- Convey Health Solutions (Fort Lauderdale, FL)
- …Health Solutions company seeks a highly skilled and results-driven Senior Product Manager to lead our Medicare Advantage Risk Adjustment solution portfolio. In this ... Strong understanding of Medicare Advantage programs, risk adjustment models (eg, HCC coding ), and the regulatory environment (CMS). + Experience working on cross… more
- Molina Healthcare (Tampa, FL)
- …standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding / billing (UB04/1500 form) + Demonstrated understanding of key managed care ... **JOB DESCRIPTION** **Job Summary** The Manager , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key… more
- Elevance Health (FL)
- …Identifies potential documentation and coding errors by recognizing aberrant coding and documentation patterns such as inappropriate billing for ... medical claims billing and payment systems, provider billing guidelines, payer reimbursement policies, and coding ...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- CVS Health (Tallahassee, FL)
- …States: **Texas, Ohio, New York, and Oklahoma** + Experience with Interpreting Contracts + Billing and Coding certifications such as CPC (AAPC) + Knowledge of ... Aetna's policies and procedures **Education** + Bachelor's degree preferred/specialized training/relevant professional qualification **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $54,300.00 -… more
- Deloitte (Tampa, FL)
- …and HCC assignment + Other revenue cycle experience including conducting charge capture and coding reviews for compliance with billing and coding regulatory ... medical records for inpatient and outpatient service areas for accuracy of coding and documentation to ensure regulatory compliance + Apply knowledge of medical… more
- Molina Healthcare (FL)
- …+ Nursing experience in critical care, emergency medicine, medical/surgical or pediatrics. + Billing and coding experience. To all current Molina employees: If ... Looking for a RN with experience with appeals, claims review, and medical coding . **Job Summary** Provides support for medical claim and internal appeals review… more
- ChenMed (Miami, FL)
- …oversight of claims assembly and submission processes. In close collaboration with Billing , Coding , IT, and Business Intelligence departments, gains insight and ... to target revenue recovery throughout the organization by identifying operational, coding , billing , and reimbursement problems then recommending solutions. +… more
- Pearle Vision (Jacksonville, FL)
- …* Processing insurance claim forms * Patient and insurance billing * Optometric medical billing and coding * Vision insurance billing and coding * ... Ophthalmic Technician / Medical Office Administrator REPORTS TO: Store General Manager FLSA STATUS: Hourly; Non-Exempt POSITION PURPOSE: The major responsibility of… more
- Pearle Vision (Panama City Beach, FL)
- …* Processing insurance claim forms * Patient and insurance billing * Optometric medical billing and coding * Vision insurance billing and coding * ... Office Technician / Medical Office Administrator REPORTS TO: Store General Manager FLSA STATUS: Hourly; Non-Exempt POSITION PURPOSE: The major responsibility of… more
- Pearle Vision (Jacksonville, FL)
- …* Processing insurance claim forms * Patient and insurance billing * Optometric medical billing and coding * Vision insurance billing and coding * ... Ophthalmic Technician / Medical Office Administrator REPORTS TO: Store General Manager FLSA STATUS: Hourly; Non-Exempt POSITION PURPOSE: The major responsibility of… more