Medical Claims Specialist

4 weeks ago


Altamonte Springs, Florida, United States Ascendo Full time
Job Summary

We are seeking a highly skilled Billing Coordinator to join our team at Ascendo. As a key member of our revenue cycle team, you will be responsible for reviewing patient account files to ensure accuracy and completeness, and maximum reimbursement. Your attention to detail and strong analytical skills will be essential in preparing and reviewing billings to be submitted to primary/secondary insurance carriers and/or Medicare/MediCal.

Key Responsibilities

Review patient account files to ensure accuracy and completeness
Prepare and review billings to be submitted to primary/secondary insurance carriers and/or Medicare/MediCal
Collect and decrease assigned Accounts Receivable focusing on high value accounts
Manage third party accounts
Respond to patient, insurance carrier and internal and external telephone inquiries

Requirements

High school diploma and a minimum of 2 years of experience in billing and appeals process in Medicare/MediCal, including medical office experience
ICD-9 and CPT-4 coding knowledge strongly preferred
Electronic specialty pharmacy billing experience strongly preferred

About Ascendo

Ascendo is a certified minority owned staffing firm, and we welcome and celebrate diversity. We are an Equal Opportunity Employer and do not discriminate on the basis of race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, parental status, military service or any other characteristic protected by federal, state or local law.

  • Altamonte Springs, Florida, United States AtWork Group Full time

    At AtWork Group, we're seeking a skilled Pharmacy Prior Authorization Specialist to join our team. As a Pharmacy Prior Authorization Specialist, you will be responsible for managing pharmacy prior authorizations, ensuring seamless claims processing, and delivering exceptional customer service. Your expertise in pharmacy claims, customer service, and patient...

  • Billing Specialist

    3 weeks ago


    Altamonte Springs, Florida, United States Ascendo Full time

    Billing SpecialistWe are seeking a skilled Billing Specialist to join our team at Ascendo. As a Billing Specialist, you will be responsible for reviewing account files to ensure accuracy and completeness, and maximum reimbursement, and appeal denials. Your primary duties will include reviewing patient account files, preparing and reviewing billings to be...


  • Altamonte Springs, Florida, United States AtWork Group Full time

    We are seeking a skilled Pharmacy Prior Authorization Specialist to join our team at AtWork Group. This exciting opportunity will allow you to work with a fortune 500 company and be a part of a new area of growth in the pharmacy industry.The Pharmacy Prior Authorization Specialist responsibilities include:Pharmacy Prior Authorization experiencePharmacy...

  • Medical Specialist

    3 weeks ago


    Altamonte Springs, Florida, United States Biomat USA Full time

    Job Summary:At Biomat USA, we are seeking a highly skilled and dedicated Medical Specialist to join our team. As a Medical Specialist, you will play a critical role in ensuring the health and safety of our donors and staff. Your expertise will be invaluable in determining donor suitability, providing education on general health, and counseling on...


  • Altamonte Springs, Florida, United States BrightSpring Health Services Full time

    We are seeking a skilled Pharmacy Order Entry Technician to join our team at PharMerica. In this role, you will be responsible for triaging, interpreting, and inputting orders into our computerized medication order system while meeting accuracy and productivity standards.Key Responsibilities:Triage and interpret orders, ensuring accuracy and...


  • Altamonte Springs, Florida, United States BrightSpring Health Services Full time

    Pharmacy Order Entry Technician Job DescriptionAt BrightSpring Health Services, we are seeking a skilled Pharmacy Order Entry Technician to join our team. As a Pharmacy Order Entry Technician, you will play a critical role in ensuring the accuracy and efficiency of our pharmacy operations.Key Responsibilities:Triage, interpret, and input orders into our...


  • Altamonte Springs, Florida, United States Staffing Now Full time

    Job Summary: We are seeking a highly skilled and detail-oriented Medical Support Specialist to join our team at Staffing Now. The ideal candidate will have a strong background in assisting physicians in exam rooms, escorting patients, and maintaining a clean and organized workspace.Responsibilities:Escort patients to and from exam rooms and assist with...

  • Medical Scribe

    4 weeks ago


    Altamonte Springs, Florida, United States The Gastroenterology Group Pa Full time

    Job SummaryThe Medical Scribe - Documentation Specialist will accompany physicians into exam rooms to document patient interactions, ensuring accurate and complete medical records. This role requires knowledge of medical terminology, particularly in Gastroenterology, and the ability to type at least 80 words per minute.Key Responsibilities:Document patient...

  • Technical Specialist

    3 weeks ago


    Altamonte Springs, Florida, United States Steris Corporation Full time

    Job Summary:As a Technical Specialist at Steris Corporation, you will be responsible for performing repairs on surgical devices and medical instruments. Your duties will include inspecting devices to determine the required repair and/or adjustment, disassembling malfunctioning equipment, and replacing or repairing defective parts. You will also be...


  • Altamonte Springs, Florida, United States AdventHealth Full time

    Document Management Coordinator RoleThe Document Management Coordinator is a key member of our team, responsible for processing and routing transactions with precision and accuracy.Key Responsibilities:Process and route transactions, including receipt, data entry, scanning, and indexing of documents.Manage documents, including prepping incoming mail,...


  • Altamonte Springs, Florida, United States BioPlus Health Full time

    Job SummaryThe Patient Care Coordinator is responsible for ensuring the seamless delivery of specialty medications to patients. This role requires strong communication and organizational skills to coordinate with patients, physicians, and payers to resolve any issues related to medication delivery.Key ResponsibilitiesCoordinate monthly deliveries of...

  • Medical Specialist

    3 weeks ago


    Altamonte Springs, Florida, United States InnovaCare Health Full time

    Job Summary:As a Medical Doctor at InnovaCare Health, you will be responsible for providing primary patient care and working closely with the Practice Administrator and Case Manager to ensure comprehensive delivery of services and quality patient care. You will also cooperate with management to achieve company objectives and deliver quality care to patients....


  • Altamonte Springs, Florida, United States Albany Medical Center Full time

    Clinical Opportunities at Albany Medical Center **Job Summary:** We are seeking a skilled Clinical Nurse II to join our Medical/Surgical Hospitalist team at Albany Medical Center. **Responsibilities:** - Implement physician orders and administer medications as required by company policy and local/state/federal rules and regulations. - Order, interpret, and...


  • Altamonte Springs, Florida, United States Healthwaze Full time

    Healthwaze is seeking a highly motivated and compassionate Internal Medicine physician to join our thriving outpatient practice in Tampa Bay. As a Medical Director for our Medicare Advantage population, you will play a vital role in delivering comprehensive, personalized care to a diverse panel of patients.About the Opportunity:Outpatient setting: Enjoy a...

  • Paralegal Specialist

    3 weeks ago


    Altamonte Springs, Florida, United States Universal Insurance Holdings Full time

    Job Summary: We are seeking a highly skilled Paralegal to join our team at Universal Insurance Holdings. The successful candidate will be responsible for providing support to our attorneys in the litigation process, including conducting legal research, investigating facts, and drafting legal documents.Key Responsibilities:Maintain the organization of the...


  • Altamonte Springs, Florida, United States AdventHealth Full time

    AdventHealth Medical Group is a leading healthcare provider in the world, known for its innovative and highly technical care. We are seeking a highly skilled Urogynecology Specialist to join our team.The ideal candidate will have a Masters degree in Nursing (APRN) or Physician Assistant (PA-C) Studies and 1-3 years of experience as a PA-C or ARNP;...


  • Altamonte Springs, Florida, United States AdventHealth Full time

    Job Title: Clinical Documentation Integrity Implementation Specialist and EducatorJob Summary:The Clinical Documentation Integrity Implementation Specialist and Educator will design, plan, and execute initiatives and processes for Clinical Documentation Integrity under the direction of the corporate Director of Clinical Documentation Integrity and the...


  • Altamonte Springs, Florida, United States American Family Care Franchise 2001 Full time

    Job OverviewAt American Family Care Franchise 2001, we are seeking a highly skilled and compassionate Medical Assistant to join our team. As a Medical Assistant, you will play a vital role in providing exceptional patient care and supporting our healthcare professionals in delivering high-quality medical services.ResponsibilitiesObtain patient vital signs,...


  • Altamonte Springs, Florida, United States AdventHealth Full time

    Neonatal Nurse Practitioner OpportunityAdventHealth Medical Group is seeking a dynamic and energetic Neonatal Nurse Practitioner to work in our Level II NICU. The ideal candidate will provide care for NICU and Newborn patients, evaluate patients, perform procedures, develop treatment plans, and communicate with parents and other specialists....


  • Altamonte Springs, Florida, United States Addison Kenway. Full time

    Job Opportunity at Addison KenwayWe are seeking an experienced Aesthetic Injectables Specialist to join our team at Addison Kenway in Altamonte Springs, Florida. As a Cosmetic Dermatology Practitioner, you will work closely with our experienced physicians to provide exceptional patient care and deliver world-class results.Responsibilities:Administer...