Job Description Provides investigative support for special investigation unit (SIU) activities specific to medical provider coding fraud, waste and abuse (FWA). Investigates and resolves instances of health care fraud and abuse investigations of medical providers using informational
Become a part of our caring community The Medical Assistant is the first contact for patient care. Responsible for administrative tasks in addition to patient care. The Medical Assistant performs varied activities and moderately complex administrative/operational/customer
About Pediatrica Health Group Inc. Every day is a good day to prepare for a healthy tomorrow. Providing children and their families with equitable access to quality pediatric care to build a foundation for a lifetime
Join our team as a Daytime, Full-Time, Patient Services Representative, at INTEGRIS Health Medical Group Miami Clinic Float Pool, in Miami, OK. The Patient Services Representative is responsible for answering telephones, taking concise messages, scanning and
Job DetailsJob Location: Miami Dade - Corporate - Doral, FL 33122Position Type: Full TimeTravel Percentage: NoneJob Shift: On Site“Sanitas is a global healthcare organization expanding across the United States. Our services include primary care, urgent care,
Physician Practice E&M Auditor Educator Baptist Health is the regions largest not-for-profit healthcare organization, with 12 hospitals, over 29,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward
Insurance Verification Representative The Insurance Verification Representative (IVR) is responsible for assisting all Client Service Specialists in processing insurance eligibility for all Care Resource patients, including Medical, Behavioral Health and Dental prior to scheduling appointments. Furthermore,
Billing Specialist Doral, Florida, United States NeueHealth is a value-driven healthcare company grounded in the belief that all health consumers are entitled to high-quality, coordinated care. By uniquely aligning the interests of health consumers, providers, and
Insurance Collections Specialist Gastro Health is seeking a Full-Time Insurance Collections Specialist to join our team! Gastro Health is a great place to work and advance in your career. Youll find a collaborative team of coworkers
Health Information Management Miami, FL Full-Time Address: 1611 NW 12 Ave, Miami, FL 33136 Shift Details: Monday to Friday, 7.30 AM to 4 PM [Remote but open to applicants who reside in the state of Florida]
Job Title Medical Doctor Job Description Visit your nearby UHealth Jackson Urgent Care center, where we provide care to all ages, without the wait and without an appointment. Theres always a board-certified doctor at each of
Claims Adjudicator The Claims Adjudicator is responsible for reviewing, analyzing, and processing health insurance claims in accordance with established guidelines, contractual benefits and terms, and regulatory requirements. The claims adjudicator ensures that all claims are handled
Referral Coordinator The Referral Coordinator is responsible for the effective management of all incoming specialist referrals. Duties and Responsibilities Responsible for coordinating and processing of all patient referrals for specialty services. Utilizes a high degree of
Insurance Coordinator Hybrid Position available (three days at the office and two working remotely) Continually seek to understand and act upon client needs, concerns and priorities on various types of claims including but not limited to:
Clinical Business Operations Representative 3 The University of Miami Health System, UHealth, Department of Pediatrics- Early Steps, has an exciting opportunity for a full-time Clinical Business Operations Representative 3 to work in Miami. The Clinical Business
Claims Examiner I The Claims Examiner I is responsible for the accurate and timely adjudication of healthcare claims within a managed care environment, with a focus on Dual Eligible Special Needs Plans (DSNP) and Medicare lines
System Configuration Coordinator We are seeking a System Configuration Coordinator to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is
Nurse Reviewer 1 Nurse Reviewer 1 Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and
Certified Medical Coder II - Surgical Coder Hybrid - Remote. Hourly salary plus monthly bonus! As Mount Sinai grows, so does our legacy in high-quality health care. Since 1949, Mount Sinai Medical Center has remained committed
Senior Consultant - Healthcare Clinical Documentation Specialist Our Deloitte Regulatory, Risk & Forensic team helps client leaders translate multifaceted risk and an evolving regulatory environment into defensible actions that strengthen, protect, and transform their organization. Join