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Job Description About us: Solis Health Plans is a new kind of Medicare Advantage company. We provide solutions that are transparent, connected, and effective for both our members and providers. Solis was created with a desire to offer a more personalized experience throughout every stage of the healthcare journey. Our team consists of experts who take pride in delivering quality service. We foster a culture of collaboration and support, where success is shared, and every employee is valued. To learn more about us, please visit our website at ! Position is fully onsite Mon-Friday, Bilingual in ENGLISH & SPANISH is required Location: 9250 NW 36th St, Miami, FL 33178. Bilingual in English & Spanish or Creole is required Full benefits package offered on the first on the month following date of hire including: Medical, Dental, Vision, 401K plan with a 100% company match! Our company has doubled size and we have experienced exponential growth in membership from 2,000 members to over 10,000 members in the last year! Join our winning Solis Team! Position Summary: This position is responsible for the coordination of HEDIS and STARs data gathering process. This evaluates the quality and completeness of clinical documentation processes by performing quality medical record reviews, assisting in the improvement of the clinical documentation process, identifying trends, maintaining accurate records of review activities, ensures all data submitted to the health plan meets the HEDIS/Star technical specifications for medical records. contribute to a positive, patient-centered care experience. This role is essential to improving quality performance, supporting HEDIS and Stars initiatives, and enhancing overall member satisfaction. Essential Functions and Duties: · Provide excellent customer service by addressing patients and client needs promptly and courteously. · Phone calls to patients for scheduling or education on HEDIS Measures. · Assisting in the review of medical records to highlight Star/HEDIS opportunities for the medical staff. · Review medical records for data collection, data entry, and quality monitoring including health plan form submission and chart collection activities that close gaps in care. · Partner with the leadership team, the practice administrative or clinical staff to identify trends observed and potential strategies to support the practice. · Communicate scheduling challenges or trends that may negatively impact quality outcomes. · Track and trend barriers/challenges that exist at their assigned groups so that better outcomes can be achieved including access to appointments, lack of follow up on referrals, or inconsistent billing practices. · Activities may include data collection, data entry, quality monitoring, health plan form submission and chart collection activities. · Assists with local IRR audits. · Navigate multiple documentation systems and obtain medical record sections supportive of HEDIS/Star measures. · Support chart chase process by requesting records from provider's offices as needed. · Maintains education/knowledge base of HEDIS/STARs. · Performs all other related duties as assigned. Required qualifications: · High school diploma or equivalent is required. · 2+ years’ experience working for a Health Plan in reviewing medical records for data collection, data entry, abstraction, overreads and chart collection activities that close gaps in care. OR · 2+ years of experience working with HEDIS/STAR measures. · 2 or more years of HEDIS experience working in a physician, provider, and/or medical office. · Two (2) or more years of experience proficiency in using electronic medical record (EMR) systems and other healthcare management software. Required. · Proficiency in Microsoft Office (Word, Excel, PowerPoint, Outlook). Required. · ICD 9/10 and CPT coding experience. Required. · Excellent verbal communication skills with a customer-focused approach. Preferred qualifications: · 2+ years of college, in pursuance of a Bachelor's or Associate's degree in Health Care. · Licensed Vocational/Registered Nurse, Certified Professional Coder, or Foreign Medical Graduate (FMG/IMG). Required Languages: Bilingual English & Spanish or Creole. What set us apart: Join Solis Health Plans as a HEDIS/Stars Coordinator and become a catalyst for positive change in the lives of our members. At Solis, you will be part of a locally rooted organization deeply committed to understanding and serving our communities. If you are eager to embark on a purpose-driven career that promises growth and the chance to make a significant impact, we encourage you to explore the opportunities available at Solis Health Plans. Join us and be the difference.

Job Description SUMMARY: Part Time Billing Specialist performs diagnosis and procedural coding to individual patient health information for data retrieval, analysis, and claims processing. DUTIES AND RESPONSIBILITIES: • Reviews the patient ‘s medical record for accurate and complete documentation prior to coding., • Works closely with the physician coordinator regarding discrepancies found in patient’s record prior to claim submission, • Codes for assigned physicians, locations, and/or departments from review of medical record documentation., • Applies knowledge of current coding and billing requirements to assure claims are submitted correctly, • Brings identified concerns and trends to the manager/team lead for resolution., • Reviews coding and billing worklists and resolves claim rejections., • Enters patient demographic information and verifies patient insurance coverage QUALIFICATIONS: • Working knowledge of CPT and ICD10 coding, • Medical coding certification preferred but not required, • Minimum 2 years’ experience in medical billing and coding, • Excellent attention to detail and follow up, • Knowledgeable of payer rules and requirements for both coding and eligibility checking, • High school diploma or general education degree, • Computer skills required: Efficient data entry skills for both speed and accuracy ABOUT US: KIDZ Medical Services (KIDZ) is a private, physician-owned and university affiliated medical group specialized in providing pediatric, neonatal and obstetrical healthcare. KIDZ is proud and privileged to have served the South Florida community since 1988, in partnership with the leading health systems in our region. KIDZ is committed to providing high quality, cost-effective, and compassionate medical care using evidence-based tools, a proficient level of training and education, clinical research, and state-of-the-art medical technology. Our team provides services throughout the continuum of care, both in hospital and office-based settings across 15+ pediatric subspecialties. Please visit our website at for more information on our services

Job Description Summary: Ambulance Medical Billing Specialist is responsible for billing and collection processes for National Health Transport's ambulance trips. Ambulance Medical Billing Specialist answers inquiries from insurance companies, patients, and processes claims accordingly. Essential duties and responsibilities: • Promotes, develops, and fosters the mission, vision, and values of National Health Transport Inc., • Provides the highest level of customer service to a wide variety of internal and external customers, • Manage and maintain National Health Transport Inc. billing processes., • File complaints with the appropriate payer or their governing authority., • Identify and separate denials by code and payer, • Follow through with payers correspondence in a timely manner., • Review account status routinely as required for each payer type; minimum of 20 days., • Identify recurring denials and make necessary system changes to resolve them., • Assist customers with their account information., • File supplement or secondary insurance upon request of the patient., • Work with Respond Billing software to ensure the most efficient billing process., • Directs patient complaints to the Billing Operations Supervisor for completion and filing., • Manages workload in an ethical manner and within the intent of federal, state, and local laws and in alignment within National Health Transports Billing Protocols and Procedures., • High School Graduate/GED, • Medical coding training and experience, • Familiar with Medicare/Medicaid laws and billing, • Certified Ambulance Coder helpful Required Shifts/Schedule: Hours must be flexible to meet the demands of the office, but would generally be 8:00am-4:30pm, Monday through Friday. This position is not remote. Note: This description indicates, in general terms, the type and level of work performed and responsibilities held by the team member(s). Duties described are not to be interpreted as being all-inclusive or specific to any individual team member. No Third Party Agencies or Submissions Will Be Accepted. Our company is committed to creating a diverse environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. DFWP Opportunities posted here do not create any implied or express employment contract between you and our company / our clients and can be changed at our discretion and / or the discretion of our clients. Any and all information may change without notice. We reserve the right to solely determine applicant suitability. By your submission you agree to all terms herein. Powered by JazzHR J9LV7lLZPg

Job DescriptionAbout Us We are a fast-growing, innovative medical billing company committed to transforming the healthcare revenue cycle through technology, transparency, and top-tier customer service. Our team is passionate about simplifying the complexities of medical billing so healthcare providers can focus on what matters most—patient care. We're seeking a highly motivated and experienced Assistant Manager of Revenue Cycle Management (RCM) to join our leadership team and help us continue delivering exceptional results to our clients across the country. Job Overview As the Assistant Manager of Revenue Cycle Management, you will lead the end-to-end billing operations, optimize workflow efficiency, and oversee a high-performing RCM team. You'll be responsible for managing key functions such as claims submission, payment posting, denial management, and A/R follow-up across multiple specialties and client accounts. Key Responsibilities • Oversee and manage the full revenue cycle process, from patient registration through final payment., • Develop and implement policies, procedures, and performance metrics to ensure efficient and accurate billing processes., • Lead, mentor, and evaluate the performance of the RCM team., • Monitor KPIs including DSO, denial rates, and collection percentages, and proactively address areas of concern., • Collaborate with internal departments and external clients to troubleshoot complex billing issues., • Stay current on healthcare regulations, payer policies, and industry best practices., • Drive continuous improvement through data analysis, automation opportunities, and workflow redesign. Qualifications • Certified Coder (preferred) Bachelor’s degree in Healthcare Administration, Business, or related field (Master’s preferred)., • 5+ years of progressive experience in medical billing and revenue cycle management., • Proven leadership experience in a dynamic, high-volume billing environment., • Strong knowledge of commercial and government payer guidelines, CPT/ICD-10 coding, and compliance requirements., • Excellent analytical, communication, and problem-solving skills., • Experience with medical billing software (e.g., Kareo, eClinicalWorks, Greenway-Intergy, Athenahealth, or similar platforms)., • Ability to thrive in a fast-paced, client-focused environment. Why Join Us? • Competitive salary, • Opportunities for growth and professional development, • Supportive and collaborative company culture, • Impactful work that makes a real difference for healthcare providers and patients Ready to lead the charge in revenue optimization and operational excellence? Apply today and help us redefine the future of medical billing.

Job Description Florida Physician Group FPG Corp Offices Job Summary Under the direction of the Directors or designee, the Billing Specialist ensures all Commercial / Managed Care, Medicare and Medicaid claims are reviewed for claim edits, claim submission, and timely follow up, as assigned. Duties and Responsibilities: • Review all Manager holds in Athena and resolve the challenges so that the claims are resubmitted clean and are paid in less than 35 days, • Reporting to the Directors and Practice Managers any challenges with consistent issues with staff members quality of work and the need for training or corrective action steps, • Monitor through Athena reporting and provider documentation split shared and incident 2 billing guidelines, • Submit claims to carriers with the appropriate remarks and/or attachments during claims resolution, • Run insurance eligibility and correct claim before submission, as needed, • Pull supporting documents for annual regulatory audits, as needed, • Ensure credit balances are reviewed and resolved timely, • Assist in the charge posting and holds resolution process in all practices, when needed, • Provide education to team when needed and necessary, • Other billing assignments, within skillsets and abilities, • Any other duties as assigned, • Travel to Broward and Dade practices for training Education Certified coder Certificate or Degree High School graduate or equivalent Experience Minimum 2-years Commercial / Managed Care / Medicare / Medicaid billing experience in an acute Physician Practice setting billing for Medicare part B fee's Working knowledge of Common Procedural Terminology (CPT), HCPCS and ICD10 Code Working knowledge of Federal, State, and Commercial billing guidelines Language: Bilingual English/Spanish is preferred Must be able to pass Background and Drug Test screenings.

Job Description Florida Physician Group FPG Corp Offices Job Summary Under the direction of the Directors or designee, the Billing Specialist ensures all Commercial / Managed Care, Medicare and Medicaid claims are reviewed for claim edits, claim submission, and timely follow up, as assigned. Duties and Responsibilities: • Review all Manager holds in Athena and resolve the challenges so that the claims are resubmitted clean and are paid in less than 35 days, • Reporting to the Directors and Practice Managers any challenges with consistent issues with staff members quality of work and the need for training or corrective action steps, • Monitor through Athena reporting and provider documentation split shared and incident 2 billing guidelines, • Submit claims to carriers with the appropriate remarks and/or attachments during claims resolution, • Run insurance eligibility and correct claim before submission, as needed, • Pull supporting documents for annual regulatory audits, as needed, • Ensure credit balances are reviewed and resolved timely, • Assist in the charge posting and holds resolution process in all practices, when needed, • Provide education to team when needed and necessary, • Other billing assignments, within skillsets and abilities, • Any other duties as assigned, • Travel to Broward and Dade practices for training Education Certified coder Certificate or Degree High School graduate or equivalent Experience Minimum 2-years Commercial / Managed Care / Medicare / Medicaid billing experience in an acute Physician Practice setting billing for Medicare part B fee's Working knowledge of Common Procedural Terminology (CPT), HCPCS and ICD10 Code Working knowledge of Federal, State, and Commercial billing guidelines Language: Bilingual English/Spanish is preferred Must be able to pass Background and Drug Test screenings.

We’re looking for enthusiastic, self-driven, individuals to assist existing and prospective clients within our organization.This position will work with multiple clients throughout the day providing outstanding service and product knowledge.Distributes all benefit enrollment materials and

As an Administrative Assistant, youll be responsible for providing a wide variety of administrative and staff support services.Performs office work directly related to property management and the general business operations of the association; May assist with employee payroll, budget preparation, co

We’re looking for enthusiastic, self-driven, individuals to assist existing and prospective clients within our organization.This position will work with multiple clients throughout the day providing outstanding service and product knowledge.Distributes all benefit enrollment materials and

We have a unique opportunity for the right person! Our top producing group is seeking an energetic and enthusiastic licensed real estate sales associate to join our luxury real estate team! The ideal candidate must have an active FL real estate license, superior analytical and writing skills, a grea

We’re looking for enthusiastic, self-driven, individuals to assist existing and prospective clients within our organization.This position will work with multiple clients throughout the day providing outstanding service and product knowledge.Distributes all benefit enrollment materials and

As an Administrative Assistant, you’ll be responsible for providing a wide variety of administrative and staff support services.Performs office work directly related to property management and the general business operations of the association; May assist with employee payroll, budget preparation,

We’re looking for enthusiastic, self-driven, individuals to assist existing and prospective clients within our organization.This position will work with multiple clients throughout the day providing outstanding service and product knowledge.Distributes all benefit enrollment materials and

As an Administrative Assistant, youll be responsible for providing a wide variety of administrative and staff support services.Performs office work directly related to property management and the general business operations of the association; May assist with employee payroll, budget preparation, co

We’re looking for enthusiastic, self-driven, individuals to assist existing and prospective clients within our organization.This position will work with multiple clients throughout the day providing outstanding service and product knowledge.Distributes all benefit enrollment materials and

As an Administrative Assistant, you’ll be responsible for providing a wide variety of administrative and staff support services.Performs office work directly related to property management and the general business operations of the association; May assist with employee payroll, budget preparation,

We’re looking for enthusiastic, self-driven, individuals to assist existing and prospective clients within our organization.This position will work with multiple clients throughout the day providing outstanding service and product knowledge.Distributes all benefit enrollment materials and

We have a unique opportunity for the right person! Our top producing group is seeking an energetic and enthusiastic licensed real estate sales associate to join our luxury real estate team! The ideal candidate must have an active FL real estate license, superior analytical and writing skills, a grea

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To be eligible to enlist in the U.Navy, candidates must be between the ages of 18-34.The Navy relies on exceptional medical personnel to keep our servicemen and women healthy.As a Hospital Corpsman, youll get to try your hand at just about everything while making a huge difference for the Sailors yo

Patient Care Technician / Certified Nursing Assistant.As Mount Sinai grows, so does our legacy in high-quality health care.Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community.In delivering an unmatched level of clinical expertise, our medical ce

We are urgently looking for people interested in taking online surveys for Fortune 500 brands.If you are a self-starter, looking for flexible hours throughout the week, this may be for you! Earn up to $25 per survey.Share your opinion and help influence brand decisions on services and products you u

To be eligible to enlist in the U.Navy, candidates must be between the ages of 18-34.The Navy relies on exceptional medical personnel to keep our servicemen and women healthy.As a Hospital Corpsman, youll get to try your hand at just about everything while making a huge difference for the Sailors yo

As Mount Sinai grows, so does our legacy in high-quality health care.Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community.In delivering an unmatched level of clinical expertise, our medical center is committed to recruiting and training top healt

To be eligible to enlist in the U.Navy, candidates must be between the ages of 18-34.The Navy relies on exceptional medical personnel to keep our servicemen and women healthy.As a Hospital Corpsman, youll get to try your hand at just about everything while making a huge difference for the Sailors yo

We are urgently looking for people interested in taking online surveys for Fortune 500 brands.If you are a self-starter, looking for flexible hours throughout the week, this may be for you! Earn up to $25 per survey.Share your opinion and help influence brand decisions on services and products you u

A successful small law firm has an exciting growth opportunity for an Administrative Assistant.Excellent work environment and beautiful office.They are looking to hire immediately.Must have 1+ years as a an Administrative Assistant/Recepionist.Excellent computer skills-Microsoft Office.The individua

As Mount Sinai grows, so does our legacy in high-quality health care.Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community.In delivering an unmatched level of clinical expertise, our medical center is committed to recruiting and training top healt

We are urgently looking for people interested in taking online surveys for Fortune 500 brands.If you are a self-starter, looking for flexible hours throughout the week, this may be for you! Earn up to $25 per survey.Share your opinion and help influence brand decisions on services and products you u

To be eligible to enlist in the U.Navy, candidates must be between the ages of 18-34.The Navy relies on exceptional medical personnel to keep our servicemen and women healthy.As a Hospital Corpsman, youll get to try your hand at just about everything while making a huge difference for the Sailors yo

We are urgently looking for people interested in taking online surveys for Fortune 500 brands.If you are a self-starter, looking for flexible hours throughout the week, this may be for you! Earn up to $25 per survey.Share your opinion and help influence brand decisions on services and products you u

To be eligible to enlist in the U.Navy, candidates must be between the ages of 18-34.The Navy relies on exceptional medical personnel to keep our servicemen and women healthy.As a Hospital Corpsman, youll get to try your hand at just about everything while making a huge difference for the Sailors yo

We have a unique opportunity for the right person! Our top producing group is seeking an energetic and enthusiastic licensed real estate sales associate to join our luxury real estate team! The ideal candidate must have an active FL real estate license, superior analytical and writing skills, a grea

To be eligible to enlist in the U.Navy, candidates must be between the ages of 18-34.The Navy relies on exceptional medical personnel to keep our servicemen and women healthy.As a Hospital Corpsman, youll get to try your hand at just about everything while making a huge difference for the Sailors yo

As an Administrative Assistant, you’ll be responsible for providing a wide variety of administrative and staff support services.Performs office work directly related to property management and the general business operations of the association; May assist with employee payroll, budget preparation,

Job Title: Work From Home Customer Service Representative.As a Work From Home Customer Service Representative at Amazon, you will be the first point of contact for customers seeking assistance.You will provide support through various channels, including phone, email, and chat, to resolve customer in

As an Administrative Assistant, you’ll be responsible for providing a wide variety of administrative and staff support services.Performs office work directly related to property management and the general business operations of the association; May assist with employee payroll, budget preparation,

Job Title: Work From Home Customer Service Representative.As a Work From Home Customer Service Representative at Amazon, you will be the first point of contact for customers seeking assistance.You will provide support through various channels, including phone, email, and chat, to resolve customer in

As an Administrative Assistant, youll be responsible for providing a wide variety of administrative and staff support services.Performs office work directly related to property management and the general business operations of the association; May assist with employee payroll, budget preparation, co

Job Title: Work From Home Customer Service Representative.As a Work From Home Customer Service Representative at Amazon, you will be the first point of contact for customers seeking assistance.You will provide support through various channels, including phone, email, and chat, to resolve customer in

As an Administrative Assistant, youll be responsible for providing a wide variety of administrative and staff support services.Performs office work directly related to property management and the general business operations of the association; May assist with employee payroll, budget preparation, co

We have a unique opportunity for the right person! Our top producing group is seeking an energetic and enthusiastic licensed real estate sales associate to join our luxury real estate team! The ideal candidate must have an active FL real estate license, superior analytical and writing skills, a grea

Remote Benefits Representative.You will be responsible for expanding the company's book of business by providing various types of insurance policies to new and existing clients via zoom.Bilingual: French and Spanish speakers to better serve our diverse client base.A Benefits Representative at Globe

Remote Jobs are now available in your area.This position is a work from home position.You will not need to come into the office.Benefits: Health Insurance, 401K, Vacation& PTO.Apply now! Work from home roles are a critical part of our mission to deliver timely, accurate and professional customer ser

A successful small law firm has an exciting growth opportunity for an Administrative Assistant.Excellent work environment and beautiful office.They are looking to hire immediately.Must have 1+ years as a an Administrative Assistant/Recepionist.Excellent computer skills-Microsoft Office.The individua

Remote Jobs are now available in your area.This position is a work from home position.You will not need to come into the office.Benefits: Health Insurance, 401K, Vacation& PTO.Apply now! Work from home roles are a critical part of our mission to deliver timely, accurate and professional customer ser

We are urgently looking for people interested in taking online surveys for Fortune 500 brands.If you are a self-starter, looking for flexible hours throughout the week, this may be for you! Earn up to $25 per survey.Share your opinion and help influence brand decisions on services and products you u

Remote Jobs are now available in your area.This position is a work from home position.You will not need to come into the office.Benefits: Health Insurance, 401K, Vacation& PTO.Apply now! Work from home roles are a critical part of our mission to deliver timely, accurate and professional customer ser