Add your latest resume to match with open positions.

3 results for Denials Specialist in Miami, FL

Billing Specialist

Dania Beach, FL
onsite
Permanent / Full Time
60000.00 - 65000.00 USD / Yearly
We are looking for a Billing Specialist to support a busy service organization in Dania Beach, Florida. This position focuses on turning completed work into accurate invoices by reviewing documentation, confirming billing details, and coordinating with internal teams to keep billing moving efficiently. The ideal candidate is organized, deadline-conscious, and comfortable handling large invoice volumes across a range of customer billing systems. Responsibilities: • Examine completed service records and related backup to confirm each job is ready to be billed • Coordinate with operations, service leadership, dispatch, and field personnel to clarify missing or inconsistent billing information • Prepare and release invoices each day, including organizing batches, posting transactions, and sending billing through electronic channels or occasional mail • Track work through established billing stages to ensure items move smoothly from operational review into final invoicing • Submit invoices through numerous customer portals while following each platform's specific formatting and documentation rules • Verify that every invoice satisfies client-specific requirements before final submission to reduce delays or rejections • Work with accounting and operational partners to investigate and resolve invoice discrepancies or supporting document issues • Maintain strong accuracy and productivity standards while managing billing in a high-volume, fast-moving environment
2026-04-22T15:13:51Z

Certified Medical Coder

Boca Raton, FL
remote
Temporary / Contract
24.70 - 28.60 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.
2026-04-27T18:28:45Z

Claims Associate

Sunrise, FL
onsite
Temporary / Contract
18.05 - 20.90 USD / Hourly
We are looking for a dedicated Claims Associate to join our team on a long-term contract basis in Sunrise, Florida. In this role, you will handle medical claims processing, member communications, and ensure compliance with industry standards. This position offers an opportunity to utilize your expertise in medical claims and billing while providing excellent customer service. Responsibilities: • Process new claims by setting them up, completing required forms, scanning documents, and ensuring all claims are accurately processed. • Communicate with healthcare providers to gather additional documentation needed for claim evaluations. • Assess coverage for submitted claims, verifying details through internal systems and attaching supporting documents. • Send clear and thorough correspondence to members explaining the claim adjudication process. • Provide empathetic and detail-oriented customer service, actively listening to member concerns. • Act as a subject matter expert on benefit coverage and product knowledge, assisting members with inquiries. • Maintain strict confidentiality and follow data security and authentication protocols when handling sensitive information. • Organize and prioritize tasks to meet established service standards and benchmarks. • Collaborate effectively in a fast-paced environment to ensure timely claim resolutions. • Ensure compliance with relevant policies, procedures, and regulations while managing member and payment information.
2026-04-22T15:18:51Z