29 denials jobs at 21 companies in Pembroke Pines, FL
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Denials Management and Claims Resolution
Coral Gables, Florida, United States
OnsiteFull Time
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
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.
ScionHealth: Operates community and specialty hospitals providing acute healthcare services.
2+ YOE2+ years healthcare experience; denial prevention/management, concurrent review, data reporting, strong computer and communication skills, attention to detail, working knowledge of payer practices, Meditech and Referral Manager experience preferred.
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.
HOPCo: Provides musculoskeletal practice management and value-based healthcare programs.
Experience with medical billing and collections, claims processing, denial resolution, patient/insurer research, strong accuracy and productivity, and knowledge of billing and coding guidelines.
Pediatrica Health Group: Providing comprehensive pediatric primary care for children and families.
Knowledge of medical billing and collections, experience with eClinicalWorks preferred, strong analytical skills, ability to manage claims, denials, and AR processes, and work in high-volume environments.
Nicklaus Children's Health System: Provides specialized healthcare services for children and adolescents.
7+ YOEBachelor's in business or healthcare administration,7+ years revenue cycle experience,knowledge of billing,coding,reimbursement,denial management;leadership,contract negotiation,and vendor management skills.
Lead ABA Medical Biller (Hollywood Florida office)
Hollywood, Florida, United States
OnsiteFull Time
Supportive ABA: Provides evidence-based ABA therapy for children with autism.
3+ YOE3+ years ABA billing experience required, 4+ years medical billing preferred; experience with ABA CPT codes, claim submission, denials/appeals, authorizations, and billing compliance.
Omega Healthcare: Providing technology-enabled revenue cycle management for healthcare organizations.
2+ YOERequires 2–3 years of healthcare, denials management, collections, or accounts receivable follow-up experience; high school diploma; medical billing knowledge; and proficiency with Outlook and Microsoft Teams.
Microsoft Outlook, Microsoft Teams, CPT, ICD-9, ICD-10, HCPCS
Quadrant Health Group: Operates a network of addiction and mental health centers.
2+ YOERequires 2–4+ years in medical claims processing or revenue cycle operations, payer workflow and denial resolution expertise, claims management accuracy, and EMR, clearinghouse, and tracking tool experience.
Pediatric Associates: Providing comprehensive primary medical care for children and adolescents.
1+ YOEExperience with medical insurance billing and collections, claim denial research and appeals, high school diploma/GED, and strong communication and organizational skills; 1+ year insurance/collections experience preferred.
Engage Wellness: Outpatient treatment center for substance abuse and mental health.
Experience in medical billing and insurance collections, knowledge of Medicare/Medicaid/TRICARE/VA/commercial payers, AR management, denial and underpayment resolution, leadership and reporting skills, HIPAA and regulatory compliance.
Butterfly Effects: Provides behavior analysis therapy for children with autism.
1+ YOEHigh school diploma, 1-2 years medical billing/collections experience, knowledge of claim denials and EOBs, experience with CentralReach and clearinghouse processes, strong communication, attention to detail, and critical thinking.
Guardian Dentistry Partners: Provides business support services for a network of dental practices.
5+ YOE3-5+ years revenue cycle experience with minimum 5 years in dental insurance/billing; strong insurance claims and denial management, detailed analysis, time management, and advanced Microsoft Office skills.
Denticon, Dentrix, Eaglesoft, OpenDental, Practiceworks, PlanetDDS, Curve, Microsoft Outlook, Microsoft Word, Microsoft Excel, Microsoft PowerPoint
Engage Wellness: Provides outpatient addiction recovery and mental health treatment services.
5+ YOE2+ Mgmt5+ years medical payment posting experience, 2+ years management, knowledge of commercial insurance/Medicaid/EOBs/denials/reconciliations, CollaborateMD/Kipu/ERA/EFT/Excel experience, strong analytical and leadership skills.
The Plymouth House: Residential addiction treatment center and 12-step recovery retreat.
2+ YOEMaster's in social work/mental health/nursing required; 2 years UR experience in hospital or insurance setting; preferred licensure (LMSW, LMHC, LPC); experience with preauthorization, denials/appeals, documentation, and PHI compliance.
Solis Health Plans: Provides personalized Medicare Advantage health insurance plans and services
2+ YOEMinimum 2 years managed care/appeals or equivalent; working knowledge of Medicare/Medicaid/CMS and NCQA; experience with claims/denial management; strong analytical, written and verbal communication; proficiency with Microsoft Office and case/claims systems.