- Medtronic (Jacksonville, FL)
- …and compliantly. + Advise on federal healthcare laws, antikickback, antitrust, False Claims Act, HIPAA, state data privacy and security laws, software licensing, FDA ... interact with a computer, and communicate with peers and co-workers. Contact your manager or local HR to understand the Work Conditions and Physical requirements… more
- Bowman (Tallahassee, FL)
- …to ensure a productive working environment. + Assist and work with the Project Manager to ensure accurate and timely billing. + Design and implement processes to ... and resolve any issues that may arise as it relates to disputes, or claims + Act as liaison between operations and many corporate accounting functions including but… more
- AdventHealth (Altamonte Springs, FL)
- …Nurse for the Employee Clinic collaborates closely with the Employee Clinic Manager , regional Employee Health Managers, Medical Directors, and both clinical and ... The Employee Health Registered Nurse also oversees Workers' Compensation claims , hospital surveillance programs, and regulatory compliance related to occupational… more
- AdventHealth (Zephyrhills, FL)
- …develops and administers the Risk Management Program for loss prevention and claims control (according to federal, state, and local requirements) to meet the ... trends and sentinel events, with referral to the appropriate committee, manager , or individual for follow-up. Monitors process improvement. + Maintains familiarity… more
- AdventHealth (Altamonte Springs, FL)
- …Coding programs. Will work with Case Management, the Billing Office, Coding Manager , Clinical Documentation Improvement specialists and the coding team to code and ... Team of any coding or coding related issues that adversely impact the claims processing, coding accuracy, and compliance.e. Monitors the queue holds and adhere to… more
- AssistRx (Orlando, FL)
- …to expedite patient access + Document and initiate prior authorization process and claims appeals + Report any reimbursement trends or delays in coverage to ... days upon goals and quotas being met at the discretion of the manager . Requirements Qualifications to be a Bilingual Patient Access Specialist: + In-depth… more
- Bank of America (Miami, FL)
- …Self-motivated and results-oriented with excellent organizational skills **Skills:** + Claims Management + Controls Management + Monitoring, Surveillance, and ... Should you be offered a role with Bank of America, your hiring manager will provide you with information on the in-office expectations associated with your… more
- HCA Healthcare (Sun City Center, FL)
- …members on analysis of risk assessment, historical and concurrent occurrence and claims data and national trends. . You will ensure responsibility for organizational ... licensure as a Registered Nurse preferred _**If serving as facility's primary Risk Manager , VP must have current Florida license in Healthcare Risk Management (FL… more
- LogixHealth (Dania, FL)
- …using software or other resource tools + Prepare audit results and keep department manager current of all findings and audits and advise as necessary + Train all ... services, offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting dashboards for clients… more
- Elevance Health (FL)
- …or benefit change increments or decrement. + Communicates with sales, administration and claims to assess the rating and administrative impact or benefit and plan ... in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance Health location at least… more