Specialist, Appeals & Grievances Molina Healthcare IncSpecialist, Appeals & GrievancesFLRequests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per protocol and other business partners to determine response; assures timeliness and appropriateness of responses per state, federal and Molina guidelines. Facilitates comprehensive research and resolution of appeals, disputes, grievances, and/or complaints from Molina members, providers, and related outside agencies to ensure that internal and/or regulatory timelines are met.
FLEET OPERATIONS & PERFORMANCE ANALYST City Furniture IncFLEET OPERATIONS & PERFORMANCE ANALYSTTamarac, FLWith over 50 years of experience, and several CITY HOME and Ashley HomeStore showrooms and distribution centers throughout Florida, CITY HOME continues to be recognized as a top furniture company in South Florida and nationwide. As a Fleet Technical Analyst, the primary function of this position is to maintain all fleet vehicles and Distribution Center documentation to ensure that Operations runs efficiently and safely.
Senior Accounting Manager Consertus-USSenior Accounting ManagerMiami, FloridaOur integrated services span digital, advisory, and delivery, empowering organizations to navigate complexity, manage risk, and achieve strategic goals in sectors including aviation, transportation, transit, water, healthcare, energy, education, government, commercial, life sciences, and technology. The candidate should have experience developing FAR-compliant overhead rates, managing portions of the monthly financial statement close, reviewing journal entries and account reconciliations, and supervising staff with a mentorship mentality.
Collections Specialist Coral Connect LLCCollections SpecialistBoca Raton, FLRemoteThe Collections Specialist for Pharmacy and Ambulatory Infusion Center (AIC) is responsible for managing outstanding accounts receivable, ensuring timely reimbursement, and resolving payer and patient account issues. Coral Connect, LLC (“Coral”) is a technology-enabled service provider focused on reducing healthcare costs through intelligent data management, pharmacy optimization, and value-driven sourcing.
Medical Biller and Collections LUX InfusionMedical Biller and CollectionsPlantation, Florida$26–$28 / hourWhile performing the duties of this position, the employee may occasionally be required to stand, walk, or sit; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch, or crawl; and talk or hear. Employees in this position may be required to assist directly - or coordinate appropriate assistance - to ensure access to LUX Infusion’s services for individuals with disabilities, including patients, visitors, employees, or others.
Certified Medical Coder II CPC Mount Sinai Medical Center of FloridaCertified Medical Coder II CPCMiami Beach, FloridaWe offer the latest in advanced medicine, technology, and comfort in 12 facilities across Miami-Dade (including our 674-bed main campus facility) and Monroe Counties, with 38 medical services, including cancer care, 24/7 emergency care, orthopedics, cardiovascular care, and more. Performs coding and abstracting on all outpatient/inpatient procedures, evaluation and management encounter documentation and/or operative report by selecting and reporting ICD-10 diagnoses, CPT and HCPCS procedure codes and append modifiers when applicable.
Ambulatory Payment Classification Coordinator Houston Methodist HospitalAmbulatory Payment Classification CoordinatorFLMust have one of the following: • RHIT - Certified Health Information Technician (AHIMA) • RHIA - Registered Health Information Administrator (AHIMA) • CCS - Certified Coding Specialist (AHIMA) • CCA - Certified Coding Associate (AHIMA) • CCS-P - Certified Coding Specialist Physician-Based (AHIMA) • CPC - Certified Professional Coder (AAPC) • CPC-H - Certified Professional Coder - Hospital (AAPC) • CPC-I - Certified Professional Coder Instructor (AAPC) • CPC-A - Certified Professional Coder Associate (AAPC) • CCC - Certified Cardiology Coder (AAPC) • COC - Certified Outpatient Coder (AAPC). Must have one of the following: •RHIT - Certified Health Information Technician (AHIMA) •RHIA - Registered Health Information Administrator (AHIMA) •CCS - Certified Coding Specialist (AHIMA) •CCA - Certified Coding Associate (AHIMA) •CCS-P - Certified Coding Specialist Physician-Based (AHIMA) •CPC - Certified Professional Coder (AAPC) •CPC-H - Certified Professional Coder - Hospital (AAPC) •CPC-I - Certified Professional Coder Instructor (AAPC) •CPC-A - Certified Professional Coder Associate (AAPC) •CCC - Certified Cardiology Coder (AAPC) •COC - Certified Outpatient Coder (AAPC).
Physician Practice E&M Auditor Educator, Mcvi Administration, FT, 8A-4:30P (Hybrid) Baptist Health South FloridaPhysician Practice E&M Auditor Educator, Mcvi Administration, FT, 8A-4:30P (Hybrid)Coral Gables, FL$26.13–$33.97 / hourDevelops and executes provider comprehensive educational opportunities/curriculums (coding resources, materials, tools, webinars, campaigns, etc.) based on audit results, noted trends & changes within coding compliance and regulatory guidelines, while supporting organizational compliance models. E&M Coding Auditor/Educator performs comprehensive audits to determine integrity of coding/billing for physician & clinical fees, detection/correction of documentation, coding/billing errors and/or medical necessity of services billed.
Insurance Collection Specialist PROMD PRACTICE MANAGEMENT INCInsurance Collection SpecialistPinecrest, FLFull timeWe provide comprehensive one-on-one training to ensure success in delivering high-quality billing and collection services for our top-ranked multispecialty medical providers. ProMD’s Revenue Cycle Management division is a rapidly growing medical billing company seeking an experienced Medical Insurance Collection Specialist .
Operatory Surgical Coding Specialist OrthoVirginiaOperatory Surgical Coding SpecialistWestchester, FloridaWith more than 159 physicians in over 35 locations—including Lynchburg, Northern Virginia, Richmond, Southwest Virginia, and Hampton Roads—OrthoVirginia is a leader in orthopedic surgery, non-surgical care, and physical, hand, and occupational therapy. In this role, you will ensure accurate posting of surgical cases, proper billing of supplies and implants, and correct CPT/HCPCS coding in collaboration with surgeons, clinical staff, and the Operatory Director.
Bilingual medical office specialist pediatric ophthalmology ROP Consultants Of Florida PABilingual medical office specialist pediatric ophthalmologyBOCA RATON, FLFull timeThis is an exciting opportunity to make a real difference in the lives of young patients and their families by delivering exceptional front-office support in a caring, fast-paced clinical environment. ROP Consultants Of Florida PA is a trusted name in pediatric ophthalmology, dedicated to protecting and preserving the vision of Florida's youngest patients.
RCM Contracts Manager Integrated HomeRCM Contracts ManagerMiramar, FloridaThe Manager of Contracts works closely with payers, revenue cycle leadership, compliance, credentialing, billing operations, and IT/system teams to ensure payer contract terms and reimbursement requirements are accurately translated into operational workflows and system configurations. Integrated Home Care Services (IHCS) provides a comprehensive Integrated Delivery System in the home setting, offering Durable Medical Equipment (DME), Respiratory, Home Health, and Home Infusion services.
Outreach Housing Specialist/ Family Street Outreach- Bilingual Spn-Eng Care Resource Community Health Centers, Inc.Outreach Housing Specialist/ Family Street Outreach- Bilingual Spn-EngFort Lauderdale, FLThe Outreach Housing Specialist is responsible for coordinating the assessment to Individual and Families with Homeless needs and subsequent engagement for Shelters, Rapid Re-housing, Permanent Support Housing, and referral to access medical, dental, mental health, substance use disorder care, pharmaceutical, treatment education, and other services needed by Care Resource clients. Outreach Housing Specialist participate in homeless coalition meetings, coordinated entry case conferencing, maintain appropriate client data in client case file, the Homeless Management Information System (HMIS), and PATH-specific data systems, including spreadsheets and grant-prescribed data systems.
Outreach Housing Specialist Care Resource Community Health Centers, Inc.Outreach Housing SpecialistFort Lauderdale, FLThe Outreach Housing Specialist is responsible for coordinating the assessment to Individual and Families with Homeless needs and subsequent engagement for Shelters, Rapid Re-housing, Permanent Support Housing, and referral to access medical, dental, mental health, substance use disorder care, pharmaceutical, treatment education, and other services needed by Care Resource clients. Outreach Housing Specialist participate in homeless coalition meetings, coordinated entry case conferencing, maintain appropriate client data in client case file, the Homeless Management Information System (HMIS), and PATH-specific data systems, including spreadsheets and grant-prescribed data systems.
OUTREACH HOUSING SPECIALIST Care Resource Community Health Centers, Inc.OUTREACH HOUSING SPECIALISTFt. Lauderdale, FLThe Outreach Housing Specialist is responsible for coordinating the assessment to Individual and Families with Homeless needs and subsequent engagement for Shelters, Rapid Re-housing, Permanent Support Housing, and referral to access medical, dental, mental health, substance use disorder care, pharmaceutical, treatment education, and other services needed by Care Resource clients. Outreach Housing Specialist participate in homeless coalition meetings, coordinated entry case conferencing, maintain appropriate client data in client case file, the Homeless Management Information System (HMIS), and PATH-specific data systems, including spreadsheets and grant-prescribed data systems.
OUTREACH HOUSING SPECIALIST Care Resource Community Health CenterOUTREACH HOUSING SPECIALISTFt. Lauderdale, FLPart timeThe Outreach Housing Specialist is responsible for coordinating the assessment to Individual and Families with Homeless needs and subsequent engagement for Shelters, Rapid Re-housing, Permanent Support Housing, and referral to access medical, dental, mental health, substance use disorder care, pharmaceutical, treatment education, and other services needed by Care Resource clients. Outreach Housing Specialist participate in homeless coalition meetings, coordinated entry case conferencing, maintain appropriate client data in client case file, the Homeless Management Information System (HMIS), and PATH-specific data systems, including spreadsheets and grant-prescribed data systems.
Customer Care & Dispute Specialist Schindler Holding LtdCustomer Care & Dispute SpecialistMiami, FLThe primary goal is to investigate root causes within the site (Sales, Field Operations, Contract Management, Local Finance) and drive them to a resolution to ensure timely cash flow and minimize DSO (Days Sales Outstanding), as well as ensure customer satisfaction. Cross-Functional Collaboration: with Field Operations, Sales, Contract Management, Fulfillment and Lo-cal Finance to gather necessary evidence to approve or reject customer claims, or to agree on timely reso-lution when it comes to commercial or technical issues, where the FO (Field Operations) is accountable for.
Clinical Coding Audit Specialist, HIM Jackson Health SystemClinical Coding Audit Specialist, HIMMiami, FLThis role oversees the review, analysis, and appeal of DRG downgrades and payer denials, working closely with Clinical Documentation Improvement (CDI), coding, billing, and clinical teams to promote appropriate reimbursement and maintain compliance with regulatory requirements. Track appeals through all levels (first level, second level, external review) and ensure compliance with Medicare regulations, OCE/MCE edits, and LCD/NCD requirements.
NewPractice Administrator GCFL Genesis Care USA of FloridaPractice AdministratorCoral Springs, FloridaWith a team of 105 physicians spanning urology, radiation oncology, medical oncology, breast surgery, general surgery, and head and neck surgery, SMS is committed to providing high-quality, accessible care. Our practice continues to expand services by offering advanced radiation therapies, in-house pharmacy and laboratory capabilities, care management, theranostics, cutting-edge diagnostic imaging, and clinical research.
NewReceptionist GCFL Genesis Care USA of FloridaReceptionistMiami, FloridaWith a team of 105 physicians spanning urology, radiation oncology, medical oncology, breast surgery, general surgery, and head and neck surgery, SMS is committed to providing high-quality, accessible care. Our practice continues to expand services by offering advanced radiation therapies, in-house pharmacy and laboratory capabilities, care management, theranostics, cutting-edge diagnostic imaging, and clinical research.