- Molina Healthcare (Tampa, FL)
- **JOB DESCRIPTION** **Job Summary** Clinical Appeals is responsible for making appropriate and correct clinical decisions for appeals outcomes within ... compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical /medical reviews of previously denied cases in which… more
- HCA Healthcare (Orange Park, FL)
- …local, state and federal agencies and accrediting bodies. The Inpatient Coding Denials Specialist must ensure timely, accurate, and thorough appeals for all ... to join an organization that invests in you as an Inpatient Coding Denials Specialist ? At Parallon, you come first. HCA Healthcare has committed up to $300 million… more
- LogixHealth (Dania Beach, FL)
- Location: On-Site in Dania Beach, FL This Role: As a Junior Medical Billing Specialist at LogixHealth, you will work with a team of fellow medical billers, ... up on unpaid claims + Prepare and submit out appeals on claims that require additional review or reconsideration...services that allow physicians to focus on providing great clinical care. LogixHealth was founded in the 1990s by… more
- LogixHealth (Dania Beach, FL)
- Location: On-Site in Dania Beach, FL This Role: As a Billing Specialist at LogixHealth, you will work with a team of fellow medical billers, administrators, and ... to follow up on unpaid claims + Send out appeals on claims that require an appeal + Submit...services that allow physicians to focus on providing great clinical care. LogixHealth was founded in the 1990s by… more
- Trinity Health (Fort Lauderdale, FL)
- …denial coordination with Patient Business Service (PBS) centers, including analysis of clinical documentation, assisting in appeals , root cause analysis and ... including but not limited to, appending modifiers and checking clinical documentation. Works closely with Revenue Integrity staff and...tracking as needed. 6. Educates clinical staff on need for accurate and complete documentation… more
- Intermountain Health (Tallahassee, FL)
- …provides advanced training to hospital coding staff, compliance, CDI, physicians, and clinical staff. This Coordinator serves as a subject matter expert for all ... of hospital coding. The coordinator works with providers and clinical staff to make critical coding decisions based on...compliance and the CDI team. + Audits and creates appeals for all payer and regulatory denials and downgrades… more
- Option Care Health (Tallahassee, FL)
- …patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the ... Assists with Billing and Collection Training and completes "second level" appeals to payers. **Job Description:** **Job Responsibilities:** + Submits timely,… more
- Evolent (Tallahassee, FL)
- …guidance and expertise to ensure the application of best practices. + Provides clinical rationale for standard and expedited appeals . + Discusses determinations ... Are you ready to make a meaningful impact on patient care in a non- clinical setting? Join our Utilization Management team as a Field Medical Director, Cardiovascular… more
- BrightStar Care (Naples, FL)
- …We are looking for the an experienced medical Billing and Payroll Specialist . Responsibilities include weekly processing of billing and payroll.. Managing ... Authorizations , appeals and re- submission of claims . Posting cash...Medical * Dental * Vision * Mileage Reimbursement for clinical / administrative positions * Employee Assistance Program *… more
- TEKsystems (Tampa, FL)
- …coding of all ASC encounters to meet billing deadlines. * Collaborate with clinical staff, providers, and revenue cycle teams to clarify documentation or resolve ... and report documentation trends, coding errors, or compliance risks. * Assist with appeals and denials related to coding or medical necessity. * Maintain current… more