Senior Medical Biller & Claims Quality Lead

University of Miami; Miami (FL); Presencial; USD 52.000 - 76.000; Jornada completa

Descripción de la vacante

The University of Miami/UHealth Central Business Office is actively seeking a full-time Senior Medical Biller to join our team in Miami, FL. The role focuses on processing billing information, supporting supervising staff, and upholding data quality across the billing process.

Core duties include training new staff, running weekly accounts reports, verifying claims, ensuring timely edits, and coordinating voucher corrections with clinics to reconcile data and ensure accurate charges.

Formación

• High School diploma or equivalent.
• Minimum 3 years of relevant experience.
• Knowledge of generally accepted accounting procedures and principles (GAAP).
• Skill in completing assignments accurately and with attention to detail.
• Ability to process and handle confidential information with discretion.
• Ability to work independently and/or in a collaborative environment.
• Ability to communicate effectively in both oral and written form.

Responsabilidades

• Assists management with the training of new staff.
• Runs reports weekly on accounts and monitors to keep the contents at a minimum.
• Verifies all claims and ensures edits are collected and released in a timely fashion.
• Reports edits by billing area to managing staff on a monthly basis.
• Verifies that all controls are followed so that no charges are missed.
• Verifies all payment reconciliation processes are followed at the clinics.
• Ensures that all charges are entered in a timely fashion.
• Reviews encounters received for all pertinent information.
• Coordinates the correction of inaccurate vouchers, and prints daily voucher report to reconcile all vouchers.
• Adheres to University and unit-level policies and procedures and safeguards University assets.
• Reviews and releases all physician charges from the assigned WQ's in a timely fashion.
• Reviews encounters received for all pertinent information: patient demographic information, guarantor and insurance information, place of service, referrals, claim info record, and managed care authorization requirements.
• Runs insurance eligibility and fixes registration issues.
• Manually enters paper vouchers received for missing charges.
• Reviews and fixes erroneous and/or rejected charges.
• Distributes credits from patient payments as needed.
• Assigns charges to cases and phases.
• Performs other duties as assigned.

Conocimientos

Attention to detail

Communication skills

Confidential handling

Independent / collaborative work

GAAP knowledge

Educación

High School diploma or equivalent

Descripción del empleo

The University of Miami/UHealth Central Business Office is actively seeking a full-time Senior Medical Biller to join our team in Miami, FL. The role focuses on processing billing information, supporting supervising staff, and upholding data quality across the billing process.

Core duties include training new staff, running weekly accounts reports, verifying claims, ensuring timely edits, and coordinating voucher corrections with clinics to reconcile data and ensure accurate charges.