JOB TITLE: Medical Collection Specialist REPORTS TO: Revenue Cycle Manager FLSA STATUS: Non-Exempt JOB SUMMARY: In-depth knowledge of Procedural Coding, Specialist in identifying appropriate ICD10 coding based on CMS/HCC…
Skills: Medical Billing, Medical Collections, ICD10 Coding, HCPCS Coding, CPT Coding
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Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty…
Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty…
Skills: Contact center platforms, Artificial intelligence, Automation, Digital engagement, Operational analytics
Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty…
Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty…
Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty…
Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty…
Skills: Medical treatment planning, Physical assessment, Clinical documentation, Patient care, Medical record management
Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty…
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Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty…
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Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty…
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Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty…
Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty…
Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty…
Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty…
Registered Nurse 1 - Radiology Specialty, Full Time
Coral Gables, Florida, United States · On-site
Mid level
Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty…
Skills: Patient care, Nursing care, Medical terminology, Diagnostic tests, Medication administration
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$17/hr–$22/hr
Full-time
high school, professional certificate
Health Insurance, Dental, Vision, Life Insurance, 401k
Posted 7d ago
~40 hrs/week
Responsibilities
The specialist is responsible for identifying denial trends, processing rejections, and resubmitting claims to ensure timely payment. They also communicate with insurance companies and patients to resolve billing disputes and maintain accurate chart notes.
Requirements
Candidates must have a high school diploma and at least one year of experience in medical billing or collections. Proficiency in ICD10 and HCPCS coding is required, with a CPC certification preferred.
Full job description
JOB TITLE: MedicalCollection Specialist
REPORTS TO: Revenue Cycle Manager
FLSA STATUS: Non-Exempt
JOB SUMMARY:
In-depth knowledge of Procedural Coding, Specialist in identifying appropriate ICD10 coding based on CMS/HCC categories, CPT, HCPCS CMS 1500 FORM, Super Bill, Electronic Claims Submission and Clearing House Operations, EOB, Payments, Denials, and appeals.
QUALIFICATIONS/EDUCATION:
High School Diploma required.
Minimum 1 years of experience in billing and/or medical collections
ECW experience preferred.
Pathology Billing experience
Bilingual English/Spanish Preferred; must be able to read, write and speak English.
Computer Knowledge: MS word, MS Excel internet, document with Electronic Health Records and/or authorization system with minimal typing/spelling errors, send emails and faxes.
CERTIFICATIONS/LICENSES:
CPC Certified Preferred
ABILITIES/SKILLS:
In depth knowledge of ICD10 and HCPCS coding.
Excellent communication, Customer Service and telephone skills.
Strong organizational skills and ability to multi-task effectively.
Must be able to work independently with minimal supervision.
Able to respect and maintain patient confidentiality at all times. Functions with minimal direct supervision.
Must be dependable and conduct him/herself in a professional manner.
Demonstrates skill in use of personal computers, various programs and applications required to competently execute job duties.
Must be able to follow policies and procedures.
ESSENTIAL DUTIES/ RESPONSIBILITIES:
Identify denial trends and make recommendations for resolutions.
Process rejections/denials and resubmit claims as needed.
Appeal denied claims and follow up as needed.
Answer patients’ or insurers’ billing questions and resolve issues or disputes in a timely manner.
Review patient information to determine or identify claim denial causes.
Communicate with insurance companies for claim(s) payment.
Request correct adjustment to resolve outstanding account balances.
Maintain accurate and detailed chart notes in the system.
Follow- up on patient denials prior to the payer’s appeal deadline.
Perform any other duties as assigned.
PRE-EMPLOYMENT REQUIREMENTS
Criminal Background Check
We offer a competitive salary; Employee Health Insurance is covered at 100%. We also offer Dental, Vision, Life, and 401k Benefits.
Related keywords
Medical BillingMedical CollectionsICD10HCPCSCPTCMS 1500Super BillElectronic Claims SubmissionClearing HouseEOBDenialsAppealsECWPathology BillingElectronic Health RecordsRevenue Cycle
GastroMed specializes in the diagnosis and treatment of all gastrointestinal and digestive system conditions. The group is comprised of board-certified physicians with extensive experience in comprehensive gastroenterology care, offering in-depth analysis and evaluation to determine the cause of underlying symptoms, followed by patient-centered care tailored to the specific needs of the individual patient. In addition, GastroMed offers screenings for colon cancer and other conditions and diseases affecting the colon, small intestine, and upper gastrointestinal tract. identifying risk factors for disease so patients can get the preventive care they need to avoid serious issues and enjoy optimal health and wellness.
Offices: 5101 SW 8th St, Suite 200, Miami, Florida 33134, US · 11760 SW 40th St, Suite 403, Miami, Florida 33173, US · 9380 SW 150th St, Suite 200, Miami, Florida 33176, US · 8600 SW 92nd St, Suite 107, Miami, Florida 33156, US · 8525 SW 92 Street, Suite D17, Miami, Florida 33156, US
Comprehensive Gastroenterology CareGastroenterologyAdvanced EndoscopyEndoscopyHepatologyMedical CareColon Cancer ScreeningNASHCirrhosisGERD
How many Healthcare jobs are open in Coral Gables, FL right now?
There are currently 1,655 open healthcare positions in Coral Gables, FL listed on Clera. New openings are added daily as companies post roles.
Which companies are hiring for Healthcare roles in Coral Gables, FL?
Companies currently hiring include University of Miami Health System-Uhealth, University of Miami Health System, Baptist Health, Coral Gables Hospital, GastroMed, LLC, among others. Browse the listings above to see every active employer.
Are there remote or hybrid Healthcare jobs in Coral Gables, FL?
Yes — 90 of the 1655 open healthcare positions offer remote or hybrid work (26 remote, 64 hybrid).
How do I apply for Healthcare jobs in Coral Gables, FL?
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.