GastroMed: Provides specialized gastroenterology medical care and outpatient endoscopic procedures.
2+ YOE2+ years medical billing or denial management experience, knowledge of Medicare/Medicaid/commercial billing, CPT/ICD-10, strong analytical and communication skills, EHR and billing software proficiency.
Microsoft Word, Microsoft Excel, Electronic Health Records (EHR), billing software, payer portals, e-fax systems, email
Spartanburg or Alabama or Arizona or Connecticut or Delaware or Florida or Georgia or Indiana or Kansas or Kentucky or Louisiana or Maryland or Michigan or North Carolina or Pennsylvania or Rhode Island or South Carolina or Virginia or West Virginia or Wisconsin
RemoteFull Time
Spartanburg Regional Healthcare System: Integrated healthcare system providing comprehensive medical and hospital services.
5+ YOE5+ years medical billing/collections experience with denials, appeals, ICD9/CPT-4 knowledge, EOB/remittance expertise, Microsoft Excel/Word proficiency, analytical and communication skills.
Microsoft Excel, Microsoft Word, Epic, ICD9, CPT-4
Integrated Home Care Services: Provides integrated home health, medical equipment, and infusion services.
2+ YOE2+ years healthcare billing/coding support experience in home care preferred; high school diploma/GED; ability to use EMR/EHR; effective communication; ability to work independently; medical biller/coder certification desired.
Broward Health: Operates public hospitals and healthcare centers in South Florida.
2+ YOEHigh school diploma/GED and two years of relevant experience; reviewing denied accounts, preparing written appeals based on documentation and payer policy, and timely submission of appeals.
Oak Brook or Alabama or Alaska or Arkansas or Arizona or Delaware or Florida or Georgia or Iowa or Illinois or Idaho or Indiana or Louisiana or Kansas or Kentucky or Maine or Michigan or Missouri or Mississippi or Montana or North Carolina or North Dakota or Nebraska or New Hampshire or New Mexico or Nevada or Ohio or Oklahoma or Pennsylvania or South Carolina or South Dakota or Tennessee or Texas or Utah or Virginia or Wisconsin or West Virginia or Wyoming
$33-$50/hrRemoteFull Time
Advocate Health: Provides integrated clinical care through a network of hospitals.
4+ YOEAssociate degree, coding credential (AHIMA or AAPC), 4+ years hospital-based coding and revenue cycle experience, advanced knowledge of CPT/ICD-10/HCPCS, Medicare/Medicaid, EHR and Microsoft Office.
Sarasota Memorial Health Care System: Regional public health system providing comprehensive hospital and clinical care.
10+ YOE5+ MgmtBachelor’s degree required; 10+ years managed care/appeals/reimbursement experience (5 years in written appeals); CPC or CCS certification required.
Shriners Children's: Provides specialized pediatric medical care regardless of financial ability.
5+ YOECurrent RN license in state of employment, 5+ years clinical hospital experience with 3 years anesthesia experience, experience in third-party payor appeals/revenue cycle and utilization review; familiarity with medical necessity criteria and claims appeals.
Lakeland Regional Health: Operates a comprehensive medical center providing multi-specialty healthcare services.
1+ YOEHigh school or equivalent; 1+ years insurance/medical A/R collections; billing and coding experience in physician practice; Microsoft Office skills; medical billing and coding certification preferred.
UF Health: Academic health center providing clinical care and medical education.
4+ YOEHigh school diploma/GED and minimum 4 years billing/insurance follow-up/collections/denial management experience in a hospital or clinical setting; preferred associate's degree or higher in health/business, coding/medical record/auditing experience, BI/reporting skills.
Phoenix or Alabama or Alaska or Arkansas or Arizona or California or Colorado or Florida or Georgia or Iowa or Idaho or Indiana or Kansas or Kentucky or Louisiana or Maryland or Michigan or Minnesota or Missouri or Mississippi or North Carolina or North Dakota or Nebraska or New Hampshire or New York or New Mexico or Nevada or Ohio or Oklahoma or Oregon or Pennsylvania or South Carolina or Tennessee or Texas or Utah or Virginia or Washington or Wisconsin or West Virginia or Wyoming
$18-$27/hrRemoteFull Time
Banner Health: Non-profit integrated healthcare system providing medical and insurance services.
1+ YOEHigh school diploma/GED and ~1+ year patient financial services, billing, or claims experience; knowledge of EOBs, denials, appeals, claim codes; strong communication and office software skills; ability to manage multiple tasks.
Claims Resolution Specialist I, Appeals and Denials, Baptist Metro Square
Jacksonville, Florida, United States
HybridFull Time
Baptist Health: Operates hospitals and clinics providing comprehensive medical care.
1+ YOEResolve commercial and government medical claims, analyze EOBs, follow up on denials, and work revenue cycle areas such as registration, eligibility, charge capture, and payment posting.
Alabama or Arkansas or Arizona or Florida or Georgia or Idaho or Indiana or Kansas or Maine or Michigan or Missouri or Mississippi or North Carolina or New Mexico or Oklahoma or Pennsylvania or South Carolina or Tennessee or Texas or Virginia or Wisconsin or West Virginia
RemoteFull Time
Knowtion Health: Revenue cycle management and medical claims recovery services.
2+ YOELicensed RN with ≥2 years acute care experience; utilization review/case management preferred; experience with InterQual/Milliman and CMS LCD/NCD preferred; strong computer and typing skills.
Intercoastal Medical Group: A multi-location medical group providing physician services and diagnostic resources to patients in the Sarasota/Bradenton area.
2+ YOE2+ years medical billing/coding or denial management, high school diploma (associate preferred), proficiency with EHR and billing software, strong communication and organizational skills.
Center for Bone & Joint Surgery: Providing comprehensive orthopedic surgery and musculoskeletal physical therapy.
Manage medical billing and collections, review and resolve insurance denials, verify eligibility, research claim issues, and communicate trends to management.
National Kidney Partners: Provides comprehensive patient-centered care for kidney disease and hypertension.
Experience resolving payor denials and managing accounts receivable; strong attention to detail, urgency, prioritization, and communication skills; nephrology experience preferred.
AssistRx: Software platform for specialty therapy initiation and patient support.
Experience in medical reimbursement or customer service, ability to submit claims and resolve denials, strong written/verbal communication, Microsoft Office proficiency.