- 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 ... wide occurrence reporting system; analyze and report trends and identifies appropriate interventions to reduce risk and liability to the organization. . You will lead organizational performance efforts for JCAHO, core quality measures, COP and regulatory and… more
- GAP Solutions Inc (Tallahassee, FL)
- …Assisting with drafting SOP's. + Processing personal liability insurance reimbursement claims . + Initiating tentative selection notifications, notice of results or ... disposition letter. + Researching and compiling information on the full range of federal HR topics. + Responding to and providing general HR guidance to applicants and staff, maintain employee files. + Provide wide ranging administrative support to managers… more
- LogixHealth (Dania, FL)
- …services, offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting dashboards for clients ... in 40 states. Since our first day, we have had a clear vision of a better healthcare system and have continually evolved to get there. In addition to providing expert revenue cycle services, we utilize proprietary software to provide valuable financial,… more
- National Health Transport (Miami, FL)
- …Specialist answers inquiries from insurance companies, patients, and processes claims accordingly. Essential duties and responsibilities: + Promotes, develops, and ... fosters the mission, vision, and values of National Health Transport Inc. + Provides the highest level of customer service to a wide variety of internal and external customers + Manage and maintain National Health Transport Inc. billing processes. + File… more
- The Cigna Group (Tampa, FL)
- …of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales ... and Marketing and Service. + Contributes to the development of alternative network initiatives. Supports and provides direction to develop network analytics required for the network solution. + Works to meet unit cost targets, while preserving an adequate… more
- Burns & McDonnell (Melbourne, FL)
- …information (RFI's), submittals, change management, contract closeout, documentation, and claims mitigation. + Oversee Prime Contract, subcontractor, and client ... contractor invoicing process. + Coordinate and facilitate client, supplier and company commissioning and startup teams as needed. + Implement, audit, and oversee project documentation. + Implement process for confirming project and subcontractor insurance,… more
- Highmark Health (Tallahassee, FL)
- …5 years with coding languages, analytical software, systems, tools and processes using claims , clinical, enrollment and provider data + 3 years of project leadership ... in a complex, matrixed environment (payer and/or provider preferred) + 3 years of providing analytical consultation to clinical, administrative, operational and financial stakeholders **Preferred** + None **LICENSES or CERTIFICATIONS** **Required** + None… more
- United Rentals (Daytona Beach, FL)
- …and submitted for warranty + Monitor warranty reporting to ensure that all claims are properly brought to closure + Run Preventive Maintenance reports and schedule ... work as appropriate to maintain a high level of fleet currency + Handle equipment maintenance related issues with a high sense of urgency + Keep Management informed of customer concerns + Ensure all service-related invoices are properly coded within the… more
- Prime Therapeutics (Tallahassee, FL)
- …in federal healthcare laws and regulations such as HIPAA, Anti-Kickback Statute, and False Claims Act, with a focus on PBM and managed care operations + Experience ... engaging with regulatory bodies (eg, CMS, OIG, state pharmacy boards) and contributing to internal or external policy initiatives Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job,… more
- Trinity Health (Fort Lauderdale, FL)
- …pertain to managing patient care, specifically for the OP Therapy Cap and Claims -Based Outcomes Reporting (ie G codes). Flexibility in working in several clinical ... locations (ie hospital-based clinical setting and satellite clinics in the community) **Tasks include:** Administer manual exercises, massage and/or traction to help relieve pain, increase the patient's strength, and decrease or prevent deformity and… more