on unpaid claims and handle denials or...
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Medical Billing Specialist
1 month ago
Miami, Florida, United States destinationone Consulting Full timeJob Overviewdestinationone Consulting is a leading recruitment agency specializing in diverse sectors, including Healthcare, Health Tech, Government, Municipalities, Non-Profits, Legal, Public Accounting, and more. We are proactively building a data bank for opportunities in these fields.The Medical Billing Specialist plays a critical role in maintaining the...
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Claims Specialist
1 month ago
Pompano Beach, Florida, United States FirstService Residential Full timeJob Overview:The Workers' Compensation Claims Specialist is responsible for managing the intake of all claims from the initial inception and reporting them to our Third-Party Administrator. This role involves gathering discovery materials for litigation purposes and ensuring timely retrieval of documentation and reports to maintain accurate records.Your...
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Medical Billing Specialist
4 weeks ago
Miami, Florida, United States destinationone Consulting Full timedestinationone Consulting specializes in recruitment across diverse sectors including Healthcare, Health Tech, Government, Municipalities, NonProfits, Legal, and Public Accounting. We are proactively building a data bank for opportunities in these fields. By applying, you ensure our recruiters can quickly match you with suitable roles when they...
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Medical Billing Specialist
3 weeks ago
Miami, Florida, United States Vensure Employer Solutions Full timePosition OverviewVensure Employer Solutions is seeking a skilled Medical Billing Specialist to join our team in Miami, Florida. The ideal candidate will have over 5 years of experience in medical billing, collections, and pre-authorization processes with a strong background in coding and billing.Key ResponsibilitiesAccurately process and submit claims to...
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Medical Claims Supervisor
4 weeks ago
Daytona Beach, Florida, United States Walmart Full timeJob SummaryWe are seeking a highly skilled Medical Claims Lead to join our team at Walmart. As a Medical Claims Lead, you will be responsible for overseeing the sales floor and merchandise presentation in accordance with company policies and procedures.Key ResponsibilitiesEnsures maintenance of the sales floor and merchandise presentation in accordance with...
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Medical Malpractice Claims Billing Specialist
3 weeks ago
Miami, Florida, United States Careerxchange Full timeJob DescriptionWe are seeking a detail-oriented Billing Administrator to manage billing functions, ensure accurate and timely invoice processing, and support the overall financial operations of the firm.Key Responsibilities:Prepare, review, and process legal bills using TimeSlips, Ledes, Legal Tracker, or similar billing software.Monitor and resolve billing...
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Commercial Billing Specialist
1 month ago
Miami, Florida, United States North Shore Medical Center Full timeJob OverviewWe are seeking a highly skilled Commercial Billing Specialist to join our team at North Shore Medical Center. As a key member of our revenue cycle team, you will play a critical role in ensuring the accurate and timely submission of commercial and managed care claims.Key Responsibilities:Review and validate claims for accuracy and completeness...