Top 2509 program specialist Jobs in plantation, fl

Medical Billing - Claim Follow-up & Resolution
Confidential —Boca Raton, FL
- $60,000 - $70,000 a year
- Full-time
- Background check
- Mid-level
- Office
- Health insurance
- Dental insurance
Quick Apply
Inside Sales Representative
Platinum Fundraising —Fort Lauderdale, FL
- $65,000 - $150,000 a year
- Full-time
- Sales
- Bachelor of Science
- Bachelor's degree
- Paid training
- Health savings account
Quick Apply
Eligibility Specialist
Kinship Health PACE —Davie, FL
- Full-time
- Hybrid work
- Background check
- Mid-level
- Travel
- Health insurance
- Dental insurance
Quick Apply
Human Resources Specialist
ChildNet —Fort Lauderdale, FL
- From $46,547 a year
- Full-time
- Mid-level
- Office
- Administrative experience
- Health insurance
- Dental insurance
Quick Apply
Parts Dept Specialist | Marine Industry
Confidential —Fort Lauderdale, FL
- $30 - $35 an hour
- Full-time
- Background check
- Spanish
- Inventory management
- Paid holidays
- Health insurance
Quick Apply
5d
Specialist: Seasonal, Part-time
Apple —Fort Lauderdale, FL
- Part-time
- Entry level
- Employee stock purchase plan
- Health insurance
Office Administrator
Orkin —Fort Lauderdale, FL
- $18 - $22 an hour
- Full-time
- Sales
- Computer literacy
- Office
- Employee stock purchase plan
- Paid holidays
Medical Doctor
Las Mercedes Management —Miami, FL
- From $250,000 a year
- Full-time
- Spanish
- Medicine
- Doctoral degree
Quick Apply
Medical Doctor (MD)
Las Mercedes Medical Center —Broward County, FL
- From $270,000 a year
- Full-time
- Spanish
- Medicine
- BC/BE
- Health insurance
- Dental insurance
Quick Apply
ACN Medical Doctor
Las Mercedes Medical Center —Broward County, FL
- $200,000 - $250,000 a year
- Full-time
- Spanish
- Medicine
- BC/BE
- Health insurance
- Dental insurance
Quick Apply
Physician Pain Management (Once a Week)
Confidential —Boca Raton, FL
- Part-time
- Mid-level
- Outpatient
- Patient care
- Loan repayment program
- Tuition reimbursement
Quick Apply
Economic Justice Advocate
Women In Distress of Broward County, Inc. —Pompano Beach, FL
- $19 an hour
- Weekends as needed
- Background check
- Clean driving record
- Microsoft Excel
- Relocation assistance
- Health insurance
Quick Apply
Collections Advisor
Idea Financial —Miami, FL
- Full-time
- Mid-level
- Office
- US work authorization
- Paid training
- Disability insurance
Quick Apply
Preschool Teacher
Centner Academy —Miami, FL
- 8 hour shift
- School experience
- Classroom
- Writing skills
- Health insurance
- Dental insurance
Quick Apply
Utilization Review Specialist
Quadrant Billing Solutions, LLC —Boca Raton, FL
- $55,000 - $65,000 a year
- Full-time
- Microsoft Word
- Background check
- Addiction Medicine
- Health insurance
- Dental insurance
Quick Apply
Pharmacy Infectious Diseases Clinical Specialist, Pharmacy, $5,000 Bonus
Baptist Health South Florida —Boca Raton, FL
- $118,907.47 - $154,579.71 a year
- Hospital
- Mid-level
- In-person
- Wellness program
- Health insurance
Medical Social Worker - Home Health
USA HOME HEALTH CARE, CORP —Miami, FL
- $31 an hour
- Part-time
- Hybrid work
- Hospital
- HIPAA
- Clinic experience
Quick Apply
10d
Bilingual Sales Representative – Specialist in Insulation (Hollywood)
Green Service Insulation —Hollywood, FL
- From $4,000 a month
- Full-time
- Spanish
- English
- Mid-level
- On-the-job training
- Referral program
Quick Apply
Specialist, Residential Field Sales
Breezeline —Miramar, FL
- Weekends as needed
- Ability to walk for extended periods
- Computer literacy
- Writing skills
- Employee stock purchase plan
- Paid holidays
Health Claims Examiner
National Employee Benefits Administrators, Inc. (NEBA) —Pembroke Pines, FL
- From $19 an hour
- Full-time
- Writing skills
- Medical office experience
- Basic math
- Health insurance
- Dental insurance
Quick Apply

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program specialist jobs near plantation, fl

Medical Billing - Claim Follow-up & Resolution

Confidential
Boca Raton, FL

Quick Apply

Job Details

Full-time
$60,000 - $70,000 a year

Benefits

Health insurance
Dental insurance
401(k)
Paid time off
Employee assistance program
Vision insurance
401(k) matching
Employee discount
Life insurance

Qualifications

Data visualization software proficiency
Overseeing health insurance pre-certification
Medical coding software
Phone communication
Medical coding guidelines
Data reporting
High school diploma or GED
Business intelligence tools
Zendesk
Microsoft Teams
Productivity software
Medical terminology
Client interaction via phone calls

Full Job Description

Job description

We are seeking an experienced Medical Billing - Revenue Cycle Management specialist to join our medical billing team. The ideal candidate will have a strong understanding of medical billing processes and terminology, experience in follow-up for Out-Of-Network providers, ensuring accurate and timely follow-up on billed claims.

Roles & Responsibilities:

Responsible for claims follow -up, Professional and Facility, from claim submission until final payment
Communicate with insurance companies regarding claim denials or underpayments
Utilize Payer Online Portals such as Availity, Cignaforhcp, UHC, Navinet, Emblem for claims status and eligibility verification
Send Medical Records to payers, filing reconsiderations and appeals
Utilize providers EMR’s to obtain Medical Records
Reading and understanding various payers EOB’s
Posting payments, writing off balances and sending statements to patients, when necessary
Communicating with 3rd party payers such as Multiplan, MARS and Zelis regarding OON claim negotiations.
Follow up on Pre-negotiated Agreements a/k/a Single Case Agreements
Review and verify accuracy of billing data utilizing Optum EncoderPro
Utilize medical collection systems to track and collect payments
Ensure compliance with all relevant coding and billing regulations
Effectively resolve complex issues, including payment research, payment recoupments
Effectively communicate issues to management, including payer, system or escalated account issues as well as develop solutions

Experience & Requirements:

Knowledge in Multi-Specialty coding - CPT and ICD codes for many different specialties
Experience working with medical billing software like Imagine and ADS
Familiar with Gap (Network Deficiency) exception and prior authorizations process
Familiar with Federal IDR arbitrations process
Familiar with OON Provider Registration Process with various Payers
Knowledge of medical terminology (Hicfa, UB04, Tax ID, NPI)
Strong attention to detail and persuasive telephone skills
Excellent communication and interpersonal skills
Solid skill with Microsoft Office applications: Word, Excel, Teams, Power BI reporting, Zendesk
High School Diploma or equivalent

Benefits:

401(k)
401(k) matching
Dental insurance
Employee assistance program
Employee discount
Health insurance
Life insurance
Paid time off
Vision insurance

Work Location: In person

Job Type: Full-time

Pay range: $60,000 - $70,000 (annual Salary is Commensurate with Experience)

Ability to Commute:

Boca Raton, FL 33433 (Required)

Ability to Relocate:

Boca Raton, FL 33433 - Relocate before starting work (Required)

Job Type: Full-time

Pay: $60,000.00 - $70,000.00 per year

Benefits:

401(k)
401(k) matching
Dental insurance
Employee assistance program
Employee discount
Health insurance
Life insurance
Paid time off
Vision insurance

Ability to Commute:

Boca Raton, FL 33433 (Required)

Ability to Relocate:

Boca Raton, FL 33433: Relocate before starting work (Required)

Work Location: In person

Quick Apply

Refine Your Search

program specialist jobs in plantation, fl

Medical Billing - Claim Follow-up & Resolution

Inside Sales Representative

Eligibility Specialist

Human Resources Specialist

Parts Dept Specialist | Marine Industry

Specialist: Seasonal, Part-time

Office Administrator

Medical Doctor

Medical Doctor (MD)

ACN Medical Doctor

Physician Pain Management (Once a Week)

Economic Justice Advocate

Collections Advisor

Preschool Teacher

Utilization Review Specialist

Pharmacy Infectious Diseases Clinical Specialist, Pharmacy, $5,000 Bonus

Medical Social Worker - Home Health

Bilingual Sales Representative – Specialist in Insulation (Hollywood)

Specialist, Residential Field Sales

Health Claims Examiner

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