UNKNOWN

FEED

Experience working with key laws and regulations impacting the pharmaceutical industry (e.g., PhRMA Code; Federal Food, Drug, Cosmetic Act; Anti-Kickback Statute; False Claims Act, OIG/DOJ Guidance; Foreign Corrupt Practices Act; and federal and state transparency and disclosure laws) preferred. Collaborates appropriately with internal cross functional partners including but not limited to Oncology Thought Leader Liaisons, Oncology Field Reimbursement Managers, and other specialty roles to facilitate aligned, coordinated efforts with Customers in a compliant manner.

Eisai Inc

Sr. Oncology Sales Specialist- S2 - (Miami, FL) (field based)

SHS works with agents to address the coverage needs and loss exposures of more than 16,000 social service and non-profit organizations across the country. Since 1980, we've been Protecting Those Who Improve Your Community and were one of the first carriers to offer niche coverage solutions to nonprofit and service organizations.

YEAR

Great American Insurance Company

Senior Casualty Claim Representative/Claims Specialist-Specialty Human Services

Lennox National Account Services (NAS), wholly owned by Lennox International, a 120+ year old company and a world leader in the Heating, Ventilation and Air Conditioning (HVAC) industry. Depending on date of hire, and subject to applicable eligibility requirements, new employees in this role also receive up to: 12 days paid time off, 2 paid well-being days, 1 paid volunteer day, 10 paid holidays, and 3 floating holidays per year.

Lennox International Inc

Customer Experience Specialist

Partner with Sales Leaders and pursuit teams to advance our position and deliver proposals that resonate with our clients responsibilities include coordinating all elements of pursuits such as strategy development, messaging, content development, formatting, proofreading, coordination with graphics, editing/review, compliance, brand adherence, with a strong focus on efficient and timely production. This role works closely with senior leaders supporting sales/marketing and business development efforts, including proposal tracking; creation of persuasive proposals, presentations, and marketing materials; and maintenance of systems and tools to promote overall efficiency and effectiveness.

HOUR

Brown and Caldwell Inc

Senior Marketing Specialist

Intermediate computer skills (in programs such as MS Word, Excel & Outlook) to include if/then formulas, create complex formulas, perform vlookups, countifs, conditional formatting, pivot tables, etc.). SUPERVISION RECEIVED AND EXERCISED: Receives direct supervision from the Payroll Team Lead and the Senior Human Resources Manager and indirect supervision from the Director of Human Resources.

Seaboard Corporation

Payroll Specialist

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Remote: We hire for fully remote roles in the following states: California, Colorado, Connecticut, Florida, Georgia, Illinois, Iowa, Kansas, Maryland, Massachusetts, Michigan, New Hampshire, New Jersey, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Virginia, Washington, and Washington, D.C. Please note: We are only able to consider candidates who reside in one of the locations listed above at the time of hire. With integrated expertise in strategic marketing and communications, corporate reputation, creative, and insights, we cut through the noise to deliver bold ideas and measurable impact across B2B technology, healthcare, cybersecurity, energy, professional and financial services, and more.

Highwire Public Relations Inc

Director, Project Manager

BMO Dealer Finance has a full range of products and services to provide for a dealership's financial needs, including floorplan, mortgage, acquisition, lease/rental lines and equipment loans along with a full suite of cash management services. Drives efforts to identify new business opportunities, acquire clients, penetrate markets, and expand the client base by leveraging market insights, competitor analysis, and cross-selling initiatives.

BMO (Bank of Montreal)

Director, Commercial Banking-Dealer Finance

ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations. The analyst collaborates closely with healthcare providers, insurance companies, and internal departments to verify claims, identify discrepancies, and facilitate timely reimbursements.

Independent Living Systems LLC

Claims & Billing Analyst

Maintains accurate medication information (missed doses, medication reconciliation, patient-reported side effects, and dose changes), investigates prescription barriers, reports order updates to the clinic, and schedules orders for delivery/pickup in a timely manner. Dispensing & Distribution Team: Responsible for the dispensing of oral oncology medications under the supervision of the Dispensing Operations Pharmacist, including but not limited to accurately counting and filling, ordering and stocking, packaging and shipping of oral oncology medications.

Florida Cancer Specialists and Research Institute

Registered Pharmacy Technician Rx To Go

Ability to build an engaging culture of quality, performance effectiveness and operational excellence through best practices, strong business and political acumen, collaboration and partnerships, as well as a positive employee, physician and community relations. We are recognized by the American Society of Clinical Oncology (ASCO) with a national Clinical Trials Participation Award, FCS offers patients access to more clinical trials than any private oncology practice in Florida.

Manager of Radiology Services

FULL_TIME

This role supervises billing, collections, payment posting, denial management, and accounts receivable teams to ensure clients achieve optimal reimbursement, reduced A/R days, and high clean-claim rates. The RCM Supervisor serves as a key liaison between clients, payers, providers, and internal teams, ensuring service excellence and compliance with industry regulations.

PROMD PRACTICE MANAGEMENT INC

RCM Supervisor

This position will be directly involved in analyzing pre-bill claim edits, claim denials and AR management, and working alongside the Revenue Specialists, will review and amend denied claims to ensure accurate coding and adherence to payor policy requirements. Audit medical record documentation to identify under-coded and over-coded services; prepare reports of findings and meet with providers to provide education and training on accurate coding practices and compliance issues.

Unified Women's Healthcare LLC

Coding Analyst

In this role you will be supporting the FCR team in addition to a small clinical coder team of 2 clinical coders who will be responsible for performing in-depth quality audits of hospital claims to support ICD-10-CM and ICD-10 PCS codes as well as EDC (Emergency Department Coding), MS-DRG and APR-DRG reviews based on clinical determination. Acts as a resource and helps to validate post claim DRG downgrade denials related to coding and clinical determination to support appeal strategy, tracking by disease, payer and denial activity and works with teams to create transparency and improvements to mitigate and prevent denials.

At the Blue Cross and Blue Shield Association (BCBSA), we provide business strategy, technical support and consulting expertise to 36 Blue Cross and Blue Shield companies across the nation, employing more than 1,000 of the best strategic thinkers in the industry.  We are a Brand manager that sets quality control standards for the 36 independent companies that use the Blue Cross and Blue Shield Brands, and we serve as a trade association that represents these Blue companies. It is through our involvement that the Blues companies share a united vision and strategy while also benefiting from the local strength of all member companies.

Blue Cross and Blue Shield Association

Clinical Coding Analyst RN, Consultant

Baptist Health is the region''s largest not-for-profit healthcare organization, with 12 hospitals, over 29,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward and Palm Beach counties. Our approach is rooted in a "grow our own" philosophy, designed to help our team members build meaningful, long-term careers with us, supported by benefits that make a real difference, including: Career growth and development opportunities, with clear pathways and ongoing support.

Baptist Health South Florida is once again one of the 2020 Fortune 100 Best Companies to Work For! This is the 20th time Baptist Health has been recognized on the list. We have also been recognized for being among the best healthcare providers in the nation by U.S. News & World Reports in its 2020-2021 Best Hospitals and have been honored as one of PEOPLE's 2020 50 Companies that Care by PEOPLE magazine and Great Place to Work. Baptist Health South Florida is the region's largest not-for-profit healthcare organization with more than 23,000 employees working across 11 hospital campuses and more than 100 outpatient facilities throughout Miami-Dade, Monroe, Broward, and Palm Beach counties. In 2016 we welcomed the newest weapon in the fight against cancer, the world-class Miami Cancer Institute and proton therapy center. Everything we do at Baptist Health, we do to the best of our ability. That includes supporting our team with extensive training programs, millions of dollars in tuition assistance, comprehensive benefits and more. Working within our award-winning culture means getting the respect and support you need to do your best work ever. Find out why this is the best place to be your best!

Medical Reimbursement Specialist Jobs in Miami, FL

Sr. Oncology Sales Specialist- S2 - (Miami, FL) (field based) Eisai Inc

Senior Casualty Claim Representative/Claims Specialist-Specialty Human Services Great American Insurance Company

Customer Experience Specialist Lennox International Inc

Senior Marketing Specialist Brown and Caldwell Inc

Payroll Specialist Seaboard Corporation

Director, Project Manager Highwire Public Relations Inc

Director, Commercial Banking-Dealer Finance BMO (Bank of Montreal)

Claims & Billing Analyst Independent Living Systems LLC

Registered Pharmacy Technician Rx To Go Florida Cancer Specialists and Research Institute

Manager of Radiology Services Florida Cancer Specialists and Research Institute

RCM Supervisor PROMD PRACTICE MANAGEMENT INC

Coding Analyst Unified Women's Healthcare LLC

Clinical Coding Analyst RN, Consultant Blue Cross and Blue Shield Association

Physician Practice E&M Auditor Educator, MCVI Administration, FT, 8A-4:30P (Hybrid) Baptist Health South Florida Inc

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