Home Health Collection Specialist Integrated HomeHome Health Collection SpecialistMiramar, FloridaAs a Billing and Collect Specialist, you handle patient accounts after medical services have been rendered; liaison between our company and our patients and health plans; verify patient information, obtaining and releasing clinical documentation, appeals/denials, responds to health plan inquiries, process and perform follow-up on aging accounts, generate collection reports, and research and resolve delinquent accounts. Our delivery model is trusted by national Managed Care Organizations (MCOs), physicians and patients, positioned with over two decades of expertise as the market leader in value-based Home Health, Durable Medical Equipment, and Home Infusion Services.
Clinical Documentation Specialist OMH HealthEdge Holdings IncClinical Documentation SpecialistBoca Raton, FLFounded in 2003, Omega Healthcare Management Services (Omega Healthcare) empowers healthcare to thrive via intelligent solutions that optimize revenue cycle operations, administrative workflows, care coordination, and clinical research on a global scale. Preferred Experience: Three to five years' experience in a Clinical Documentation Improvement Program with previous experience in clinical quality, utilization management, case management, nursing, coding, or related field (e.g., physician) of which a minimum of three years' experience is in a management or supervisory role.
Manager, CDI OMH HealthEdge Holdings IncManager, CDIBoca Raton, FLFounded in 2003, Omega Healthcare Management Services (Omega Healthcare) empowers healthcare to thrive via intelligent solutions that optimize revenue cycle operations, administrative workflows, care coordination, and clinical research on a global scale. The company works with providers, payers, life science companies, medical device manufacturers, health technology firms, researchers, and industry partners to amplify teams with robust technology, specialty expertise, and operational support.
Claims Analyst South Florida Community Care NetworkClaims AnalystSunrise, FLThis role reviews professional and facility claims, identifies payment discrepancies, evaluates claims against benefits, contracts, reimbursement methodologies, and applicable policies, and works with internal teams to resolve issues and improve claims processing. In this role, you'll use your claims expertise and analytical skills to protect payment accuracy, identify opportunities for improvement, and help strengthen the processes that support our members and providers.
Certified Risk Adjustment Coder Mount Sinai Medical Center of FloridaCertified Risk Adjustment CoderHialeah, 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. Mount Sinai takes pride in being South Florida's largest private independent not-for-profit hospital, dedicated to continuing the training of the next generation of medical pioneers.
Medical Assistant Float PeopleOne Health IncMedical Assistant FloatWellington, FL$16–$24 / hourProvides exceptional customer service while performing job functions, such as, answering inbound calls or online inquiries regarding services, claims, benefits, eligibility, provider searches, and other health-related questions and following up with members to ensure their needs are met. This role involves assisting with patient care, performing basic medical procedures, managing patient records, and coordinating front-office tasks to enhance the overall patient experience.
Medical Assistant PeopleOne Health IncMedical AssistantBoca Raton, FL$16–$24 / hourProvides exceptional customer service while performing job functions, such as, answering inbound calls or online inquiries regarding services, claims, benefits, eligibility, provider searches, and other health-related questions and following up with members to ensure their needs are met. This role involves assisting with patient care, performing basic medical procedures, managing patient records, and coordinating front-office tasks to enhance the overall patient experience.
NewMedical Assistant/ ACO coordinator Tumminia Internal Medicine PAMedical Assistant/ ACO coordinatorBoynton Beach, FLWe are seeking a detail-oriented Medical Assistant to support our participation in an Accountable Care Organization (ACO) program .This role blends traditional clinical support with population health, quality reporting, and coding-related responsibilities. The ideal candidate understands CPT and ICD-10 diagnosis codes and is comfortable working with care coordination and quality measures.
NewMedical Billing Accounts Receivable ENT and Allergy Associates of FloridaMedical Billing Accounts ReceivableBoca Raton, FLFull timeYour roleDrive resolution of outstanding insurance and patient balance with a focus on accuracy and timeliness Investigate and resolve claim denials and EOB discrepancies Communicate confidently with insurance providers to secure payments and clarify issues Refile and track claims to maximize reimbursement Handle critical billing communications, including medical records and insurance documentation Support patients directly by answering billing questions and guiding them through their accounts Manage account status updates, including collections workflow and account holds Prepare accounts for collection agency placement and assist with financial adjustments Keep daily operations moving-mail processing, payment batching, and administrative follow-through What Sets You ApartAt least 1 year of medical billing or collections experience Strong understanding of insurance processes, referrals, and medical terminology Exceptional attention to detail-you catch what others miss Clear, confident communication skills (especially over the phone) Highly organized with the ability to manage multiple priorities A team player who thrives in a fast-paced healthcare environment Comfortable working with billing systems and digital tools Why Join Us? PTO: Time earned per pay periodPhysical Demands: Coordination, manual, and physical dexterity sufficient to properly and adequately use various items of office equipment as required of the position or directed by the Manager.
Patient Care Assistant- BH Care Resource Community Health Centers, Inc.Patient Care Assistant- BHFort Lauderdale, FLAssist Medical Providers with medical procedures/testing by performing: Electrocardiogram (EKG's), vision and hearing test, diabetic, foot/monofilament test, fall risk assessment (65 & over), waived testing, results documentation & log Maintenance (blood glucose, A1C, strep, urine dipstick, urinalysis, pregnancy, Immunochemical Fecal Occult Blood Test (iFOBT), influenza A&B). Assist Medical Providers with procedures/testing and ensures proper documentation in medical record: Pap smear, colposcopy, biopsy, vaginal cultures, pelvic/breast exam, male exam, incision and drainage, throat cultures, nebulizer treatments and other procedures as indicated by the provider.
Allergy Tech / Certified Medical Assistant Florida ENT AssociatesAllergy Tech / Certified Medical AssistantBoca Raton, FLProvides professional allergy testing care to patients, coordinates insurance verification, scheduling, and performs related job functions for outpatient procedures to support the efficiency and effectiveness of the medical office operations. • Ensures emergency medications and protocols (e.g., epinephrine) are readily available and followed in case of adverse reactions.
Senior Software Developer Jazwares CareersSenior Software DeveloperPlantation, FloridaRemoteExperience with Agile/Scrum methodologies, TypeScript, HTMX, AWS services (Lambda, EC2, S3, RDS, Cloud Watch, IAM), integrating AI/ML models or APIs into applications, serverless architecture and micro services patterns. The Senior Software Developer will collaborate with cross-functional teams to design, develop, and implement innovative applications, while also mentoring and providing technical guidance to junior developers.
NewLead Software Engineer - AI Humana IncLead Software Engineer - AIFort Lauderdale, FL$129,300–$177,800 / yearExercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision, Uses independent judgment requiring analysis of variable factors and determining the best course of action. Clinical and Product Partnership: Collaborate closely with product managers, designers, clinicians, and data stakeholders to understand care delivery workflows and translate them into well-scoped, high-impact AI features.
Utilization Review Nurse Health Business Solutions LLCUtilization Review NurseCooper City, FLThe Utilization Review Nurse will play a crucial role in supporting our clients in the healthcare industry by providing expert clinical guidance, facilitating effective utilization management, and ensuring revenue cycle efficiency. Care Coordination : Collaborate with interdisciplinary healthcare teams to coordinate patient care and treatment plans, ensuring the most cost-effective and clinically appropriate care is provided.
Sr. Software Engineer (C# .NET/Azure/React/API's Kafka and Kubernetes) INSPYR SolutionsSr. Software Engineer (C# .NET/Azure/React/API's Kafka and Kubernetes)Davie, FLRemote$70–$75 / hourInformation collected and processed through your application with INSPYR Solutions (including any job applications you choose to submit) is subject to INSPYR Solutions’ Privacy Policy and INSPYR Solutions’ AI and Automated Employment Decision Tool Policy: https://www.inspyrsolutions.com/policies/ . As a leading information technology partner, we connect top IT talent with our clients to provide innovative business solutions through our IT Staffing, Professional Services, and Infrastructure Solutions divisions.
Clinical Document Integrity Specialist 2, Managed Care Network Development Med Mgmt-Boca Raton, FT, 8:30A-5P Baptist Health South FloridaClinical Document Integrity Specialist 2, Managed Care Network Development Med Mgmt-Boca Raton, FT, 8:30A-5PBoca Raton, FL$74,100.20–$96,330.26 / yearResponsible for improving overall quality and completeness of clinical documentation through advanced concurrent review of inpatient records to support accurate, clinically valid code assignment, severity of illness and risk of mortality capture, quality outcomes, and appropriate reimbursement. Uses integrated health record workflows, technology-enabled review worklists, and data-informed insights to prioritize cases with the greatest documentation and clinical validation impact, ensuring accuracy of information used to measure and report provider and medical center outcomes.
Licensed Practical/Vocational Nurse (LPN/LVN) PeopleOne Health IncLicensed Practical/Vocational Nurse (LPN/LVN)Wellington, FLThe LPN supports providers in delivering high-quality primary care by performing clinical duties, patient education, medication administration, specimen collection, care coordination, and operational support to ensure efficient clinical workflows and an exceptional patient experience. JOB SUMMARY: The Licensed Practical Nurse (LPN) provides direct and indirect patient care under the direction of a licensed physician, advanced practice provider, or registered nurse, consistent with state scope of practice regulations.
Development Manager / Technical Lead for Engineering Consultant Moffatt & NicholDevelopment Manager / Technical Lead for Engineering ConsultantFort Lauderdale, FLThe firm provides clients worldwide with customized service and a level of excellence that have become the firm's hallmark in several primary practice areas - ports and harbors; coastal, environmental and water resources; urban waterfronts and marinas; transportation, bridges and rail; inspection and rehabilitation; and energy. As part of the IT Group, the Development Manager / Technical Lead is a highly experienced technical leader and working manager responsible for leading and empowering the development team to deliver high-quality software solutions that align with the firm's objectives.
Senior Full Stack Developer Perr&KnightSenior Full Stack DeveloperBoca Raton, FloridaServices include actuarial consulting, risk strategies & solutions, applied AI consulting, product development, insurance policy and forms consulting, regulatory compliance, compliance and operational assessments/training, state filings, licensing, technology consulting, statistical reporting, data services, predictive analytics, and bureau monitoring & maintenance. Our mission as an actuarial and insurance operations consulting firm is to provide extraordinary value to our clients by offering innovative and unique solutions to complex challenges they face while providing a positive and motivating work environment for our employees that respects diversity and recognizes ingenuity and hard work.
Office Coordinator Medicare Part D Mount Sinai Medical Center of FloridaOffice Coordinator Medicare Part DHialeah, FloridaWorks with MSMC HR, Employee Health, Education, other MSMC departments and contracted providers/vendors to ensure all PACE required employee/contractor requirements are in place and updated as regulations change and performs routine audits to ensure all required items are in place and current. Responsible for all Eldercare Accounts Payable including accurately completing the steps required in the accounting software, keeps on top of reoccurring invoices to ensure they are received and processed monthly and accurately completes the monthly ALF invoices per established process.