55 payer jobs at 35 companies in Boynton Beach, FL
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Appeal Writer - Hospital Billing, Denials
Delray Beach, Florida, United States
$20-$26/hrRemoteFull Time
Aspirion: Providing revenue cycle management services for complex healthcare claims.
Analyze denied claims, draft and submit appeals, research payer and clinical documentation, and communicate with payers and stakeholders. High school diploma and strong analytical and written communication skills required.
South Florida Orthopaedics & Sports Medicine: Provides comprehensive orthopaedic and musculoskeletal medical care.
Experience resolving medical A/R, managing denials and appeals with Medicare and commercial payers, using payer portals, EMR and practice management systems (NextGen preferred), strong Microsoft Office skills, and analytical communication abilities.
EMR, Practice Management system, NextGen, Microsoft Office
ColoplastNasdaq Copenhagen: COLO B: Manufacturer of medical devices for intimate healthcare conditions
2+ YOE2+ years in payer contracting, contract management, or healthcare revenue cycle for DME; associate's or bachelor's preferred; strong US DME payer rules knowledge; stakeholder management; ability to travel ~10%; Brightree experience preferred.
Polaris Pharmacy Services: Provide pharmacy services to long-term care and correctional facilities
High school diploma or equivalent, healthcare or pharmacy credentialing experience, payer enrollment knowledge, strong organization and communication skills, and Microsoft Office proficiency.
Microsoft Office, Microsoft Excel, Microsoft Word, Microsoft Outlook, NCPDP, PECOS, CAQH, Medicare, Medicaid, PBM, PSAO, NPI, DEA
Integrated Home Care Services: Provides integrated home health, medical equipment, and infusion services.
5+ YOEOversee payer contract management for home health and DME; supervise Contracts Specialist; ensure pricing, fee schedules, and system configurations; ensure compliance.
Cancer Center of South Florida: Provides comprehensive medical oncology and hematology cancer care services.
2+ YOEHigh school diploma or equivalent and 2+ years in provider credentialing, payer enrollment, or healthcare administration. Knowledge of CAQH and hospital privileging; CPCS preferred.
CAQH, Microsoft Office, Microsoft Word, Microsoft Excel, Microsoft Access
Ambrosia Behavioral Health: Providing comprehensive inpatient and outpatient addiction and mental health treatment.
3+ YOE3+ years provider credentialing, payer enrollment, and/or managed care contracting experience; knowledge of CAQH, NPPES, PECOS; strong negotiation, analytical, and communication skills.
Odyssey Behavioral Healthcare: Operates specialized residential and outpatient behavioral health treatment facilities.
3+ YOE3+ MgmtRequires 3+ years supervising teams and 3–5 years in insurance billing, collections, and payer-family liaison work; behavioral healthcare experience preferred.
Lifeskills Behavioral Health: Provides personalized residential and outpatient behavioral health treatment services.
3+ YOE3+ MgmtRequires 3+ years supervising teams and 3–5 years in insurance billing, collections, and payer-family liaison work; behavioral healthcare experience preferred.
Centrum Health: A primary care network providing value-based healthcare services.
1+ YOEHigh school diploma or GED; minimum 1 year medical billing experience; knowledge of CPT/ICD-10-CM/HCPCS; familiarity with payer guidelines and billing regulations.
University of Miami: Provides higher education, academic research, and healthcare services.
2+ YOEBachelor's degree in a relevant field, minimum 2 years relevant experience, strong communication, technical proficiency with office software, and ability to analyze and reconcile billing and payer data.
Miami or Hialeah or Hialeah Gardens or Golden Glades or Doral or Miami Gardens or Pinecrest or Florida City
OnsitePart Time
ConcentraNYSE: CON: Provider of occupational health and urgent care services.
MD or DO degree, unrestricted state medical and DEA licenses, Medicare eligibility, payer credentialing, and strong clinical, leadership, problem-solving, confidentiality, and patient service skills.
Vertus HealthCare: Provides professional in-home nursing and personal care services.
4+ YOELead enterprise growth for home health and private duty nursing, build referral and payer relationships, recruit and mentor sales teams, ensure compliance and align growth with clinical operations.
Home Healthcare Credentialing Specialist (Remote, Per Diem/Part Time)
Hollywood, Florida, United States
$13-$19/hrRemotePart Time
House of Hearts ABA: Personalized ABA therapy services for children with autism.
5+ YOERequires 5+ years of home healthcare credentialing experience, payer enrollment experience with Medicaid and Medicare, multi-state credentialing, strong organization, communication, and independent remote work skills.
Paradigm: Automating revenue cycle management for home care agencies.
2+ YOE1+ MgmtRequires 2+ years of medical billing and payer experience, plus 1+ year leading or mentoring teams. Requires billing analysis, problem-solving, communication, organization, and multitasking skills.