Top 2615 Medical records manager Jobs in Miami, Fl

Healthcare Configuration and Data Integrity Manager
Provider Network Solutions LLC —Miami, FL
- $60,000 - $70,000 a year
- Full-time
- Microsoft Excel
- Microsoft Access
- Microsoft Outlook
Quick Apply
8d
Service Manager, Miami
Lucid Motors —Miami, FL
- ASE Certification
- Bachelor of Science
- Driver's License
- Paid holidays
- Disability insurance
Clinical Research Associate (CRA) - Cardiovascular (Remote)
Merck —Miami, FL
- $96,200 - $151,400 a year
- Full-time
- Remote
- Spanish
- English
- Mid-level
- Paid holidays
- Health insurance
Manager, Administrative Operations
University of Miami —Miami, FL
- Full-time
- 5 years
- Office
- High school diploma or GED
- Health insurance
- Dental insurance
Auditor, Risk Adjustment
Oscar Health —Miami, FL
- $82,717 - $108,566 a year
- Remote
- Mid-level
- Bachelor's degree
- Travel
- Paid parental leave
- Paid holidays
Quick Apply
Service Line Manager Cardiology
Mount Sinai Medical Center - Florida —Miami, FL
- Full-time
- Hospital
- Mid-level
- 3 years
- Wellness program
- Disability insurance
Quick Apply
5d
Manager, Patient Access (H)
University of Miami —South Miami, FL
- Full-time
- Mid-level
- 3 years
- Bachelor's degree
- Health insurance
- Dental insurance
Senior Manager, Programs - Hybrid, Miami FL
University of Miami —Miami, FL
- Full-time
- Hybrid work
- 5 years
- University
- Bachelor's degree
- Health insurance
- Dental insurance
8d
District Director
Michaels Stores —Miami, FL
- Full-time
- Inventory management
- Merchandising
- Bachelor's degree
- Store discount
- Commuter assistance
Senior Station Manager
Amazon.com Services LLC —Miami, FL
- $135,000 - $182,700 a year
- Weekends as needed
- 7 years
- Engineering
- English
- AD&D insurance
- Health insurance
Implementation Manager
OneImaging —Miami, FL
- $110,000 - $135,000 a year
- Email
- Remote
- 5 years
- Senior level
- Radiology
SAP Employee Central Payroll Manager
Accenture —Miami, FL
- $87,400 - $266,300 a year
- Full-time
- Hybrid work
- Mid-level
- Team management
- US work authorization
- Paid holidays
- Disability insurance
6d
People Business Partner
Pair Team —Miami, FL
- $115,000 - $130,000 a year
- Email
- Remote
- Background check
- 5 years
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
11d
Practice Manager, Full-Time, Days, M-F, 8:00am-5:00pm
Jackson Health —Miami, FL
- Full-time
- Mid-level
- 3 years
- Bachelor's degree
Quick Apply
Clinical Program Manager, Full Time
University of Miami —Miami, FL
- Full-time
- Mid-level
- 3 years
- Bachelor's degree
- Health insurance
- Dental insurance
Manager, Patient Access (H), Full Time, Bascom Palmer Eye Institute Miami, FL
University of Miami —Miami, FL
- Full-time
- Spanish
- Computer literacy
- HIPAA
- Health insurance
- Dental insurance
5d
Hotel Manager - Springhill Suites DT Miami Medical (Experience Required)
Springhill Suites DT Mami Medical —Miami, FL
- $105,000 - $110,000 a year
- Full-time
- 3 years
- Hotel
- In-person
- Health insurance
- Dental insurance
Quick Apply
2d
Part-Time Medical Office Manager
Good Listener Medical Center, LLC —Pembroke Pines, FL
- $25 - $27 an hour
- Part-time
- Hybrid work
- Background check
- Private practice
- Spanish
Quick Apply
Medical Coder I
CLAREMEDICA HEALTH PARTNERS LLC —Miami, FL
- Anatomy knowledge
- Mid-level
- Office
Quick Apply
Analytics Manager
Subway —Miami, FL
- $105,000 - $131,350 a year
- Mid-level
- SQL
- Bachelor's degree
- 401(k)
- Tuition reimbursement
Quick Apply

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medical records manager jobs near miami, fl

Healthcare Configuration and Data Integrity Manager

Provider Network Solutions LLC -
Miami, FL

Quick Apply

Job Details

Full-time
$60,000 - $70,000 a year
8 days ago

Qualifications

Computer operation
Microsoft Excel
Microsoft Access
Microsoft Outlook
Medical claims processing
Customer service
Desktop applications
Medical terminology
Master data management

Full Job Description

Description:

Position Summary

The Configuration and Data Integrity Manager is responsible for implementing and interpreting the organization's overall claims, provider configuration, eligibility and provider database management, security, and operations. The Configuration Manager will work with internal departments and external organizations to assure secure data exchanges, integrity, reliability, and availability; plans, organizes and coordinates activities related to the analysis and implementation of network database systems; provides technical guidance and database compliance audits; and consults with business users regarding the use and management of data.

Duties and Responsibilities

Responsible for benefit configuration covered services, copay, deductibles, coinsurance and max out of pocket in TPA system. Ensure mapping and testing behind the scenes and maintain Matrix of Benefit Packages

Responsible for provider records configuration and contract rate load create vendors, practice locations, medical group, networks, reimbursement rate. Collaborate with Provider Relations Department and Credentialing to ensure Responsible for work distribution and resource management of configuration specialist and data integrity specialist.

Configuration support to provider contracts-question if specific agreement received can be entered as noted.
Conduct unit testing to ensure design meets specifications as it relates to product upgrades or new releases.
Responsible for accurately interpreting specific contracts as well as additional business requirements and converting these terms to configuration parameters.
Quality control of all information uploaded in TPA system, i.e., Provider data, fee schedules, network assignment, team member’s responsibilities.
Collaborate with provider call center, clinical and claims department when asked to verify specific provider configuration or benefit configuration information.
Provide system configuration support to organization based on changing business needs.
Review and recommend changes to existing configuration processes.
Analyze and resolve Claims Workflow regarding Benefit & Contract configuration issues in a in with 3 business days.
Provide technical guidance to Data Integrity Specialist in their assigned job duties.
Oversee Configure Medicare/Medicaid/Commercial interest rates in TPA system.
Resolve Eligibility Issues with Health Plans.
Validate reports ran by Data Integrity Specialist on a weekly, monthly, and quarterly basis.
Load and Maintain Fee Schedule in TPA System
Act as liaison between Corporate and the health plan regarding programming development needs related to reporting.

Requirements:

Knowledge

3-5 years of Claims Processing experience required.
1-2 years’ experience in healthcare data management.
Broad knowledge of medical terminology, customer service, claims processing and/or customary and reasonable cost containment, and coordination of benefits and diagnosis coding.

Skills

Advanced knowledge of Microsoft applications: Outlook, access database, excel, word and basic computer navigation.

Quick Apply

Refine Your Search

medical records manager jobs in miami, fl

Healthcare Configuration and Data Integrity Manager

Service Manager, Miami

Clinical Research Associate (CRA) - Cardiovascular (Remote)

Manager, Administrative Operations

Auditor, Risk Adjustment

Service Line Manager Cardiology

Manager, Patient Access (H)

Senior Manager, Programs - Hybrid, Miami FL

District Director

Senior Station Manager

Implementation Manager

SAP Employee Central Payroll Manager

People Business Partner

Practice Manager, Full-Time, Days, M-F, 8:00am-5:00pm

Clinical Program Manager, Full Time

Manager, Patient Access (H), Full Time, Bascom Palmer Eye Institute Miami, FL

Hotel Manager - Springhill Suites DT Miami Medical (Experience Required)

Part-Time Medical Office Manager

Medical Coder I

Analytics Manager

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