Top 59 Claims coordinator Jobs in Coral Gables, Fl

Epic Denials Management Coordinator
Deloitte —Miami, FL
- $50,000 - $60,000 a year
- Full-time
- Microsoft Excel
- Mid-level
- Bachelor's degree
2d
Claims Correspondence Coordinator
Independent Living Systems —Miami, FL
- Full-time
- HIPAA
- Mid-level
- Office
Transportation Coordinator
VSE AVIATION INC (US) —Doral, FL
- Full-time
- Background check
- Research
- Mid-level
New Claims Coordinator
Stellar Human Resource Services LLC —Miami, FL
- Full-time
- Mid-level
Quick Apply
Dental Treatment Plan Coordinator
Arte Luxe Dental Studio —Miami Lakes, FL
- $24 - $27 an hour
- Full-time
- Bilingual
- Spanish
- Dental office
- Dental insurance
- Opportunities for advancement
Quick Apply
Dental Insurance Coordinator
AVADent MIAMI —North Miami Beach, FL
- $24 - $25 an hour
- Full-time
- Dental office
- Customer service
- Mid-level
- Dental insurance
- Employee discount
Quick Apply
Shipping Coordinator
Express Employment Professionals —Miami Gardens, FL
- $18 - $23 an hour
- Temporary
- ERP systems
- Mid-level
- Office
Quick Apply
Billing Coordinator and Front Desk
Paya Dental & Associates —Hialeah, FL
- $20 - $22 an hour
- Full-time
- Dental office
- Mid-level
- High school diploma or GED
- 401(k)
- Paid time off
Quick Apply
Patient Coordinator
Great Expressions Dental Centers —Miami Gardens, FL
- $21 - $23 an hour
- Full-time
- Dental office
- High school diploma or GED
- Communication skills
Quick Apply
Service Billing Coordinator
Peak Technologies —Miami, FL
- Full-time
- Writing skills
- English
- Mid-level
Quick Apply
Sales Administration Coordinator
District Production LLC —Miami, FL
- $24.84 - $29.92 an hour
- Full-time
- Mid-level
- Office
- Administrative experience
Quick Apply
8d
Office Coordinator
Esteem Braces & Aligners —Miami, FL
- $24 - $35 an hour
- Part-time
- Dental office
- HIPAA
- Mid-level
- Health insurance
- 401(k)
Quick Apply
9d
HMO Coordinator
Larkin Community Hospital —South Miami, FL
- Full-time
- HIPAA
- Mid-level
- Analysis skills
Quick Apply
4d
Import Coordinator
King Ocean —Sweetwater, FL
- Extended hours
- Microsoft Word
- Spanish
- Microsoft Outlook
Quick Apply
Clinical Program Coordinator
University of Miami —Miami, FL
- Full-time
- Writing skills
- Mid-level
- Bachelor's degree
- Health insurance
- Dental insurance
Service Coordinator
SUDDEN SERVICE INC —Hialeah, FL
- Full-time
- Computer literacy
- Mid-level
- Office
- Fuel card
- Dental insurance
9d
Payer Enrollment Coordinator
Northern Light Radiology Associates, Inc —Hollywood, FL
- Monday to Friday
- Mid-level
- Office
- Communication skills
Dental Treatment Coordinator
YRS Dental —South Miami, FL
- $25.52 - $30.73 an hour
- Full-time
- Dental office
- HIPAA
- Mid-level
Quick Apply
Environmental Health & Safety (EHS) Coordinator - Miami
8Fleet Inc. —Miami, FL
- Full-time
- Google Workspace
- Mid-level
- Warehouse
- Paid holidays
- Health insurance
Quick Apply
10d
Quality Accreditation Coordinator
Solis Health Plans —Doral, FL
- $25 - $30 an hour
- Weekends as needed
- Spanish
- Ability to walk for extended periods
- English
Quick Apply
8d

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Epic Denials Management Coordinator

Deloitte -
Miami, FL

Apply Now

Job Details

Full-time
$50,000 - $60,000 a year
2 days ago

Qualifications

Appeals
Enterprise software
Accounting software
Clinical information systems
Medical insurance appeals management
Insurance claims appeal handling

Full Job Description

Position Summary

Join Deloitte's AI & Engineering practice to support hospital denials management to deliver back-end Revenue Cycle Management (RCM) services, including Billing and Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for health care provider client. This is a primarily remote role supporting enterprise Epic support, with minimal travel and scheduled onsite time as needed.

Recruiting for this role ends on 01/01/2027.

Work you'll do

As an Epic Denials Management Coordinator on the AI & Engineering team, you will be responsible for supporting review denials (835/277 processing) received from third party payers. Conduct Denial categorization and root cause analysis based on remittance information received from payer. Review hospital account records and payer remittance records, communicate with relevant Client RCM and internal hospital stakeholders, and conduct outreach to payers through payer portals and phone calls to gather necessary information to understand denial reasons and root causes. Determine appropriate denial responses based on denial reasons. Use appropriate templates to develop denial appeal letters for denials and submit to third party payers. Rebill corrected claims and route issues to coding, billing, credentialing, denials, and/or clinical teams as needed. Provide additional documentation to payers as needed to resolve denial issues. Document denial details, research conducted, and follow-up activities conducted in relevant EMR and patient accounting systems. Review AR aging reports and work queues to identify unpaid and delayed claims. Follow up with third party payers on open denials, denial appeals, and other outstanding balances related to denials to understand claim status and payer requirements to adjudicate claim. Provide account information to payers and required and resolve issues related to eligibility, authorizations, claim edits, coordination of benefits, and missing documentation.

Adhere to defined SOPs and workflows and work within Epic Resolute Hospital Billing, claims clearinghouse, payer websites and portals, and other systems and required by workflows. Meet and exceed minimum productivity and quality standards; submit to performance improvement plans as required according to guidance from engagement management. A successful candidate would possess these skills:

Ability to work independently and collaborate as part of a team
Effective written and verbal communication skills
Meticulous attention to detail and quality of work product
Ability to build and sustain professional relationships
Ability to manage and prioritize multiple tasks in a fast-paced and dynamic environment
Strong interpersonal skills and professional demeanor
Ability to meet deadlines

The team

AI & Engineering leverages cutting-edge engineering capabilities to build, deploy, and operate integrated/verticalized sector solutions in software, data, AI, network, and hybrid cloud infrastructure. These solutions are powered by engineering for business advantage, transforming mission-critical operations. We enable clients to stay ahead with the latest advancements by transforming engineering teams and modernizing technology & data platforms. Our delivery models are tailored to meet each client's unique requirements.

Our Industry Solutions offering provides verticalized solutions that transform how clients sell products, deliver services, generate growth, and execute mission-critical operations. We deliver integrated business expertise with scalable, repeatable technology solutions specifically engineered for each sector.

Qualifications

Required:

1+ years of experience in hospital account denial management and appeals
Experience using Epic Resolute Hospital Billing
Bachelor's degree in information technology, business, healthcare, or a related field; or equivalent experience
Experience working in claims clearinghouse systems
Ability to travel 10%, on average, based on the work you do and the clients and industries/sectors you serve.
Limited immigration sponsorship may be available.

Preferred:

Experience using Microsoft Word, Excel, and PowerPoint
Experience supporting clinical or healthcare business operations
Experience managing multiple projects or workstreams
Experience preparing and delivering technical demonstrations
Experience analyzing billing workflows, claim issues, or operational data

For individuals assigned and/or hired to work in a remote role, Deloitte is required by law to include a reasonable estimate of the compensation range for this role. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. At Deloitte, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is $50,000 to $60,000 with overtime pay possible.

You may also be eligible to participate in a discretionary annual incentive program, subject to the rules governing the program, whereby an award, if any, depends on various factors, including, without limitation, individual and organizational performance.

Apply Now

Refine Your Search

claims coordinator jobs in coral gables, fl

Epic Denials Management Coordinator

Claims Correspondence Coordinator

Transportation Coordinator

New Claims Coordinator

Dental Treatment Plan Coordinator

Dental Insurance Coordinator

Shipping Coordinator

Billing Coordinator and Front Desk

Patient Coordinator

Service Billing Coordinator

Sales Administration Coordinator

Office Coordinator

HMO Coordinator

Import Coordinator

Clinical Program Coordinator

Service Coordinator

Payer Enrollment Coordinator

Dental Treatment Coordinator

Environmental Health & Safety (EHS) Coordinator - Miami

Quality Accreditation Coordinator

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