Job Description
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Aptiva Medical
CGM Denials & Revenue Integrity Specialist
Aptiva Medical · Fort Lauderdale, FL, United States · via LinkedIn
23 hours ago
Full–time
No Degree Mentioned
Apply on LinkedIn
Apply on Jobs.appcast.io
Job highlights
Identified by Google from the original job post
Qualifications
3+ years in DME or CGM billing, denials, or reimbursement
Strong knowledge of Medicare CGM coverage, documentation requirements, and applicable LCDs
Working knowledge of CGM HCPCS codes (A4239, E2103, A9276, A9277, A9278)
3 more items(s)
Benefits
The chance to shape infrastructure and SOPs as we scale
Competitive compensation based on your experience, skills, and demonstrated impact
Responsibilities
You'll own denied CGM claims across Medicare and Commercial payers, but the real work isn't reworking them
Analyze denied CGM claims; interpret CARCs, RARCs, and EOBs to find root cause
Identify denial patterns by payer and reason code, then recommend upstream fixes
4 more items(s)
Job description
About the Company
Aptiva Medical is a growing DME provider making continuous glucose monitoring accessible to every patient who needs it. We partner with Abbott and Dexcom to serve Medicare and commercially insured patients nationwide. As we scale, we're investing in the people who protect our revenue and fix problems at the source.
About the Role
You'll own denied CGM claims across Medicare and Commercial payers, but the real work isn't reworking them. It's finding the patterns, tracing them back to intake, documentation, or workflow gaps, and partnering with our RCM Supervisor to fix the root cause so the denial doesn't happen again.
If you've ever looked at a denial queue and thought "the same five things keep showing up and nobody's fixing them," this is your role.
Responsibilities
• Analyze denied CGM claims; interpret CARCs, RARCs, and EOBs to find root cause
• Identify denial patterns by payer and reason code, then recommend upstream fixes
• Partner with Intake, Sales, Documentation, and Billing to reduce repeat denials
• Serve as the in-house expert on Medicare CGM coverage, LCDs, and payer nuance
• Support appeals and escalations with a prevention mindset
• Help build the SOPs and best practices our growing RCM operation runs on
Qualifications
• 3+ years in DME or CGM billing, denials, or reimbursement
• Strong knowledge of Medicare CGM coverage, documentation requirements, and applicable LCDs
• Working knowledge of CGM HCPCS codes (A4239, E2103, A9276, A9277, A9278)
• Proven ability to interpret CARCs/RARCs and resolve, not just reprocess, denials
• Analytical mindset; you spot trends and think systemically
• Strong written and verbal communication
Preferred
• Dexcom or FreeStyle Libre experience
• Exposure to Waystar or HDMS
• Comfort with pivot tables or Power BI
• A track record of measurably reducing denial rates
Why Aptiva
• Real influence. Leadership wants your recommendations, not just your output
• A tight-knit onsite RCM team in Fort Lauderdale
• The chance to shape infrastructure and SOPs as we scale
• Competitive compensation based on your experience, skills, and demonstrated impact
Aptiva Medical is an Equal Opportunity Employer. Reasonable accommodations available upon request.
Report this listing
aptivamedical.com
More jobs at Aptiva Medical
See web results for Aptiva Medical
Private Medical
CPT Certified Phlebotomist/Medical Assistant- Concierge Medicine
Private Medical · Miami Beach, FL, United States · via ZipRecruiter
21 hours ago
$67K a year
Full–time
No Degree Mentioned
Apply directly on ZipRecruiter
Apply on LinkedIn
Apply directly on Glassdoor
Job highlights
Identified by Google from the original job post
Qualifications
Experience: Minimum of three (3) years of relevant clinical experience
Excellent interpersonal, verbal, and written communication skills with a demonstrated hospitality mindset and service orientation; alignment with PM values, including compassionate care, a growth mindset, and continual evolution
Ability to work independently with sound clinical judgment while collaborating effectively within a team; adaptable to changing priorities to support coverage and member needs (operational flexibility)
6 more items(s)
Benefits
Schedule:Monday-Friday, traditional business hours
Compensation: $67,000 target depending on experience
Responsibilities
You will practice in a personable, non-hospital environment that prioritizes exceptional, personalized care and hospitality
You will collaborate closely with physicians, nurses, and care team members to deliver the right care, at the right time, from the right team, with nursing and PCA coverage available during business hours to support physicians and members
Hospitality is a core job requirement and must be practiced consistently with patients and colleagues
18 more items(s)
Job description
Salary:
Location:Miami Beach (off Lincoln Rd)
Schedule:Monday-Friday, traditional business hours
Compensation: $67,000 target depending on experience
Who are we?
Private Medical has spent the last 20 years creating a new category of concierge medicine - private medicine - by designing a system that honors the relationship between patients, physicians, and each member of the care team.
Based in California, New York, and Florida, our physician-led teams work in concert with our gynecologists, Naturopathic Medicine Doctors, curated local specialists, elite medical centers, and specialists around the world, to provide relationship focused, evidence-based, longitudinal care to our members and their families. Private Medical is, by design, privately held and free from any conflicts of interests.
What will you be doing in this role?
You will practice in a personable, non-hospital environment that prioritizes exceptional, personalized care and hospitality. Success is measured by quality, safety, and member experiencenot speed or volume. You will collaborate closely with physicians, nurses, and care team members to deliver the right care, at the right time, from the right team, with nursing and PCA coverage available during business hours to support physicians and members. Hospitality is a core job requirement and must be practiced consistently with patients and colleagues. The role is designed for operational flexibility to meet dynamic clinical and member needs while maintaining a consistent foundation across sites.
UOMUOMUS
Miami, FL, United States
via Careers At The University Of Miami | University Of Miami Jobs - University Of Miami
19 hours ago
Full–time
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University of Miami
Miami, FL, United States
via Learn4Good
19 hours ago
Full–time
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Fort Lauderdale, FL, United States
via LinkedIn
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Miami, FL, United States
via Learn4Good
19 hours ago
Full–time
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Aptiva Medical
Fort Lauderdale, FL, United States
via LinkedIn
22 hours ago
Full–time
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Miami Beach, FL, United States
via ZipRecruiter
21 hours ago
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Dark theme: on
Help
Feedback
Privacy
Terms
Aptiva Medical
CGM Denials & Revenue Integrity Specialist
Aptiva Medical · Fort Lauderdale, FL, United States · via LinkedIn
23 hours ago
Full–time
No Degree Mentioned
Apply on LinkedIn
Apply on Jobs.appcast.io
Job highlights
Identified by Google from the original job post
Qualifications
3+ years in DME or CGM billing, denials, or reimbursement
Strong knowledge of Medicare CGM coverage, documentation requirements, and applicable LCDs
Working knowledge of CGM HCPCS codes (A4239, E2103, A9276, A9277, A9278)
3 more items(s)
Benefits
The chance to shape infrastructure and SOPs as we scale
Competitive compensation based on your experience, skills, and demonstrated impact
Responsibilities
You'll own denied CGM claims across Medicare and Commercial payers, but the real work isn't reworking them
Analyze denied CGM claims; interpret CARCs, RARCs, and EOBs to find root cause
Identify denial patterns by payer and reason code, then recommend upstream fixes
4 more items(s)
Job description
About the Company
Aptiva Medical is a growing DME provider making continuous glucose monitoring accessible to every patient who needs it. We partner with Abbott and Dexcom to serve Medicare and commercially insured patients nationwide. As we scale, we're investing in the people who protect our revenue and fix problems at the source.
About the Role
You'll own denied CGM claims across Medicare and Commercial payers, but the real work isn't reworking them. It's finding the patterns, tracing them back to intake, documentation, or workflow gaps, and partnering with our RCM Supervisor to fix the root cause so the denial doesn't happen again.
If you've ever looked at a denial queue and thought "the same five things keep showing up and nobody's fixing them," this is your role.
Responsibilities
• Analyze denied CGM claims; interpret CARCs, RARCs, and EOBs to find root cause
• Identify denial patterns by payer and reason code, then recommend upstream fixes
• Partner with Intake, Sales, Documentation, and Billing to reduce repeat denials
• Serve as the in-house expert on Medicare CGM coverage, LCDs, and payer nuance
• Support appeals and escalations with a prevention mindset
• Help build the SOPs and best practices our growing RCM operation runs on
Qualifications
• 3+ years in DME or CGM billing, denials, or reimbursement
• Strong knowledge of Medicare CGM coverage, documentation requirements, and applicable LCDs
• Working knowledge of CGM HCPCS codes (A4239, E2103, A9276, A9277, A9278)
• Proven ability to interpret CARCs/RARCs and resolve, not just reprocess, denials
• Analytical mindset; you spot trends and think systemically
• Strong written and verbal communication
Preferred
• Dexcom or FreeStyle Libre experience
• Exposure to Waystar or HDMS
• Comfort with pivot tables or Power BI
• A track record of measurably reducing denial rates
Why Aptiva
• Real influence. Leadership wants your recommendations, not just your output
• A tight-knit onsite RCM team in Fort Lauderdale
• The chance to shape infrastructure and SOPs as we scale
• Competitive compensation based on your experience, skills, and demonstrated impact
Aptiva Medical is an Equal Opportunity Employer. Reasonable accommodations available upon request.
Report this listing
aptivamedical.com
More jobs at Aptiva Medical
See web results for Aptiva Medical
Private Medical
CPT Certified Phlebotomist/Medical Assistant- Concierge Medicine
Private Medical · Miami Beach, FL, United States · via ZipRecruiter
21 hours ago
$67K a year
Full–time
No Degree Mentioned
Apply directly on ZipRecruiter
Apply on LinkedIn
Apply directly on Glassdoor
Job highlights
Identified by Google from the original job post
Qualifications
Experience: Minimum of three (3) years of relevant clinical experience
Excellent interpersonal, verbal, and written communication skills with a demonstrated hospitality mindset and service orientation; alignment with PM values, including compassionate care, a growth mindset, and continual evolution
Ability to work independently with sound clinical judgment while collaborating effectively within a team; adaptable to changing priorities to support coverage and member needs (operational flexibility)
6 more items(s)
Benefits
Schedule:Monday-Friday, traditional business hours
Compensation: $67,000 target depending on experience
Responsibilities
You will practice in a personable, non-hospital environment that prioritizes exceptional, personalized care and hospitality
You will collaborate closely with physicians, nurses, and care team members to deliver the right care, at the right time, from the right team, with nursing and PCA coverage available during business hours to support physicians and members
Hospitality is a core job requirement and must be practiced consistently with patients and colleagues
18 more items(s)
Job description
Salary:
Location:Miami Beach (off Lincoln Rd)
Schedule:Monday-Friday, traditional business hours
Compensation: $67,000 target depending on experience
Who are we?
Private Medical has spent the last 20 years creating a new category of concierge medicine - private medicine - by designing a system that honors the relationship between patients, physicians, and each member of the care team.
Based in California, New York, and Florida, our physician-led teams work in concert with our gynecologists, Naturopathic Medicine Doctors, curated local specialists, elite medical centers, and specialists around the world, to provide relationship focused, evidence-based, longitudinal care to our members and their families. Private Medical is, by design, privately held and free from any conflicts of interests.
What will you be doing in this role?
You will practice in a personable, non-hospital environment that prioritizes exceptional, personalized care and hospitality. Success is measured by quality, safety, and member experiencenot speed or volume. You will collaborate closely with physicians, nurses, and care team members to deliver the right care, at the right time, from the right team, with nursing and PCA coverage available during business hours to support physicians and members. Hospitality is a core job requirement and must be practiced consistently with patients and colleagues. The role is designed for operational flexibility to meet dynamic clinical and member needs while maintaining a consistent foundation across sites.
💡 Quick Summary
Seeking a career-building opportunity? The CPT Certified Phlebotomist/Medical Assistant- Concierge Medicine position is now open for candidates interested in the Health Jobs sector. This role in Miami offers a professional environment and growth potential.
Requirement Snapshot: Candidates should possess basic communication skills, a proactive attitude, and the ability to work in a team. Experience in Health Jobs is a plus.
