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.
DENTAL ASSISTANT - DELRAY BEACH SHIVANI CHOWDHARY DDS PADENTAL ASSISTANT - DELRAY BEACHDelray BEach, FL$18–$25 / hourWE ARE SEEKING A HIGHLY MOTIVATED DENTAL ASSISTANT FOR OUR BRAND NEW BOUTIQUE DENTAL OFFICE LOCATED IN DELRAY BEACH. The ideal candidate for this position must possess strong communication skills, attention to detail, and a passion for patient care.
Medical Coder - Primary Care Clinic HealthPlus StaffingMedical Coder - Primary Care ClinicSunrise, FloridaResponsibilities include accurately assigning diagnosis codes, reviewing provider documentation for coding specificity and compliance, and assisting with HCC/risk adjustment coding as needed. The ideal candidates will have experience with diagnostic coding, chart review, and ICD-10 coding within a primary care setting.
Insurance Authorization Specialist OMH HealthEdge Holdings IncInsurance Authorization 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. While performing the duties of this job, the employee is occasionally required to stand; walk; 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.
Risk Adjustment Auditor Educator Centene Corporation GroupRisk Adjustment Auditor EducatorFL$56,200–$101,000 / yearPosition Purpose: Conduct provider medical record audits, analysis of practice coding patterns, education and training regarding risk adjustment to ensure accurate CMS payment and improve quality of care. Analyze MRA data to identify patterns and development of interventions at the provider and market level to coordinate an educational work plan for WellCare contracted providers.
NewCall Center Customer Service Representative for health plans Acme Insurance AgencyCall Center Customer Service Representative for health plansDelray Beach, FLPlease Note: Medical billing and coding specialists, health insurance verification specialists, non-licensed insurance fronters and qualifiers, switchboard operators, appointment setting, retail and other customer facing roles, will not be considered) . ✅ 1+ year of call center experience required (insurance verification specialist, medical assistant, switchboard operator, appointment setting and retail/customer-facing roles do not qualify) .
INSURANCE VERIFICATION REPRESENTATIVE Care Resource Community Health CenterINSURANCE VERIFICATION REPRESENTATIVEMiami, FLPart timeThe Insurance Verification Representative (IVR) is responsible for assisting all Client Service Specialists in processing insurance eligibility for all Care Resource patients, including Medical, Behavioral Health and Dental prior to scheduling appointments. Provides accurate information by identifying and alerting appropriate front desk support staff about patients’ financial responsibility, to effectively collect owed money at the time of check in, including past due balances.
Clinical Investigator Behavioral Health Centene Corporation GroupClinical Investigator Behavioral HealthRemote-FL, FLRemote$56,200–$101,000 / yearPosition requires the associate to verify authorization for services and written documentation of services provided against claim information, ensure the appropriateness and accuracy of diagnosis and procedure codes supporting such claims, coordinate medical necessity and appropriate level of care determinations with Medical Directors, and validate services against CMS and State-specific coverage, limitations and exclusion guidelines. 2+ years clinical experience with independent license required; 2 years of fraud, waste, and abuse experience required; experience in provider education and managed care organization preferred; coding certification preferred.
INSURANCE VERIFICATION REPRESENTATIVE Care Resource Community Health Centers, Inc.INSURANCE VERIFICATION REPRESENTATIVEMiami, FLThe Insurance Verification Representative (IVR) is responsible for assisting all Client Service Specialists in processing insurance eligibility for all Care Resource patients, including Medical, Behavioral Health and Dental prior to scheduling appointments. Provides accurate information by identifying and alerting appropriate front desk support staff about patients' financial responsibility, to effectively collect owed money at the time of check in, including past due balances.
Coder Physician OMH HealthEdge Holdings IncCoder PhysicianBoca 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. While performing the duties of this job, the employee is occasionally required to stand; walk; 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.
Coder HCC OMH HealthEdge Holdings IncCoder HCCBoca 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.
Coder Outpatient OMH HealthEdge Holdings IncCoder OutpatientBoca 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. While performing the duties of this job, the employee is occasionally required to stand; walk; 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.
Claims & Billing Analyst Independent Living Systems LLCClaims & Billing AnalystMiami, FLILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations. The analyst collaborates closely with healthcare providers, insurance companies, and internal departments to verify claims, identify discrepancies, and facilitate timely reimbursements.
Medical Billing Specialist VITAS Healthcare CorpMedical Billing SpecialistMiramar, FLMedical Billing Specialist is responsible for the complete and accurate billing and collections of all hospice claims submitted for payment to third party payers including, but not limited to, Medicare, Medicaid, Managed Care, commercial carriers, and any other state and federal health care programs. Performs all follow up duties associated with rebilling, adjustments, corrected claim submissions and collections of all overdue accounts/claims in accordance with best business practices.
Business Office Coordinator Eldercare Enrollment Mount Sinai Medical Center of FloridaBusiness Office Coordinator Eldercare EnrollmentHialeah, 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. Responsible for all activities related to Medicaid enrollment including annual recertification and maintaining Medicare and Medicare benefits while enrolled with Eldercare.
Billing Specialist Coral Connect LLCBilling SpecialistBoca Raton, FLRemoteThe Billing Specialist works closely with intake, prior authorization, cash posting, accounts receivable, clinical, pharmacy, and client teams to ensure accurate claim generation and successful reimbursement outcomes. The Billing Specialist is responsible for the timely and accurate preparation, review, and submission of medical and pharmacy claims for assigned clients across Ambulatory Infusion Centers (AIC), Specialty Pharmacy (SP), and Home Infusion services.
Sr. Patient Accounts Representative (H) University of MiamiSr. Patient Accounts Representative (H)Miami, FLUHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. The Senior Patient Accounts Representative uses advanced knowledge of billing procedures and coding expertise to assist management in the training of staff and in assuring compliance with protocols and regulations.
NewSIU Investigator Centene Corporation GroupSIU InvestigatorFL$56,200–$101,000 / yearCollaborates with internal business partners, compliance, legal, provider and payment integrity teams, and external agencies to coordinate investigative activities, support corrective actions, recoveries, and case resolution efforts. 2+ years Fraud, waste, and abuse investigations, healthcare investigations, claims audits, payment integrity, healthcare compliance, law enforcement investigations, or a related investigative field required.
X-Ray Technician FoundCareX-Ray TechnicianLake Worth, FLAbility to travel to other locations to attend meetings, workshops, and seminars, plus travel to other FoundCare departments and FoundCare conference rooms. ESSENTIAL JOB FUNCTIONS: Complete basic x-ray orders as directed by providers using digital x-ray and electronic medical record systems.
NewFront Desk Receptionist / treatment planner Fernando Gutierrez DDS PAFront Desk Receptionist / treatment plannerPembroke Pines, FLThe ideal candidate will be responsible for verifying patient insurance coverage, ensuring accurate dental claim billing, and maintaining up-to-date dental claims records. Join our team as an Insurance Verification Specialist and contribute to providing exceptional care while ensuring the accuracy of patient information and billing processes.