Physician Practice RM Claims Specialist Biotechnology & Pharmaceuticals - Miami, FL at Geebo

Physician Practice RM Claims Specialist

Miami, FL Miami, FL Full-time Full-time $15.
00 - $18.
11 an hour $15.
00 - $18.
11 an hour Description:
Provides billing and/or claims management support to the Baptist Health Medical Group revenue management team.
Complies with payer filing deadlines by utilizing all available resources to resolve held claims, Assures all known regulatory, contractual, compliance, and BHSF guidelines are adhered to with regards to claim billing processes.
Communicates with various teams within the organization.
Utilizes coding compliance and understanding of ICD-10, HCPCS, CPT-4 and associated modifiers to successfully resolve claims management issues.
Estimated pay range for this position is $15.
00 - $18.
11 / hour depending on experience.
Qualifications:
Degrees:
High School,Cert,GED,Trn,Exper Licenses & Certifications:
AHIMA Certified Coding Specialist-Physician-based AHIMA Certified Coding Specialist AHIMA Certified Coding Associate AAPC Certified Professional Coder Additional
Qualifications:
Minimum two years of charge entry or claims/billing management experience.
Years of experience may suffice for initial certification requirement.
AHIMA Certified Coding Associate, AHIMA Certified Coding Specialist, AHIMA Certified Coding Specialist-Physician-based is preferred.
No certification is required.
Must possess working knowledge of coding and charge entry or claims management processes.
Knowledgeable in physician billing, regulatory, and compliance guidelines, as well as appeal processes.
Possesses effective verbal and written communication skills.
Experienced with Microsoft Word and Excel and work well with new applications.
Experience with Soarian Financials/Change healthcare preferred, as well as hospital-based software.
Job Type:
Full-time Pay:
$15.
00 - $18.
11 per hour
Benefits:
401(k) Dental insurance Health insurance Life insurance Paid time off Schedule:
8 hour shift Education:
High school or equivalent (Required)
Experience:
CLAIMS/BILLING MANAGEMENT:
2 years (Required) Sorian Financials:
1 year (Preferred) CHARGE ENTRY:
2 years (Required) License/Certification:
Certified Professional Coder Certification (Required) Work Location:
In person Provides billing and/or claims management support to the Baptist Health Medical Group revenue management team.
Complies with payer filing deadlines by utilizing all available resources to resolve held claims, Assures all known regulatory, contractual, compliance, and BHSF guidelines are adhered to with regards to claim billing processes.
Communicates with various teams within the organization.
Utilizes coding compliance and understanding of ICD-10, HCPCS, CPT-4 and associated modifiers to successfully resolve claims management issues.
Estimated pay range for this position is $15.
00 - $18.
11 / hour depending on experience.
.
Estimated Salary: $20 to $28 per hour based on qualifications.

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