Add your latest resume to match with open positions.

2 results for Credentialing Specialist in Fort Lauderdale, FL

Medical Billing Specialist

Lantana, FL
remote
Temporary to Hire
24.7 - 28.6 USD / Hourly
We are looking for a Medical Billing Specialist to support billing operations for a senior living and skilled nursing environment in Florida. This contract opportunity with permanent potential is ideal for someone with hands-on experience managing skilled nursing facility claims and receivables in a remote setting. The person in this role will help maintain accurate billing workflows, resolve claim issues efficiently, and contribute to timely reimbursement across healthcare billing systems. Responsibilities: • Prepare, review, and submit medical claims for skilled nursing and long-term care services with close attention to accuracy and payer requirements. • Investigate billing discrepancies, correct claim errors, and follow through on denied or rejected submissions to improve reimbursement outcomes. • Manage account follow-up activities, including collections work, payment research, and resolution of outstanding balances. • Use billing platforms and clearinghouse tools to process claims and monitor claim status. • Verify coding and claim details before submission to help reduce delays, underpayments, and avoidable denials. • Coordinate with internal teams to gather documentation, clarify billing questions, and support complete and compliant claim processing. • Track remittance activity, post payment information as needed, and reconcile billing records to maintain organized account data. • Support electronic billing workflows involving systems when required for payer communication and claim review.
2026-05-11T00:00:00Z

Certified Medical Coder

Boca Raton, FL
remote
Temporary / Contract
24.7 - 28.6 USD / Hourly
We are looking for a detail-oriented Medical Billing Specialist to support a healthcare organization in Boca Raton, Florida. This Contract position will focus on coding accuracy, billing compliance, and reimbursement optimization while partnering with providers and revenue cycle teams. The ideal candidate brings strong experience in E/M coding, medical record auditing, and payer guideline interpretation within a regulated clinical environment. Responsibilities: • Conduct secondary reviews of billing activity to confirm coding accuracy, regulatory compliance, and appropriate reimbursement outcomes. • Examine clinical documentation to identify coding variances, prepare audit findings, and educate providers on documentation improvement opportunities. • Collaborate with physicians and care teams to clarify incomplete or conflicting chart details and resolve documentation questions affecting claims. • Escalate recurring documentation concerns, coding risks, and reimbursement patterns to revenue cycle leadership and practice management. • Partner with billing and revenue staff to support account follow-up, claim corrections, and resubmissions that improve accounts receivable performance. • Evaluate payer behavior, reimbursement trends, and policy updates to identify issues that may affect billing results or compliance. • Investigate denials, coding questions, and billing-related inquiries, then provide clear guidance based on payer rules and compliance standards. • Deliver training and day-to-day support to providers and less experienced staff on coding requirements, documentation standards, and regulatory expectations. • Assist with updates to charge documents, workflows, and related procedures to maintain alignment with organizational and payer requirements. • Protect the confidentiality of patient and financial information while completing assigned billing, coding, and audit activities.
2026-05-06T00:00:00Z