Medical Billing Director

1 day ago


Miami, Florida, United States Miami Beach Medical Group Full time
Job Title: Medical Billing Manager

We are seeking a highly skilled Medical Billing Manager to join our team at Miami Beach Medical Group. The successful candidate will be responsible for managing the medical billing department, ensuring accurate and timely submission of claims to insurance companies, and maintaining compliance with regulatory requirements.

Key Responsibilities:
  • Review medical records to identify accurate ICD-10 coding based on CMS/HCC categories for billing purposes
  • Create and submit insurance claims to different insurance companies
  • Process patients' billing, statements, reimbursement claims, post transaction and data
  • Proper documentation to different levels of appeals based on insurance denials
  • Communicate with insurance compliance for claim(s) payment/rejections
  • Submission of Doctor's applications for credentialing to insurance companies and hospitals
  • Collect patient payments via mail or telephone and ensure payments are properly recorded and processed
  • Assist Practice Administrator in updating practice or Doctor's licenses, including county, city, and CLIA, as well as distributing HEDIS/MRA reports to multiple providers
  • Assist in the balancing of copays and insurance payments for other service facilities
  • Transmit Financial Report to Accountant
  • Review A/R regularly and take necessary collection action
  • Ensure HEDIS Claims Tracking and Reporting
  • Posting payments via ERA and manual posting of all Medicare, Medicaid, and Third-Party Payers
  • Review accounts for possible assignment and make recommendations to the practice administrator

Miami Beach Medical Group is an equal opportunity employer and welcomes applications from diverse candidates. We are committed to providing a work environment that is free from discrimination and harassment. If you are a motivated and detail-oriented individual with a passion for healthcare, we encourage you to apply for this exciting opportunity.



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