- LogixHealth (Dania Beach, FL)
- …individual providers and monitor contract termination dates and make sure that claims are processed based on the contracted rates. Key Responsibilities: + Assigning ... offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting dashboards...have had a clear vision of a better healthcare system and have continually evolved to get there. In… more
- Ensono (Miami, FL)
- …(CMS) security standards and compliance requirements. + Experience with Fiscal Intermediary Shared System (FISS), Medicare Claims System (MCS), Clerk ID, ... Senior Systems Engineer - IAMRemote - United StatesJR012224 At...as applicable. + Maintain and renew certifications required for system access and management, ensuring continued compliance and eligibility.… more
- Defense Commissary Agency (Key West, FL)
- …area of a commissary store within the Defense Commissary Agency (DeCA) system , performing a variety of duties including handling, preparing, and stocking grocery ... price or location, and handling bulky/heavy items. Operating an electronic checkout system to record unit price, total customer purchase, and make change. Performing… more
- Molina Healthcare (Doral, FL)
- …**KNOWLEDGE/SKILLS/ABILITIES** + Enters denials and requests for appeal into information system and prepares documentation for further review. + Research issues ... utilizing systems and other available resources. + Assures timeliness and...**REQUIRED EXPERIENCE:** + 1 year of Molina experience, health claims experience, OR one year of customer service/provider service… more
- MyFlorida (Tallahassee, FL)
- …initial or additional claims . This is accomplished through tracking the assigned claim load and utilizing the benefit payment system . Track assignments for ... - 40034208 Date: Aug 15, 2025 The State Personnel System is an E-Verify employer. For more information click...to apply the law in making initial determinations on claims . The individual in this position must be able… more
- Defense Commissary Agency (Key West, FL)
- …price or location, and handling bulky/heavy items. Operating an electronic checkout system to record unit price, total customer purchase, and make change. Performing ... inventory data in order to maintain the Computer Assisted Ordering (CAO) system . Preparing and maintaining a variety of documents to order commissary items,… more
- Molina Healthcare (Miami, FL)
- …the credentialing database necessary for processing of recredentialing applications. * Reviews claims payment systems to determine provider status, as necessary. ... and request any missing information. * Updates credentialing software systems with required information. * Requests recredentialing applications from providers… more
- BayCare Health System (Tampa, FL)
- …compliance related activities and services provided by the BayCare Health System HIM Coding Department. + Interacts directly with coders, clinical personnel ... Clinic, etc. + Performs special audits for specific issues within facility Inpatient claims . + Acts as the Liaison for coding issues with the BayCare Compliance… more
- Highmark Health (Tallahassee, FL)
- …and other related software. + Strong analytical and communication skills Preferred + Associate 's Degree + 3 years with claims processing and data management ... and provide advice on new programs. Provides guidance to system entities in response to external coding audits conducted...ICD-PCS, CPT and HCPCS Level II code and modifier systems , missed secondary diagnoses and procedures and ensures compliance… more
- Towne Park (Madeira Beach, FL)
- …are not eligible for benefits outlined above. **SUMMARY** The Guest Service Associate is responsible for providing exceptional hospitality services to guests in an ... attentive, friendly and efficient manner. The Guest Service Associate is responsible for parking and retrieving guest vehicles in a prompt yet safe manner and… more