Coding and billing jobs in Jacksonville, FloridaCreate job alerts

WCS Healthcare Partners is seeking a local contract nurse RN CVICU for a local contract nursing job in Jacksonville, Florida. Job Description & Requirements • Specialty: CVICU, • Discipline: RN, • Duration: 13 weeks, • 36 hours per week, • Shift: 12 hours, nights, • Employment Type: Local Contract WCS Healthcare is currently seeking an experienced Critical Care Nurse for a contract assignment at a highly respected hospital in Jacksonville, FL. This role is ideal for an ICU‑trained RN with strong clinical judgment, rapid assessment skills, and the ability to manage complex, high‑acuity patients. Job Function: \n • Night Shift.\n, • 4x12: 6:45pm -7:15am.\n, • Evaluate and continuously monitor patient progress in the ICU. \n, • Identify sudden or subtle changes in patient condition and intervene appropriately. \n, • Provide timely updates to physicians, patients, and family members. \n, • Initiate treatments, administer medications, and monitor dosing. \n, • Respond to medical emergencies and activate appropriate clinical teams. \n, • Deliver comprehensive care throughout the patient’s ICU stay. \n, • Complete all required documentation prior to patient transfer \n, • Maintain accurate and detailed patient records \n, • Develop, implement, and adjust individualized care plans \n\n Job Requirements: \n * Graduate from an accredited School of Nursing or Bachelor's Degree in Nursing (BSN) \n\n * Current RN license for the state that you are working in (or willingness to obtain) \n\n * BLS & ACLS certifications from the American Heart Association are required \n\n * CVICU experience required \n\n * Strong background in high‑acuity critical care \n\n * Ability to manage multiple complex devices and unstable patients \n\n\n Disclosure: The hourly rates and/or salaries listed may or may not reflect total compensation packages including bonus and fringe benefits, etc., nor are the advertisement(s) posted a guarantee of a certain compensation package for a position or bona fide offer of employment. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability. \n \n ITAC1 \n #LI-DNP \n 44822 White Cap Search Partners Job ID #44822. Posted job title: RN - CVICU - Local Contract About WCS Healthcare Partners With WCS Healthcare Partners, every Job Seeker grows stronger, moving one step forward with each job placement. We take the time to get to know the needs and qualifications of each Healthcare professional to match you with the right clinical setting, patient population, merging your compensation and career goals with your desired work environment. Our recruiters are experts at navigating the dynamic nature of healthcare employers to get your resume in front of the right decision makers. NURSING ● Registered Nurses (RN) ● Licensed Practical Nurses (LPN) ● Travel Nursing ● Quality Assurance/Review, Performance Improvement, HEDIS ● Nursing Leadership ● Case Management ALLIED HEALTH ● Technologists: Medical, Laboratory, Cardiac, RadTech, X-Ray ● Therapy: Physical, Occupational and Speech Therapy ● Social Work: LCSW/LMSW, Case Management, Care Coordination ● Med Support: Medical Assistants, Phlebotomy, Surgical/Sterile Techs ● Pharmacists and Pharmacy Techs ● Dental Hygienist, Dental Assistants OPERATIONS & FINANCE ● Practice Management ● Clinical Operations ● Administrative Support ● Reception, Clerical, Call Center ● Claims Appeals/Denials/Reimbursement ● Insurance Pre-Authorizations ● Medical Billing/Coding Benefits • 401k retirement plan, • Weekly pay

Position Summary We are seeking a Senior Healthcare Fraud Investigator to support our program integrity efforts through hands-on investigation of potential fraud, waste, and abuse (FWA). This role is ideal for someone who thrives on digging into data, managing complex cases, and driving investigations from start to finish. You’ll play a key role in identifying risk, analyzing claims activity, and supporting compliance with state and federal healthcare regulations—particularly within Medicaid programs. Key Responsibilities • Independently manage a caseload of fraud, waste, and abuse investigations from identification through resolution, • Analyze healthcare claims data to detect unusual billing patterns, trends, and potential fraud indicators, • Conduct detailed research and develop cases using data, documentation, and interviews, • Interview providers, members, and other parties to gather actionable information, • Prepare clear, comprehensive investigative reports and documentation suitable for internal review and external agencies, • Partner with compliance, legal, and external stakeholders to support investigations and reporting requirements, • Respond to requests for information from regulatory agencies and support audit activities, • Identify opportunities for overpayment recovery, cost savings, and risk mitigation, • Stay current on emerging fraud schemes, regulatory changes, and industry trends This job description in no way states or implies that these are the only duties performed by the employee occupying this position. Employees will be required to perform any other job-related duties assigned by their supervisor or management. Qualifications: • Bachelor level education - Required, • Minimum 5-7 years' experience in a healthcare program integrity position ensuring compliance with regulatory and contractual requirements. - Required, • Ability to work independently with minimal supervision, and manage a high volume of assignments, • High degree of integrity and confidentiality required handling information that is considered personal and confidential, • Analytical skills and ability to make deductions; logical and sequential thinker, • Strong verbal and written communication skills., • Healthcare industry and/or Medicaid/CHIP knowledge required, healthcare claims knowledge and experience - Preferred., • Knowledge and experience working on various approaches to healthcare fraud, waste, and abuse, • Working knowledge of Microsoft applications, Excel - Required., • Knowledge of available resources (internal and external) to assist in investigations., • Medical terminology knowledge and/or experience with CPT and ICD-10 coding - Preferred., • Knowledge of suspected FWA trends, potential schemes, and matters of interest to law enforcement and regulators., • Accredited Health Care Fraud Investigator (AHFI) and/or Certified Fraud Examiner (CFE) - Preferred, • Ability to communicate effectively, verbal and written, • Ability to self-motivate, • Strong time management skills, • Ability to prioritize and organize FWA program activities, • Ability to meticulously document case actions and findings for regulatory reporting and any legal action, if applicable, • Ability to collaborate, • Results oriented skills PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit, use hands, reach with hands and arms, and talk or hear. The employee is frequently required to stand, walk, and sit. The employee is occasionally required to stoop, kneel, crouch or crawl. The employee may occasionally lift and/or move up to 15 pounds. We are an equal opportunity employer who recruits, employs, trains, compensates and promotes regardless of age, color, disability, ethnicity, family or marital status, gender identity or expression, language, national origin, physical and mental ability, political affiliation, race, religion, sexual orientation, socio-economic status, veteran status, and other characteristics that make our employees unique. We are committed to fostering, cultivating and preserving a culture of diversity, equity and inclusion. Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of the job. The environment includes work inside/outside the office, travel to other offices, as well as domestic, travel. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate. Background Screening Notice: In compliance with Florida law, candidates selected for this position must complete a Level 2 background screening through the Florida Care Provider Background Screening Clearinghouse. The Clearinghouse is a statewide system managed by the Agency for Health Care Administration (AHCA) and is designed to help protect children, seniors, and other vulnerable populations while streamlining the screening process for employers and applicants. Additional information is available at: 🔗 h

Front Office Coordinator Arlington, Jacksonville, Florida Full-Time / Part-Time $16-$19 per hour A growing healthcare provider is seeking a Front Office Coordinator to act as the first point of contact for patients, ensuring a smooth, professional, and efficient front desk experience. Key Responsibilities: • Greet patients and visitors in person and over the phone in a professional, patient-focused manner, • Schedule, confirm, and manage appointments to optimize provider time and patient flow, • Register new patients and update existing patient records, including demographics and insurance details, • Verify insurance eligibility and benefits using payer systems, • Collect copays and outstanding balances at time of service, • Post charges accurately in line with provider documentation and coding guidelines, • Answer and triage incoming calls, directing inquiries to appropriate clinical or administrative staff, • Maintain organized patient records, including scanning, filing, and fax management, • Support daily reporting and reconciliation of front office financials, • Collaborate with clinical and administrative teams to ensure seamless patient experience Requirements: • High school diploma or equivalent, • 1+ year experience in a medical office or healthcare setting, • Familiarity with scheduling systems, insurance verification, and patient registration processes preferred Skills & Competencies: • Strong customer service and patient-facing communication skills, • Excellent organizational and multitasking ability, • High attention to detail and accuracy, particularly with data entry and billing, • Ability to work in a fast-paced, high-volume environment, • Professional, reliable, and team-oriented approach Key role in delivering an excellent patient experience Opportunity to grow within healthcare administration Apply or message me to learn more.

Summary: Utilizing an electronic medical record and computerized encoder, assigns and sequences diagnosis and procedure codes and present on admission indicators for inpatient encounters based on medical record documentation in accordance with Official Coding Guidelines, CMS regulations, encoder software guidance and Health Information Management (HIM) policies and procedures. Responsibilities: • Maintains strict adherence to patient confidentiality according to MHS Standards and regulatory requirements., • Formulates physician queries for validation of pathological findings. Requests clinical validation queries for Clinical Documentation Integrity (CDI) review and follow-up. Seeks clarification from providers or other designated resources to ensure accurate and complete coding., • Attends educational meetings and seminars to maintain certification and continuing education requirements., • Reviews appropriate inpatient coding work queues daily to address coding edits and needed corrections and follows procedure to notify billing as needed. Reviews accounts and performs needed correction for internal audits and external denials., • Reviews inpatient medical records to assign and sequence all appropriate diagnosis and procedure codes utilizing encoder software and following official coding guidelines. Reviews Medicare Severity Diagnosis Related Groups (MSDRGs) and All Patient Refined Diagnosis Related Groups (APRDRGs) for appropriate code assignment., • Reviews and validates accuracy of Admission-Discharge-Transfer (ADT) data fields; abstracts discharge disposition, physicians, procedure dates, and present on admission (POA) indicators., • Performs all other duties as requested., • Meet and maintain Memorial Healthcare System (MHS) coding quality and productivity standards. Submit daily productivity report to manager by defined deadline. Education and Certification Requirements: High School Diploma or Equivalent (Required) Certified Coding Associate (CCA) - American Health Information Management Association (AHIMA) Required Work Experience: Three (3) years inpatient coding experience in a hospital setting Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS) is required

Job Description Job SummaryWe are seeking a Medical Biller to join our team! As a Medical Biller, you will be working closely with clients to answer questions related to billing, processing all forms needed for insurance billing purposes, and collecting necessary documentation from clients. You will also assist other Medical Billers with follow-up inquiries to clients, communicate with physicians' offices and hospitals to obtain records, and accurately record patient information. The ideal candidate has excellent attention to detail, strong customer service skills, and is comfortable spending much of the day on the phone. Responsibilities • Assist clients with processing insurance claims through both private insurance and Medicaid/Medicare, • Note and process all necessary forms from the insurance, • Assist patients in navigating the billing and insurance landscape, including collecting all necessary forms and signatures, • Work with doctor’s offices and hospitals to obtain charge information and billing details, • Enter all billing and payment information into the system properly and without errors, • Follow up with clients and payments, as needed, • Answer phones, assist clients with questions, take messages, and screen calls, • Maintains the highest level of confidentialityQualifications, • Strong customer service skills, • Previous experience with medical coding or billing desired, • Strong organization skills, • Excellent attention to detail, • Electronic Medical Records a MUST eclinical Works

Job Description Are you ready to lead, motivate, and build a team from the ground up? Harbour Dental Care is a private dental practice that empowers confidence by removing barriers to provide premiere experiences across our 9 locations. We’re opening a brand new office, and this is your opportunity to take the lead and make it shine! We’re seeking an experienced Dental Office Manager who thrives on leadership, growth, and excellence. The ideal candidate will have strong treatment plan coordination (TPC) experience, a solid background in dental management, and a passion for motivating teams to exceed goals. What You’ll Do * Champion and uphold the Harbour Dental Care vision and core values, fostering a positive and high-performing team culture. * Lead all aspects of practice operations, including KPIs, provider relations, and financial goals. * Use company systems and resources to support providers, grow revenue, manage provider hours, and meet financial targets. * Execute company initiatives, ensuring timely reporting and communication with leadership. * Collaborate with company and regional leadership to enhance patient experience, engagement, and revenue cycle processes. * Deliver exceptional patient care and ensure every visit reflects the Harbour Dental Care premiere experience. * Provide ongoing coaching and mentorship for team members, focusing on both personal and professional growth. * Oversee OSHA compliance, safety protocols, and emergency preparedness. * Travel up to 25% to assist other Harbour Dental Care offices as needed. What You’ll Bring * 3+ years of dental management experience, including treatment planning and financial coordination. * Strong knowledge of dental terminology, billing, and coding guidelines. * Excellent communication, problem-solving, and leadership skills. * Self-starter mentality with initiative, accountability, and drive for results. * Proven organizational skills and the ability to balance multiple priorities with excellence. * Critical thinking and sound decision-making abilities. Why You’ll Love Harbour Dental Care We value our team and invest in their success. You’ll enjoy: * Medical, Dental, and Vision Insurance * Paid Holidays & Paid Time Off * 401(k) Retirement Plan * A collaborative, supportive, and fun team culture * The excitement of launching and growing a brand new location! COMPENSATION: $60,000 - $67,000/year Powered by JazzHR IwjrxibMr8

Job Description Patient Account Collections Manager | Full-time | Remote At H2 Health, we know that effective collections management is essential to maintaining a healthy revenue cycle that supports patient care. We are looking for a skilled Patient Account Collections Manager to lead our collections team, ensuring the highest level of performance in resolving accounts receivable while cultivating a culture of excellence and collaboration. Your Role: As the Patient Account Collections Manager, you will oversee all aspects of collections operations, from developing strategies for improvement to ensuring compliance with company policies and healthcare regulations. • Lead and mentor the collections team, providing training and support to enhance skills and performance., • Develop and implement collections strategies to minimize days sales outstanding (DSO) and maximize collections., • Analyze accounts receivable aging reports and identify trends for proactive account management., • Monitor collections metrics and performance indicators, and report results to senior management., • Collaborate with other departments to address billing discrepancies, patient inquiries, and payer issues., • Ensure compliance with HIPAA and other regulatory requirements related to patient accounts., • Evaluate and improve collections processes to enhance efficiency and effectiveness., • Bachelor's degree in healthcare administration, finance, or related field preferred; equivalent experience will be considered., • A minimum of 5 years of experience in medical collections, with at least 2 years in a management or supervisory role., • In-depth understanding of medical billing, coding, and payer regulations., • Strong analytical and problem-solving skills, with the ability to identify trends and drive improvement., • Exceptional interpersonal and communication skills, both written and verbal., • Demonstrated ability to manage multiple priorities in a fast-paced environment. Benefits Why H2 Health? We’re more than a workplace, we’re a community. • Competitive hourly pay, • Full benefits: medical, dental, vision, and 401(k) with match, • PTO, paid holidays, and company-paid life insurance, • Growth opportunities in healthcare administration and operations, • Work-life balance with flexible scheduling options, • Supportive, clinician-led team culture, • Additional perks: parental leave, employee rewards, discounts, and recognition programs Ready to make an impact on both sides of the front desk? Apply today and become a key part of a team that values your versatility. H2 Health is proud to be an Equal Opportunity Employer. We celebrate diversity and inclusion in all aspects of employment.

Job DescriptionCompany: Harmony United Psychiatric Care Job Title: Psychiatric Office Assistant Internship/Outpatient Clinic (Certification Program) Program Duration: 3 to 6 months (600 hours total) Schedule: Flexible, minimum 20 hrs/week with 10 hrs/day (Full office day) Location: Jacksonville About Us Harmony United Psychiatric Care is part of Harmony United Healthcare LLC. We are a network of outpatient mental health clinics. We provide comprehensive, full-service outpatient mental health services in Florida through in-person and virtual visits through a secure online telehealth platform. Our services include Psychiatric/Psychological Evaluations, Medication Management, Psychotherapy & Counseling, and Neuropsychological Testing Services. Our team of mental health professionals includes psychiatrists, clinical psychologists/neuropsychologists, board-certified psychiatric nurse practitioners, certified physician assistants, and licensed therapists. We care for adults, adolescents, and children aged five and above. Each patient is treated with compassion and respect at Harmony United Psychiatric Care. We strive to provide the best treatment possible through individualized care for patients' needs. About the Program The Psychiatric Office Assistant Internship Program is designed for individuals seeking to transition into healthcare careers or entry-level candidates without prior medical experience. This hands-on program offers foundational exposure to medical office operations, particularly within behavioral and mental health settings. Participants will gain practical skills, industry knowledge, and mentorship, enhancing their resumes and employability in the healthcare field. After successfully completing the program, you will receive a Certificate of Completion stating the hours served and skills learned, which can be included in your resume as an experience. Voluntary, Unpaid Internship Program This internship is a voluntary and unpaid position. Participants will not receive financial compensation or wages for their time during the internship. However, they will gain valuable, hands-on experience and training in a professional mental health care environment. There are no fees charged by Harmony United Psychiatric Care for this internship program. All training and mentorship are provided at no cost to the intern. Eligibility Criteria • Individuals aged 18 or above, • Must be a High School graduate, • No prior healthcare or office experience required, • Able to commit a consistent schedule, • Must pass a basic screening ( e.g. background check), • Week 1 – Orientation and HIPAA/confidentiality training, • Week 2 to 4 – Front desk observation and shadowing, • Professional phone etiquette and patient scheduling, • Electronic Health Record (EHR) basics using MEDENT, • Patient check-in/check-out procedures, • Managing patient flow and waiting area, • Professionalism, discretion, and confidentiality in healthcare, • Appointment scheduling and front desk duties including faxing, copying and filing, • Basics of psychiatric services offered, • General medical terminology, • Introduction to insurance billing and coding, • HIPAA compliance and patient privacy, • Assigned supervisor, • Weekly feedback and progress check-ins, • Real-time guidance and corrections, • Structured training checklist to track learning milestones, • Certificate of completion detailing hours and skills acquired, • Reference letter for employment or further education Drug-free policy: Harmony United Psychiatric Care enforces a comprehensive drug-free workplace policy to ensure the safety and security of our employees and visitors. We prohibit the use of illegal drugs and the unauthorized use of controlled substances on company premises or during work hours. To ensure compliance, we conduct pre-joining drug screening and random drug testing. Violations of this policy will lead to disciplinary action, including termination of internship. By applying for an internship with us, candidates acknowledge their understanding of these terms and willingness to abide by our drug policy. Powered by JazzHR X0KQP3lN7S

Job DescriptionDescription: Exalt Health, an acute rehabilitation hospital, provides an intensive rehabilitation program, and admitted patients must be able to tolerate three hours of intense rehabilitation services per day. Focused on caring for patients with complex rehabilitative needs such as stroke, spinal cord injury, brain injury, head trauma, medically debilitation conditions, neurological disorders, cardio-pulmonary amputations, orthopedic injuries, and multiple major traumas. Essential Duties and Responsibilities The Health Information Management (HIM) Coordinator is responsible for ensuring the accuracy, completeness, and security of patient health information. This role involves maintaining compliance with regulatory standards, managing the electronic medical record (EMR) system, and supporting the overall efficiency of the HIM department. The essential responsibilities include but are not limited to the following: Health Information Management: • Maintain accurate and complete patient health records, ensuring compliance with regulatory standards (e.g., HIPAA, CIHQ)., • Process requests for medical records in a timely manner, adhering to release of information procedures., • Manage the EMR system, including user access, data integrity, and system updates., • Conduct regular audits of health records to identify and correct deficiencies., • Assist in the development and implementation of HIM policies and procedures. Coding and Billing: • Collaborate with coding staff to ensure accurate and timely coding of diagnoses and procedures., • Assist with billing processes as needed, ensuring proper documentation for reimbursement. Data Analysis and Reporting: • Generate reports on key HIM metrics, such as record completion rates, coding accuracy, and turnaround times., • Analyze data to identify trends and areas for improvement in HIM processes., • Prepare reports for regulatory agencies and accreditation bodies. Customer Service: • Collaborate with Corporate Support Team on credentialing processes and workflows., • Support Corporate Support in the preparation of credentialing reports for medical staff leaders, committees, and the governing body, • Provide excellent customer service to internal and external stakeholders, including patients, physicians, and other healthcare professionals., • Registered Health Information Technician (RHIT) is required., • Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) is a plus. Education, Training, and Experience • Associate's or Bachelor's degree in Health Information Management or a related field preferred., • Minimum of 2 years of experience in a healthcare setting, preferably in an inpatient rehabilitation facility., • Experience with electronic medical records (EMR) systems is required., • Knowledge of medical terminology, coding systems (ICD-10, CPT), and healthcare regulations is essential. Skills and Abilities, Proficiency and Productivity Standards • Knowledge of legal and ethical considerations in pharmacy services., • Organizes and prioritizes tasks and projects; accurately completes job responsibilities within the specified time constraints., • Adheres to ethical, regulatory, and accreditation standards., • Speaks and communicates English effectively in verbal and written format; writes legibly., • Maintains confidentiality of patient information., • Adapts to changes necessitated by patient/staff situations., • Seeks assistance as needed., • Functions proficiently in a Microsoft Windows environment (Outlook, Word, Excel, PowerPoint)., • Ability to work effectively in a fast-paced, team-oriented environment and follow instructions., • Ability to foster a positive, effective patient care environment., • Respects Patient Rights and promotes patient satisfaction. Exalt Health is an equal opportunity employer, drug-free workplace, and complies with ADA regulations as applicable.

Job DescriptionExciting Opportunity for Dentists – Part-Time Specialty: General Dentistry (or applicable dental specialty) Location: Orange Park, FL Schedule: Tuesday + Saturday or Sunday (2 days/week) Compensation: Competitive Daily Rate (Negotiable) Status: W-2 Employment Paid Time Off: Accrued PTO Benefits: Health, Dental, and Vision insurance options available for eligible employees Why Join Us? Join a practitioner-focused organization that prioritizes work-life balance. This opportunity offers a flexible, low-stress environment with competitive compensation and strong clinical support. What You’ll Do: • Conduct one-time dental evaluations for patients as part of a structured assessment process, • Review dental and medical history, records, and supporting documentation, • Complete thorough oral examinations and document findings electronically, • Utilize a secure, user-friendly digital platform for all reporting, • Work with provided tools, training, and ongoing clinical support What You WON’T Do:, • No restorative procedures, treatments, or ongoing dental care, • No prescribing medications, • No billing, coding, or insurance processing, • No scheduling responsibilities or walk-in patients, • DDS or DMD from an accredited dental school, • Active or eligible Florida dental license, • Strong attention to detail and documentation skills, • Comfortable with technology and electronic charting

Job DescriptionJob Posting TitlePatient Financial Account Rep - San MarcoJob Description - Work accounts receivable accounts vis workflow established by Patient Account Team Lead. Jacksonville Orthopaedic Institute is looking for a Patient Financial Account Representative to join our team at the San Marco office. The position is full-time with benefits including medical, dental, vision, life and disability insurance, and 401K retirement plan. Location: 1325 San Marco Blvd. Jacksonville, FL 32207 Schedule: Monday- Friday Essential Duties and Responsibilities • Work all accounts receivables over 31 days (or as sort forth by manager)., • Work all medical appeals for major insurance carriers, including Workers Compensation., • Clearly and accurately document issues and actions taken on patient account., • Respond professionally and effectively to questions from external sources (patients and insurance carriers) and internal sources (providers and clinic staff)., • Read, interpret and respond to Insurance carrier’s correspondence within a timely manner., • Ensure compliance with applicable laws, HIPAA regulations and company policies., • Perform other duties as assigned. Position Requirements • Prior experience in medical billing required 3+ years, • Knowledge and understanding of billing and coding standards devised by the business, government and the healthcare industry., • Knowledge of CPT and ICD-10 coding, Commercial, HMO, and Medicare insurance billing., • Must be well organized and detail oriented., • Effective communication skills, both written and oral., • Excellent customer service skills and professional demeanor., • Computer proficiency., • High School Diploma or GED required. Working Conditions Normal office environment. Occasional overtime may be required. Physical Demands Requires sitting and standing associated with a sedentary office environment: 90% Sitting, 5% Walking, 5% Standing. Manual dexterity sufficient to type and operate a computer and office equipment, and to write legibly. Vision sufficient to read standard text and data on computer screens and paper forms. Ability to speak clearly and with the volume required to carry on clear conversations in person and over the phone. Hearing sufficient to carry on clear conversations in person and over the phone.

Join Amgen's Mission of Serving Patients At Amgen, if you feel like you're part of something bigger, it's because you are. Our shared mission-to serve patients living with serious illnesses-drives all that we do. Since 1980, we've helped pioneer the world of biotech in our fight against the world's toughest diseases. With our focus on four therapeutic areas -Oncology, Inflammation, General Medicine, and Rare Disease- we reach millions of patients each year. Amgen is advancing a broad and deep pipeline of medicines to treat cancer, heart disease, inflammatory conditions, rare diseases, and obesity and obesity-related conditions. As a member of the Amgen team, you'll help make a lasting impact on the lives of patients as we research, manufacture, and deliver innovative medicines to help people live longer, fuller happier lives. Our award-winning culture is collaborative, innovative, and science based. If you have a passion for challenges and the opportunities that lay within them, you'll thrive as part of the Amgen team. Join us and transform the lives of patients while transforming your career. Patient Access Liaison, Manager - KRYSTEXXA What you will do Let's do this. Let's change the world. The Patient Access Liaison, Manager is a field-based patient access and reimbursement specialist responsible for supporting patients, caregivers, healthcare providers, and sites of care in navigating insurance coverage and reimbursement pathways for Amgen therapies. The PAL Manager serves as a key resource in helping stakeholders understand payer requirements, prior authorization processes, reimbursement considerations, and available patient support resources. The role focuses on ensuring timely and sustained access to therapy by addressing reimbursement barriers and providing education to patients and providers on coverage and financial assistance programs. Working within a collaborative field environment, the PAL Manager partners with internal teams including Market Access, Medical Affairs, Advocacy, Marketing, Case Management, and Site of Care teams to support the patient journey. The role operates with independence in managing assigned patient cases and contributes field insights that inform broader access strategies. Key Responsibilities Patient Access and Reimbursement Support * Serve as a resource on patient access and reimbursement for infused and specialty therapies. * Assist patients, caregivers, and healthcare providers in navigating insurance benefits, prior authorization requirements, and reimbursement processes. * Support the identification and resolution of access challenges, including coverage questions, prior authorization barriers, and denied claims. * Provide education regarding coding and billing considerations relevant to therapy access. Patient and Caregiver Engagement * Develop relationships with patients and caregivers through phone, virtual, and in-person engagement. * Secure written or electronic patient HIPAA authorization within assigned geography. * Assess individual patient needs and provide education and resources that support access to therapy. * Educate patients on coverage considerations and the steps required to obtain prior authorization. * Provide information regarding co-pay assistance programs, national foundations, and free drug programs when appropriate. Provider and Site-of-Care Education * Educate physician offices and sites of care on therapy coverage pathways and reimbursement processes. * Provide information regarding common prior authorization requirements, coding considerations, and billing practices. * Support healthcare providers and infusion centers in navigating reimbursement questions related to patient cases. Access Issue Resolution * Investigate patient access challenges before and after infusion. * Support physician offices and sites of care in reviewing denied claims and identifying potential next steps. * Escalate complex or systemic reimbursement issues to appropriate internal stakeholders. Cross-Functional Collaboration * Partner with internal stakeholders including Market Access, Medical Affairs, Advocacy, Case Managers, and Site of Care teams to support patient access initiatives. * Coordinate with internal and external partners to ensure appropriate resources are available to support patient access. * Share field insights regarding payer policies and reimbursement challenges. Compliance, Safety, and Operational Excellence * Adhere to company policies, compliance guidance, and applicable to federal, state, and local regulations. * Ensure activities align with HIPAA privacy requirements and internal compliance guidelines. * Report adverse events and product complaints through established pharmacovigilance processes. * Maintain accurate documentation of activities and interactions in Amgen's internal system. What we expect of you We are all different, yet we all use our unique contributions to serve patients. The dynamic professional we seek is someone with these qualifications. Basic Qualifications Doctorate degree OR Master's degree and 2 years of patient services and/or access and reimbursement experience OR Bachelor's degree and 4 years of patient services and/or access and reimbursement experience OR Associate's degree and 8 years of patient services and/or access and reimbursement experience OR High school diploma / GED and 10 years of patient services and/or access and reimbursement experience Preferred Qualifications * Experience supporting buy-and-bill or infused pharmaceutical therapies * Rare disease or orphan drug experience * Clinical background such as nursing or allied health * Understanding of reimbursement processes including prior authorization, appeals, and denied claims management * Knowledge of HIPAA guidelines and FDA regulatory requirements * Familiarity with internal and OIG compliance guidelines * Strong analytical and problem-solving skills * Excellent written and verbal communication skills * Ability to manage complex patient situations and resolve access barriers * Experience working in cross-functional field teams * Proficiency in Microsoft Office, CRM, AI and relevant systems * Access and reimbursement knowledge * Prior authorization processes * Healthcare reimbursement systems * Coding and billing awareness * Patient support program knowledge * Compliance and privacy requirements * Learning agility * Decision quality * Stakeholder engagement * Ability to respond rapidly to urgent access needs to prevent treatment delays or lapses * Ability to operate effectively in matrix field environments * Travel up to 50%, including occasional overnight and weekend commitments What you can expect of us As we work to develop treatments that take care of others, we also work to care for your professional and personal growth and well-being. From our competitive benefits to our collaborative culture, we'll support your journey every step of the way. The expected annual salary range for this role in the U.S. (excluding Puerto Rico) is $158,718 - $193,988. Actual salary will vary based on several factors including but not limited to, relevant skills, experience, and qualifications. In addition to the base salary, Amgen offers a Total Rewards Plan, based on eligibility, comprising of health and welfare plans for staff and eligible dependents, financial plans with opportunities to save towards retirement or other goals, work/life balance, and career development opportunities that may include: * A comprehensive employee benefits package, including a Retirement and Savings Plan with generous company contributions, group medical, dental and vision coverage, life and disability insurance, and flexible spending accounts * A discretionary annual bonus program, or for field sales representatives, a sales-based incentive plan * Stock-based long-term incentives * Award-winning time-off plans * Flexible work models where possible. Refer to the Work Location Type in the job posting to see if this applies. Apply now and make a lasting impact with the Amgen team. careers.amgen.com In any materials you submit, you may redact or remove age-identifying information such as age, date of birth, or dates of school attendance or graduation. You will not be penalized for redacting or removing this information. Application deadline Amgen does not have an application deadline for this position; we will continue accepting applications until we receive a sufficient number or select a candidate for the position. Sponsorship Sponsorship for this role is not guaranteed. As an organization dedicated to improving the quality of life for people around the world, Amgen fosters an inclusive environment of diverse, ethical, committed and highly accomplished people who respect each other and live the Amgen values to continue advancing science to serve patients. Together, we compete in the fight against serious disease. Amgen is an Equal Opportunity employer and will consider all qualified applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability status, or any other basis protected by applicable law. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation.

Looking to start a rewarding career path in the healthcare industry? Use Dreambound to find a Medical Billing and Coding program that will prepare you for this high-demand, entry-level role.

Job Description About GlyCare GlyCare is an independent, physician-led provider group that delivers specialized inpatient services within hospital settings. We function as a consultative diabetes management service, partnering with hospitals across multiple states to improve clinical outcomes and operational efficiency. Our team of Nurse Practitioners and Physician Assistants provides high-quality, evidence-based care, supported by a dedicated billing operations team that ensures accurate, timely, and compliant revenue cycle performance. As we continue to expand rapidly across new markets, we are seeking a detail-oriented and accountable Charges Specialist who can operate both independently and collaboratively in a fast-paced, high-volume environment. We regularly use Excel in this role. To ensure a good fit, candidates will be asked to complete a short, practical Excel exercise during the interview process. Position Summary The Charges Specialist is responsible for the accurate and timely capture, review, and submission of professional charges for inpatient services. This role is not data entry. It involves validating, reconciling, and scrubbing billing data received from multiple sources to ensure completeness, accuracy, and compliance prior to submission for reimbursement. This position owns the end-to-end charge workflow, including census reconciliation, charge validation, and coordination with internal teams to resolve discrepancies. The ideal candidate is highly organized, proactive, and capable of managing charge integrity across multiple facilities and states. The role requires attention to detail and critical thinking. Key Responsibilities Charge Capture & Reconciliation · Perform daily census-to-charge reconciliation to ensure all billable patient encounters are captured • Identify and resolve missing, duplicate, or incomplete charges across multiple systems, • Ensure accurate linkage between encounter, provider, and charge data, • Reconcile data across EMR, charge files, and billing systems to ensure completeness and consistency, • Review charges for accuracy, completeness, and compliance prior to submission, • Validate CPT/HCPCS coding, ICD-10 diagnosis alignment, and appropriate modifier usage, • Verify the accuracy of key billing elements, including place of service (POS), dates of service, authorization requirements, patient eligibility, and correct provider attribution, • Process and release charges within defined timeliness standards to support clean claim submission, • Investigate and resolve charge discrepancies in collaboration with providers, billing, and AR teams, • Analyze trends in charge errors, denials, or delays by provider, service line, or facility, • Identify root causes and partner with clinical and operational leadership to implement corrective actions, • Communicate clearly with providers regarding, coding, and charge-related questions, • Support onboarding of new facilities and providers, including validation of charge workflows and coding accuracy, • Maintain organized documentation, tracking tools, and audit-ready records, • 2+ years of experience in medical billing, charge entry, or revenue cycle operations (hospital-based experience preferred), • Strong understanding of CPT coding and charge workflows, • Experience with charge reconciliation, claim validation, or pre-bill review processes preferred, • Proficiency in Excel, including the ability to analyze, reconcile, and validate large datasets (assessment required as part of the interview process), • Experience with multi-state or multi-facility billing environments strongly preferred, • Familiarity with EMR and billing systems (Cerner, Epic, PracticeSuite), • High attention to detail with the ability to identify discrepancies, investigate root causes, and resolve issues independently, • Strong organizational and time management skills, with the ability to manage high-volume workflows and meet deadlines, • Accountability: Takes ownership of charge accuracy and reconciliation outcomes, • Organization: Able to track and manage multiple workflows simultaneously, • Proactivity: Identifies issues early and drives resolution without waiting for direction, • Collaboration: Works effectively across teams while maintaining individual productivity, • Be part of a rapidly expanding, multi-state healthcare organization focused on transforming inpatient diabetes care, • Play a critical role in revenue integrity, directly impacting operational performance and financial outcomes #LI-DNP

Job DescriptionMEDICAL DIRECTOR - REMOTE ARC Group has an immediate opportunity for a Medical Director! This position is 100% remote working eastern time zone business hours. This is a direct hire FTE position and a fantastic opportunity to join a well-respected organization and have a positive impact on the lives of millions of people. At ARC Group, we are committed to fostering a diverse and inclusive workplace where everyone feels valued and respected. We believe that diverse perspectives lead to better innovation and problem-solving. As an organization, we embrace diversity in all its forms and encourage individuals from underrepresented groups to apply. 100% REMOTE! Candidates must currently have PERMANENT US work authorization. Sorry, but we are not considering any candidates from outside companies for this position (no C2C, 3rd party / brokering). SUMMARY STATEMENT The Medicare Contractor Medical Director (CMD) provides medical leadership and decision making for an organization that serves as a Medicare Administrative Contractor (MAC). This role serves as a liaison between the Centers for Medicare and Medicaid Services (CMS) and stakeholders. CMDs play a vital role in developing Local Coverage Determinations (LCDs) and ensuring compliance with Medicare policies, reviewing medical claims, and promoting evidence-based healthcare. ESSENTIAL DUTIES & RESPONSIBILITIES Clinical Expertise and Consultation 30% • Provide leadership in clinical program outreach to the practitioner/provider/supplier/beneficiary community., • Provide direction and assistance to clinical staff in conducting provider education, as well as assist in the development of clinical guidelines as needed., • Keep clinical knowledge up to date and abreast of medical practice and technology changes., • Serve as a subject matter expert in medical and clinical areas relevant to the Medicare program., • Provide clinical consultation to internal teams (e.g., medical review staff, appeals teams) and external stakeholders., • Provide the clinical expertise, scientific literature analysis, claims data analytics to effectively focus medical polical policy and reviews on identified problem areas. Collaboration and Leadership 30%, • Collaborate with CMS and other Medicare Contractors (e.g., A/B or DME MACs and others) to develop and update medical policies and articles based on clinical evidence and regulatory requirements., • Work with multidisciplinary teams within the MAC to improve processes and ensure compliance with CMS directives., • Liaise with CMS staff, medical societies, and other stakeholders to align goals and address emerging issues., • Represent the MAC at CMS meetings and industry conferences., • Strengthen the quality improvement procedures with emphasis on decision consistency and clinical education of clinical staff through various mechanisms including but not limited to overseeing Inter-Reviewer Reliability (IRR) reviews. Program Integrity 20%, • Support program integrity initiatives, including identifying trends in inappropriate billing practices or noncompliance., • Ensure the proper application of Medicare regulations, national and local coverage determinations (NCDs and LCDs), and clinical guidelines., • Participate in all phases of LCD development by leading the Local Coverage Determination (LCD) process to include development, revision, retirement, education, and decision making., • Collaborate with investigative teams and law enforcement when required. Medical Review (MR) and Appeals 10%, • Oversee medical review activities to ensure appropriate and consistent decisions on claim determinations including pre- and post-payment determinations., • Provide leadership in developing and implementing MR Quality Assurance Programs., • Provide leadership in effectively focusing MR and developing internal MR guidelines., • Review complex or high-level appeals and provide guidance on the application of Medicare policies., • Provide support to the claim appeal process including assistance in the development of position papers and participation in the administrative process when needed such as Administrative Law Judge (ALJ) hearings. Provider Education and Communication 10%, • Provide leadership in the provider community (including interacting with hospital/specialty associations)., • Educate providers, individually or as a group, regarding identified problems or medical policy., • MD or DO degree from accredited Medical School, • Minimum of three years clinical practice experience as an attending physician, • Extensive knowledge of the Medicare program, particularly the coverage and payment rules, • Work experience in the health insurance industry, a utilization review firm, or another health care claims processing organization in a role that involved developing coverage or medical necessity policies and guidelines., • Knowledge, skill, and experience to evaluate clinical evidence, and to develop evidence-based medical necessity standards within the Medicare fee-for-service benefit structure, • Ability to develop strategies and processes to ensure evidence-based decision-making for policy in the Medicare population, • Basic understanding of medical coding conventions, • Ability to effectively communicate, collaborate with, and provide education on health care policy issues to both internal team members and external entities, • Ability to work collaboratively with internal staff to evaluate aberrancies, determine appropriate billing, coding, pricing, and utilization of services, • Proficiency with effective public speaking and ability educate providers, • Ability to work collaboratively with clinical and non-clinical team members, • Ability and desire to educate team members and external entities (i.e., CMS, providers, other federal agencies, law enforcement, etc.), • Computer literacy, including proficiency using word processing, spreadsheets, presentation, and virtual meeting applications, • Current, active, valid, unrestricted license to practice medicine in at least one state or territory within the United States, never suspended or revoked in any state or territory of the United States, • Eligible for licensure within jurisdiction of enterpriseoperations, • Experienced Physical Medicine and Rehabilitation (PM&R), Oncology, Radiology, Ophthalmology or Infectious Diseases professionals with five years of clinical practice, • MBA, MHA, MS in Management, or formal accredited coursework in medical systems management, • Demonstrated successful working experience in organized medicine group(s) (e.g., AMA, specialty society, state health department) as a committee chairperson or other leadership, • Medical Director experience in Medicare-related or commercial healthcare organization, • Coding and billing experience utilizing HCPCs, CPT, and ICD-10 codes, • Experience using GRADE methodology for literature analysis and performing systematic reviews ARC Group is a Forbes-ranked a top 20 recruiting and executive search firm working with clients nationwide to recruit the highest quality technical resources. We have achieved this by understanding both our candidate's and client's needs and goals and serving both with integrity and a shared desire to succeed. At ARC Group, we are committed to providing equal employment opportunities and fostering an inclusive work environment. We encourage applications from all qualified individuals regardless of race, ethnicity, religion, gender identity, sexual orientation, age, disability, or any other protected status. If you require accommodations during the recruitment process, please let us know. Position is offered with no fee to candidate.

Sr ED Coding Specialist The Sr ED Coding Specialist accurately assigns and sequences ICD-10-CM/PCS, CPT-4, and HCPCS codes for inpatient and outpatient records to support compliant billing, reporting, and reimbursement. Key Responsibilities * Code and sequence diagnoses and procedures in accordance with ICD-10-CM/PCS, CPT-4/HCPCS, UHDDS, Medicare, Medicaid, and payer guidelines. * Utilize computerized encoding systems to ensure accurate and compliant coding. * Assign DRGs for inpatient discharges and APCs for outpatient visits. * Abstract and verify clinical, diagnostic, and demographic data for all patient encounter types. * Routinely code Emergency Department records, including E&M charges, meeting established productivity and quality standards. * Code inpatient, outpatient surgery, and ancillary records as assigned. * Collaborate with physicians and staff to obtain complete documentation and ensure coding quality. * Provide coding and documentation education to physicians and staff as requested. * Investigate and respond to coding, documentation, and compliance questions related to ED, observation, infusions, and injections. * Maintain productivity standards and a minimum 96% accuracy rate. * Complete continuing education to maintain required credentials. Qualifications Required Credentials * One of the following: CCS, CPC, COC, RHIA, or RHIT * AHIMA-approved coding certificate preferred Experience * 4+ years of recent acute care hospital coding experience * Successful completion of a coding skills assessment Job Type & Location This is a Contract to Hire position based out of Jacksonville, FL. Pay and Benefits The pay range for this position is $32.00 - $36.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: - Medical, dental & vision - Critical Illness, Accident, and Hospital - 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available - Life Insurance (Voluntary Life & AD&D for the employee and dependents) - Short and long-term disability - Health Spending Account (HSA) - Transportation benefits - Employee Assistance Program - Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a hybrid position in Jacksonville,FL. Application Deadline This position is anticipated to close on May 22, 2026. About TEKsystems We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. About TEKsystems and TEKsystems Global Services We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records. Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability. Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.

Reports directly to the designated immediate manager for the specific practice or outpatient department. Responsible for scheduling patient appointments. Interviews patients to obtain appropriate demographic and financial information. Registers patients and performs other registration functions. Obtains necessary signatures and documentation from patients for billing and insurance purposes. Orders laboratory tests and other tests via the computer system at the direction of the physicians. Performs end-of-day disposition and gathers appropriate statistical information relating to patients. Announces the arrival of patients and answers incoming telephone calls for the department/practice. Serves as a liaison between patients, nurses, physicians, and others. Provides excellent customer service and greets patients entering the department/practice. Age of Patients Served: All Age Groups. Required Education: High School Diploma or GED. Necessary Skills: 1. Requires excellent decision making skills and initiative. 2. Must be very detailed oriented. 3. Possess excellent verbal communications skills in the English language. 4. Basic arithmetic skills are necessary for cashiering. 5. Data entry experience required. 6. Ability to prioritize tasks and organize work flow. 7. Must be able to handle stressful situations in a professional customer service related manner. Preferred Licensure/Certifications: - ICD-9 and CPT coding preferred. - Completion of a standard medical terminology course would be helpful, but not required. Required Experience: One (1) year experience with third party payors. Preferred Experience: Up to four (4) years clerical/customer service experience, ideally in a health care related industry. Computer experience for imputing data and reviewing patient demographic material.

The Medical Receptionist at North Florida Pediatrics serves as the vital first point of contact for patients and visitors within a healthcare facility, ensuring a welcoming and professional environment. This role is essential in managing patient flow by efficiently scheduling appointments, verifying patient information, and coordinating communication between patients and medical staff. The Medical Receptionist is responsible for maintaining accurate and confidential patient records, handling billing inquiries, and facilitating smooth administrative operations. By managing multiple tasks with attention to detail and empathy, the receptionist supports the overall efficiency and quality of patient care. Ultimately, this position contributes significantly to patient satisfaction and the seamless functioning of the healthcare service. Minimum Qualifications: • High school diploma or equivalent., • Previous experience in a receptionist or administrative role, preferably in a healthcare setting., • Basic knowledge of medical terminology and healthcare procedures., • Proficiency in using electronic health record (EHR) systems and standard office software., • Strong communication and interpersonal skills., • Valid driver's license., • Certification as a Medical Receptionist or in Medical Office Administration., • Experience with insurance billing and coding processes., • Familiarity with HIPAA regulations and patient privacy standards., • Multilingual abilities to assist a diverse patient population., • Greet and welcome patients and visitors promptly and courteously, providing assistance as needed., • Schedule, confirm, and manage patient appointments using electronic health record (EHR) systems., • Verify patient insurance information and collect co-payments or fees at the time of service., • Maintain and update patient records accurately while ensuring confidentiality and compliance with healthcare regulations., • Answer incoming phone calls, respond to inquiries, and direct calls to appropriate medical personnel., • Coordinate communication between patients, healthcare providers, and administrative staff to facilitate smooth operations., • Manage the reception area to ensure it is organized, clean, and professional at all times., • Assist with billing processes, including processing payments and handling insurance claims documentation. The Medical Receptionist utilizes strong organizational skills daily to manage appointment schedules and patient records efficiently, ensuring minimal wait times and accurate documentation. Effective communication skills are essential for interacting with patients, healthcare providers, and insurance companies, facilitating clear and compassionate exchanges. Proficiency with electronic health record systems and office software enables the receptionist to handle data entry, billing, and correspondence accurately and securely. Problem-solving skills are applied when addressing patient concerns or scheduling conflicts, maintaining a smooth workflow. Additionally, attention to detail and confidentiality are critical in managing sensitive patient information in compliance with healthcare regulations.

Responsible for providing timely responses for the Single Billing Office (SBO) Customer Service Department, which includes but is not limited to written and verbal billing account inquiries, researching and resolving disputes, managing the Financial Hardship program, comply with Risk Management requests, resolve patient Bankruptcy and Probate accounts. Responsible for coordination with vendor to comply with subpoenas and attorney requests for billing records. Assist in answering Customer Service ACD calls and responding to Epic MyChart billing inquires as needed. Demonstrate the ability to prioritize daily responsibilities to comply with follow-up timeframes. Research and respond to written physician and hospital account inquires and requests via the EPIC MyChart portal. Assist with answering inbound calls from patients, attorneys, insurance companies, clinic staff, and outside medical facilities as needed, abiding by the established answer rate standards when needed. Meet the established goal standards for activities performed on accounts. Meet established attendance requirements as outlined by the company attendance policy and department requirements. Comply with Risk Management requests and adjustments. Review deceased patient accounts to verify balances and make the necessary adjustments. Coordinate with the probate recovery vendor as needed. Respond to Attorney request and Subpoenas timely according to HIPAA guidelines and company policy. Coordinate with billing record vendor to comply with the request. Review bankruptcy related account balances and make the necessary timely adjustments. Process Financial Hardship applications to an approved, denied or incomplete status and apply the necessary adjustments. This includes reviewing income documents and credit bureau information. Facilitate patient billing inquires, disputes, and request to a resolution. Communicate key issues to other department management personnel as needed. Send timely follow-up communication to ensure the necessary actions are completed. Review and interpret electronic remits and EOB's to verify the account balances are correct. This includes making appropriate insurance adjustment corrections and researching denial reasons. Review and interpret visit and procedure chart notes to address billing disputes and inquiries regarding ICD-10 and CPT Coding data elements to facilitate collections. Up to 2 years Physician and/or hospital medical billing, including follow-up preferred. Up to 2 years Customer service preferred. Up to 1 year Microsoft Office (Outlook, Word, Excel) preferred. Up to 1 year Written Communication preferred. Up to 1 year Epic Medical Billing software preferred. Education: High School Diploma or GED equivalent - required. Additional duties as assigned may vary. UFJPI IS AN EQUAL OPPORTUNITY EMPLOYER AND DRUG FREE WORKPLACE

At least 3 years of billing and coding experience (outpatient/medical practice coding experience preferred). Ensure completion of documentation and coding on the EMR when needed on charges entered in patient's accounts for a correct and complete billing claim.

A healthcare provider in Florida is seeking a Revenue Cycle Insurance Specialist to manage insurance claims and ensure timely reimbursement. The ideal candidate will have at least 5 years of healthcare experience in medical billing and a strong understanding of CPT and ICD coding. With responsibilit

Key Responsibilities Review medical records and documentation to assign accurate diagnosis and procedure codes Responsible for coding office visits and surgeries Collaborate between clinical, billing and patient services departments to ensure correct information is obtained for accurate coding an

A healthcare organization is seeking a Physician Billing Coder for a remote position. Candidates should have at least 3 years of physician coding experience and be certified as a Professional Coder (CPC). The position offers full-time hours from Monday to Friday with the possibility of remote work f

Job Description Job Title: Medical Receptionist Department: Patient Care Front Desk Reports: East Region Supervisor Employment Status: Non-Exempt Supervisory Responsibilities: None About the Role: The Medical Receptionist at North Florida Pediatrics serves as the vital first point of contact for patients and visitors within a healthcare facility, ensuring a welcoming and professional environment. This role is essential in managing patient flow by efficiently scheduling appointments, verifying patient information, and coordinating communication between patients and medical staff. The Medical Receptionist is responsible for maintaining accurate and confidential patient records, handling billing inquiries, and facilitating smooth administrative operations. By managing multiple tasks with attention to detail and empathy, the receptionist supports the overall efficiency and quality of patient care. Ultimately, this position contributes significantly to patient satisfaction and the seamless functioning of the healthcare service. Minimum Qualifications: • High school diploma or equivalent., • Previous experience in a receptionist or administrative role, preferably in a healthcare setting., • Basic knowledge of medical terminology and healthcare procedures., • Proficiency in using electronic health record (EHR) systems and standard office software., • Strong communication and interpersonal skills., • Valid driver's license., • Certification as a Medical Receptionist or in Medical Office Administration., • Experience with insurance billing and coding processes., • Familiarity with HIPAA regulations and patient privacy standards., • Multilingual abilities to assist a diverse patient population., • Greet and welcome patients and visitors promptly and courteously, providing assistance as needed., • Schedule, confirm, and manage patient appointments using electronic health record (EHR) systems., • Verify patient insurance information and collect co-payments or fees at the time of service., • Maintain and update patient records accurately while ensuring confidentiality and compliance with healthcare regulations., • Answer incoming phone calls, respond to inquiries, and direct calls to appropriate medical personnel., • Coordinate communication between patients, healthcare providers, and administrative staff to facilitate smooth operations., • Manage the reception area to ensure it is organized, clean, and professional at all times., • Assist with billing processes, including processing payments and handling insurance claims documentation. The Medical Receptionist utilizes strong organizational skills daily to manage appointment schedules and patient records efficiently, ensuring minimal wait times and accurate documentation. Effective communication skills are essential for interacting with patients, healthcare providers, and insurance companies, facilitating clear and compassionate exchanges. Proficiency with electronic health record systems and office software enables the receptionist to handle data entry, billing, and correspondence accurately and securely. Problem-solving skills are applied when addressing patient concerns or scheduling conflicts, maintaining a smooth workflow. Additionally, attention to detail and confidentiality are critical in managing sensitive patient information in compliance with healthcare regulations.

Job DescriptionBenefits: • Accidental insurance, • Disability Insurance, • Bonus based on performance, • Competitive salary, • Dental insurance, • Employee discounts, • Health insurance Responsibilities: • Greet and check in patients with a warm and friendly demeanor., • Manage phone calls, schedule appointments, and handle patient inquiries., • Maintain patient records and ensure accurate data entry., • Process insurance verifications and collect payments., • Coordinate with therapists to optimize patient flow and scheduling., • Assist with administrative tasks such as filing and inventory management., • Ensure a clean and organized front office environment., • Provide exceptional customer service to enhance patient satisfaction.Requirements:, • High school diploma or equivalent; experience in a medical office preferred., • Strong communication and interpersonal skills., • Proficiency in office software and electronic medical records (EMR)., • Ability to multitask and manage time effectively in a fast-paced environment., • Detail-oriented with strong organizational skills., • Experience with insurance billing and coding is a plus., • Positive attitude and a passion for helping others.

Low cost job training - healthcare, tech, business, and more Make more money in just a few months Financial aid for those who qualify Flexible payment options Find top-rated training programs near you with Dreambound The #1 platform to find career training Fully online and evening classes available.

Job Description The below Job Description is intended to describe the general nature and level of work being performed by associates assigned to this job. It is not an exhaustive list of responsibilities, and is subject to changes and exceptions at the discretion of senior management. JOB TITLE: Optometric Office Technician / Medical Office Administrator REPORTS TO: Store General Manager FLSA STATUS: Hourly; Non-Exempt POSITION PURPOSE: The major responsibility of the Optometric Office Technician is to assist the Managing Optometrist in the technical and administrative operation of an optometric practice. The position will interact with patients/customers by delivering an exceptional patient/customer experience, foster patient/customer retention, and promotes outstanding associate/doctor satisfaction. OPTOMETRIC OFFICE TECHNICIAN The Optometric Office Technician plays a key role in the optometric practice. Their duties may include the utilization of computerized medical office software, administrative office procedures, health insurance processing billing and transcription of medical reports. An Optometric Office Technician role may combine skills of a medical office administrator, medical billing and collections, appointment scheduler or medical records clerk and direct patient care. ESSENTIAL DUTIES AND RESPONSIBILITIES: Clinical Duties • Taking patient medical histories, • Preparing patients for examinations, • Administering tests prior to the eye exam, • Assisting doctors during examinations, • Assist with ordering glasses and contact lens supply Administrative Job Duties • Greeting and directing patients, • Answering telephones, • Updating and maintaining Electronic Medical Records, • Obtaining insurance verification and authorization, • Adjust scheduling for priority patients, • Scheduling appointments, • Processing insurance claim forms, • Patient and insurance billing, • Optometric medical billing and coding, • Vision insurance billing and coding, • Accounts receivable and accounts payable, • Bookkeeping TRAVEL REQUIREMENTS: • Ability to provide enthusiastic and concise communication to meet/exceed customer expectations as well as foster positive and results-oriented associate, doctor and host relationships., • Ability to manage priorities through adaptability, willingness to take calculated risks, and follow-up., • Experience with personal computers preferred., • Valid State Driver’s License and State Minimum Insurance coverage., • High school diploma or equivalent, or comparable experience typically achieved with a minimum of 1-2 years in a retail setting.

This full-time remote role requires 3 years of experience in medical billing and physician coding, along with a Certified Professional Coder (CPC) certification. A healthcare organization is seeking a Physician Billing Coder I to ensure accurate assignment of diagnoses and procedures for reimburseme

Job Description As a back office medical assistant, your job duties include some administrative tasks, like entering patient medical history, symptoms, and vital signs into their chart and coding patient medical records for insurance and billing purposes, as well as basic medical tasks like measuring patient blood pressure and heart rate. Also required to assist with certain procedure and surgeries. Sterilization of instruments Preparing rooms for procedures Taking patients back to the room and taking vital signs Assisting the doctor with office procedures Excellent wages Please email your resume Company DescriptionSmall practice, but very busy.Small practice, but very busy.

Job Description Full Job Description Ace Medical (“ACE”) is a large multispecialty practice spanning Jacksonville to St. Augustine. This position will be for our St. Augustine and Jacksonville location. Our practice continues to grow and with that comes the demand of growth for multiple positions. JOB OVERVIEW: Responsible for patient care under the direction of a physician or licensed health care provider. * Medical Assistant position - FT for a multi-physician multispecialty practice. * Ideal candidate will possess EMR experience, Office Ally preferred. * Must have positive attitude and be able to multitask in a fast paced environment. Experience in both back and front office needed. * Our practice offers great benefits and provided a supportive team environment ESSENTIAL FUNCTIONS INCLUDE BUT ARE NOT LIMITED TO: * Room patients, obtain vitals, patient history and reason for seeking care. * Process telephone messages. * Follow prescription refill procedures. * Maintain patient records confidentially. * Record patient charges and lab charges for billing department. * Assist the provider with patient education pertaining to their ongoing health care: * Experience with EKG’s a plus * Results of lab and x-ray reports * Diet and exercise * Laboratory and radiology preparation ADDITIONAL RESPONSIBILITIES: * Must be able to recognize and respond appropriately to urgent/emergent situations per protocols. * Maintain work area, exam rooms, supplies, medications and immunizations. * Perform basic triage per specific office protocol procedures. * Maintain professional appearance and personal conduct at all times. * Adhere to employer work practices. * Establish and maintain effective working relationships with physicians, staff and management. * Effectively cope with typical job stress. * Document work processes as required. * Perform other duties as assigned, which may also include front desk responsibilities. QUALIFICATIONS: Education/ Certification/Licensure: * Certified Medical Assistant through the National Medical Assistant Certification exam (i.e. AAMA or NCCT) within one year of issuance. * CPR certification for Health Care Providers. Experience: 3 months experience in a medical office environment preferred. Skills: * Medical terminology. * Strong organizational and interpersonal skills. * Knowledge of CPT & ICD-9 coding procedures. * Knowledge of medications and injection procedures. Other Requirements: * Maintain current Medical Assistant-certified certification. * Ability to multi-task efficiently and effectively. * Must be able to act calmly and effectively in a busy or stressful situation. * Ability to communicate effectively in the English language in person, by phone and in writing. * Requires adherence to all policies and procedures, including but not limited to standards for safety, attendance, punctuality and personal appearance. * Management experience a plus. Physical Requirements: Hearing: Adequate to perform job duties in person and over the telephone. Able to use stethoscope and respond to verbal questions. Speaking: Must be able to communicate clearly to patients in person and over the telephone. Other: Requires frequent lifting and carrying items weighing up to 30 pounds unassisted, including assisting patients when required. Adequate physical ability including sufficient manual dexterity to perform the requisite health care service, including injections. Requires frequent bending, reaching, repetitive hand movements, standing, walking, squatting and sitting, with some heavy lifting, pushing and pulling exerted regularly throughout a regular work shift. Requires exposure to communicable diseases, bodily fluids, medicinal preparations and other conditions common to a clinic environment. The above is intended to describe the general content and requirements for the performance for this position. It is not to be construed as an exhaustive statement of duties, responsibilities or requirement. The working hours and days are fairly standard at approximately 8am-5pm Monday through Friday. Overtime is afforded as approved and needed. Competitive benefits packages include supplemented health insurance, 401k, paid time off, holiday days off with pay and other benefits. Ace Medical is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, age, religion, sex, sexual orientation, gender identity, or national origin. PLEASE ONLY SEND PDF FILES. Job Type: Full-time Pay: $16.00 - $17.00 per hour Benefits: * 401(k) * 401(k) matching * Dental insurance * Disability insurance * Health insurance * Life insurance * Paid time off * Retirement plan * Vision insurance Medical specialties: * Cardiology Schedule: * Monday to Friday COVID-19 considerations: Vaccination or exemption required. Masks required. Ability to commute/relocate: * Fleming Island, FL 32003: Reliably commute or planning to relocate before starting work (Required) Experience: * EMR systems: 1 year (Preferred) * Vital signs: 1 year (Preferred) License/Certification: * BLS Certification (Preferred) * Certified Medical Assistant (Preferred) Work Location: Jacksonville and St Augustine Company DescriptionWe care for our patients like a family! "This isn't a program where it's three strikes and you're out. Apart from just providing best-in-class treatment to help our patients to recover, we also think about the best ways to make sure that they get a stable life overall. Most of our patients say, 'Nobody gives me a chance. Nobody talks to me the way you do and tells me that I can succeed. Nobody listens.” We get to know our patients, and their appreciation is so rewarding!We care for our patients like a family!\r\n"This isn't a program where it's three strikes and you're out. Apart from just providing best-in-class treatment to help our patients to recover, we also think about the best ways to make sure that they get a stable life overall.\r\n\r\nMost of our patients say, 'Nobody gives me a chance. Nobody talks to me the way you do and tells me that I can succeed. Nobody listens.”\r\n\r\nWe get to know our patients, and their appreciation is so rewarding!