- Highmark Health (Tallahassee, FL)
- …activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code ... which supports compliant coding. Interacts with external consultants regarding billing , coding and/or documentation and evaluates their recommendations and/or… more
- Molina Healthcare (St. Petersburg, FL)
- …executive decision-making + Mine and manage information from large data sources. + Analyze claims and other data sources to identify early signs of trends or other ... of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical Management, Network, and other departments to enable critical decision… more
- Norstella (Tallahassee, FL)
- …years of professional experience working hands on with RWD (eg, open/closed claims , APLD, lab, EMR/EHR, hospital chargemaster, billing codes, etc.) ... Norstella's unified Real World Data asset, a combination of claims , lab, SDOH and EMR data. You will be...analyzing a wide range of healthcare data sources, including claims , lab results, electronic medical records (EMR), and other… more
- Norstella (Tallahassee, FL)
- …*4+ years of professional experience working hands on with RWD (eg, open/closed claims , APLD, lab, EMR/EHR, hospital chargemaster, billing codes, etc.) *Advanced ... unified Real World Data asset, NorstellaLinQ, a combination of claims , lab, SDOH and EMR data. You will be...quality. *Perform in-depth analyses on healthcare data sources, including claims , lab, EMR/EHR, and SDOH data, to uncover actionable… more
- Molina Healthcare (Jacksonville, FL)
- …executive decision-making + Mine and manage information from large data sources. + Analyze claims and other data sources to identify early signs of trends or other ... of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical Management, Network, and other departments to enable critical decision… more
- Walgreens (Temple Terrace, FL)
- …technology knowledge of pharmacy systems including workflow, prescription fulfillment, billing , clinical documentation, training, inventory management, and point of ... technology. Finds opportunities to improve productivity + Ensures insurance claims are processed accurately to prevent payment rejections. Resolves patient… more
- MyFlorida (Lake Butler, FL)
- …that will assist the Union and Bradford CHD Accountant Supervisor with the billing and collection functions of a County Health Department/FQHCF. The operations and ... responsibilities of this position include billing (Third Party, Medicaid, Medicare and Self Pay) and posting of Medicaid Wrap-A-Round payments. This position is also… more
- Veterans Affairs, Veterans Health Administration (Orlando, FL)
- …and Ambulance. Conducts clinical legal relatedness review for Regional Counsel TORT Claims , No Fault, and Worker's Compensation cases to validate related care for ... to customer service issues regarding SC/SA care and treatment to validate billing appropriateness. Educates VA medical facility providers and other staff on revenue… more
- J&J Family of Companies (West Palm Beach, FL)
- …on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local ... both pharmacy and medical/buy & bill benefits (as applicable), coding, and billing . + Reimbursement or relevant managed care experience (revenue cycle, buy-and-bill,… more
- J&J Family of Companies (Jacksonville, FL)
- …on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local ... both pharmacy and medical/buy & bill benefits (as applicable), coding, and billing . + Reimbursement or relevant managed care experience (revenue cycle, buy-and-bill,… more