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Added 12 hours ago
Authorization & Referrals Coordinator
Memorial Physician Group
United States
Added 1 day ago
APRN - Inpatient and Outpatient - Maternal Fetal Medicine - FT - Days - MHM
Memorial Physician Group
United States
Added 6 days ago
Pediatric Cardiac Sonography and Fetal Echocardiography Technologist - FT - Days - $15K Sign on Bonus - MPG - Peds Cardiology (Jupiter, FL)
Memorial Physician Group
United States
Added 6 days ago
Patient Financial Services Representative-Urology-FT-Days-MPG
Memorial Physician Group
United States
Added 8 days ago
PA - Inpatient - Adult Otolaryngology - FT - Days - MRH
Memorial Physician Group
United States
Added 8 days ago
Referrals and Authorizations Coordinator-FT-Days-MCI MRH
Memorial Physician Group
United States
Added 9 days ago
Navigator (Non-Clinical) - General Surgery - FT - Days - MPG - Pembroke Pines
Memorial Physician Group
United States
Added 9 days ago
Navigator (Non-Clinical) - Neurosurgery - FT - Days - MPG
Memorial Physician Group
United States
Added 9 days ago
PA - Inpatient & Outpatient - Adult Otolaryngology - FT - Days - MRH/MHW
Memorial Physician Group
United States
Added 10 days ago
RN - Specialty Center - FT - Days - JDCH (Wellington)
Memorial Physician Group
United States
NRP certification required for NICU – if RN is coming from a non NICU background, they have 30 days from date of hire to obtain NRP
Added 14 days ago
Patient Financial Services Representative I- Peds Otolaryngology-FT-Days-MPG
Memorial Physician Group
United States
Added 14 days ago
Patient Financial Service Representative- Multi-Specialty -FT-Days- MPG Boca Raton
Memorial Physician Group
United States
Added 15 days ago
Radiology Technologist - PT - Days - $10K Sign on Bonus - MPG - Peds Ortho (Coral Springs)
Memorial Physician Group
United States
Must possess an active Radiography Certificate from the State of Florida and must take the ARRT(R) examination Required and
Added 21 days ago
Patient Financial Service Representative I - Peds Nephrology - FT-Days - MPG
Memorial Physician Group
United States
Added 22 days ago
APRN - Inpatient & Outpatient - Adult Endocrinology - FT - Days - MRH
Memorial Physician Group
United States
Added 23 days ago
Genetic Counselor - Breast Surgical Oncology - FT - Days - MPG - Hollywood
Memorial Physician Group
United States
Added 24 days ago
Scheduler-Oncology
Memorial Physician Group
United States
Added 27 days ago
PA - Outpatient - Breast Surgical Oncology - FT - Days - BHMC Coral Springs
Memorial Physician Group
United States
Added 27 days ago
Medical/Orthopedic Assistant - Peds Orthopedics - FT - Days - $2,500 Sign on Bonus - MPG - JDCH
Memorial Physician Group
United States
Added 28 days ago
Scheduler - Oncology
Memorial Physician Group
United States
Added 28 days ago
RN Specialty II - Breast Oncology - FT - Days - $15K Sign on Bonus - MCI BHCS
Memorial Physician Group
United States
NRP certification required for NICU – if RN is coming from a non NICU background, they have 30 days from date of hire to obtain NRP
Added 28 days ago
RN Specialist - Diabetes Nutrition - FT - Days - JDCH
Memorial Physician Group
United States
Added 28 days ago
RN - Physical Medicine and Rehabilitation - FT - Days - MPG
Memorial Physician Group
United States
Added 28 days ago
Medical Assistant- Urology - FT - Days - $2,500 Sign on Bonus - MPG - Aventura
Memorial Physician Group
United States
Added 28 days ago
Orthopedic/Medical Assistant - Orthopedics - FT - Days - $2,500 Sign on Bonus - MPG - West
Memorial Physician Group
United States

Closed listing

Memorial Physician Group

Resolution Specialist - FT - Days - MSS

United States

This opening has closed.

The original listing is kept below for reference.

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About employer

Job details

Posting language: English
Posted: Oct 22, 2026

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Original job description

Archived listing. The details below describe a past opening.

Location:

Miramar, Florida At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience.

Summary:

Responsible to detect issues and analyze account balances resulting from managed care denials and underpayments and to develop plans for resolution.

Responsibilities:

Analyzes and reconciles spreadsheets of managed care denials, underpayments and aged accounts taking appropriate action to identify trends and collect on open balances to ensure successful achievement of departmental goals. Regularly report trends and progress of resolution to management.Track, Compile and report statistics related to front end denial management processes.Management and oversight of denial correspondence received from managed care plans at time of service. Coordinates handling of denials to ensure appropriate action and review is being taken in an effort to get denial overturned at time of service.Assist with preparation of spreadsheets of managed care accounts to be reviewed for settlement. Work with management to formulate responses back to plan as needed to finalize settlement.

Competencies:

ACCOUNTABILITY, ACCURACY, CUSTOMER SERVICE, MANAGED CARE COMPLIANCE APPEALS AND TRENDING, MANAGING BUSINESS PRIORITIES, PROBLEM SOLVING, RESPONDING TO CHANGE, STANDARDS OF BEHAVIOR, WORKLOAD MANAGEMENT

Education and Certification Requirements:

High School Diploma or Equivalent (Required)

Additional Job Information:

Complexity of Work: Requires critical thinking and effective communication skills. Must be able to demonstrate ability to make independent decisions. Requires detailed knowledge of government and managed care insurance terminology and reimbursement methodologies. Must have knowledge of federal and state regulations and laws/statutes related to payment for medical services. Requires knowledge of proper billing and coding of hospital services. Must be able to formulate and write formal business communications. Intermediate knowledge of Microsoft Word and Excel.

Required Work Experience: 3 or more years experience in a hospital/physician business office, managed care collections or managed care claims environment required.

Working Conditions and Physical Requirements:

Bending and Stooping = 0%
Climbing = 0%
Keyboard Entry = 80%
Kneeling = 0%
Lifting/Carrying Patients 35 Pounds or Greater = 0%
Lifting or Carrying 0 - 25 lbs Non-Patient = 0%
Lifting or Carrying 2501 lbs - 75 lbs Non-Patient = 0%
Lifting or Carrying > 75 lbs Non-Patient = 0%
Pushing or Pulling 0 - 25 lbs Non-Patient = 0%
Pushing or Pulling 26 - 75 lbs Non-Patient = 0%
Pushing or Pulling > 75 lbs Non-Patient = 0%
Reaching = 0%
Repetitive Movement Foot/Leg = 0%
Repetitive Movement Hand/Arm = 80%
Running = 0%
Sitting = 80%
Squatting = 0%
Standing = 60%
Walking = 60%
Audible Speech = 80%
Hearing Acuity = 80%
Smelling Acuity = 0%
Taste Discrimination = 0%
Depth Perception = 0%
Distinguish Color = 0%
Seeing - Far = 0%
Seeing - Near = 80%
Bio hazardous Waste = 0%
Biological Hazards - Respiratory = 0%
Biological Hazards - Skin or Ingestion = 0%
Blood and/or Bodily Fluids = 0%
Communicable Diseases and/or Pathogens = 0%
Asbestos = 0%
Cytotoxic Chemicals = 0%
Dust = 0%
Gas/Vapors/Fumes = 0%
Hazardous Chemicals = 0%
Hazardous Medication = 0%
Latex = 0%
Computer Monitor = 80%
Domestic Animals = 0%
Extreme Heat/Cold = 0%
Fire Risk = 0%
Hazardous Noise = 0%
Heating Devices = 0%
Hypoxia = 0%
Laser/High Intensity Lights = 0%
Magnetic Fields = 0%
Moving Mechanical Parts = 0%
Needles/Sharp Objects = 0%
Potential Electric Shock = 0%
Potential for Physical Assault = 0%
Radiation = 0%
Sudden Decompression During Flights = 0%
Unprotected Heights = 0%
Wet or Slippery Surfaces = 0%

Shift:

Primarily for office workers - not eligible for shift differential

Disclaimer: This job description is not intended, nor should it be construed to be an exhaustive list of all responsibilities, skills, efforts or working conditions associated with the job. It is intended to indicate the general nature and level of work performed by employees within this classification.

Wages shown on independent job boards reflect market averages, not specific to any employer. We encourage candidates to talk to their Memorial Healthcare System recruiter to discuss actual pay rates, during the hiring process.

Memorial Healthcare System is proud to be an equal opportunity employer committed to workplace diversity.

Memorial Healthcare System recruits, hires and promotes qualified candidates for employment opportunities without regard to race, color, age, religion, gender, sexual orientation, national origin, veteran status, disability, genetic information, or any factor prohibited by law.

We are proud to offer Veteran’s Preference to former military, reservists and military spouses (including widows and widowers). You must indicate your status on your application to take advantage of this program.

Employment is subject to post offer, pre-placement assessment, including drug testing.

If you need reasonable accommodation during the application process, please call 954-276-8340 (M-F, 8am-5pm) or email TalentAcquisitionCenter@mhs.net

About employer

More about this job

Skills

Care planning
Critical thinking
Communication skills
Microsoft Word
Microsoft Excel
Characteristics of waste
Communicable diseases

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