- Akumin (Port St. Lucie, FL)
- …Foster cross-functional collaboration with finance, IT, compliance, operations, and clinical leaders to ensure seamless revenue cycle integration. **Billing ... of business. + Ensure compliance with all payer requirements, regulatory guidelines, and coding standards (eg, CPT, ICD-10, HCPCS). + Partner with coding and… more
- Grifols Shared Services North America, Inc (Kissimmee, FL)
- …budgeting process for market access customer segment . Support reimbursement, coding , and coverage-related responsibilities for Medicare Part B, Centers for Medicare ... and Medicaid (CMS) Healthcare Common Procedure Coding System (HCPCS), and American Medical Association (AMA) Current...execution in priority segments . Partner with HEOR and clinical teams to integrate evidence into messaging . Lead… more
- Pearle Vision (Jacksonville, FL)
- …having fun while we get the job done! ESSENTIAL DUTIES AND RESPONSIBILITIES: Clinical Duties * Taking patient medical histories * Preparing patients for examinations ... Patient and insurance billing * Optometric medical billing and coding * Vision insurance billing and coding * Selling glasses and contact lens supplies * Various… more
- Molina Healthcare (Orlando, FL)
- …Looking for a RN with experience with appeals, claims review, and medical coding . JOB DESCRIPTION Job SummaryProvides support for clinical member services review ... verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired… more
- HCA Healthcare (Largo, FL)
- …care. Performs in accordance with physician's orders and under the supervision of the Clinical Manager. **What you will do in this role** : + Assesses home care ... identifying physical, psychosocial and environmental needs as evidenced by documentation, clinical records, case conferences, team reports, call-in logs and on-site… more
- CenterWell (Orlando, FL)
- …community and help us put health first** The Stars Improvement, Clinical Professional 2 responsible for the development, implementation and management oversight ... of the company's Medicare/Medicaid Stars Program. The Stars Improvement, Clinical Professional 2 work assignments are varied and frequently require interpretation… more
- HCA Healthcare (Jacksonville, FL)
- …care. Performs in accordance with physician's orders and under the supervision of the Clinical Manager. **What you will do in this role** : + Assesses home care ... identifying physical, psychosocial and environmental needs as evidenced by documentation, clinical records, case conferences, team reports, call-in logs and on-site… more
- University of Miami (Miami, FL)
- …2 is responsible for the independent design, development, and deployment of clinical applications and technologies. The architect defines system solutions based on ... place internally or by vendors utilizing expert knowledge crossing multiple clinical applications and operational areas. + Leads Projects associated with application… more
- CenterWell (New Smyrna Beach, FL)
- …caring community and help us put health first** The Stars Improvement Clinical Professional (RN): + Collaborates with market leadership, and quality improvement team ... in close partnership with market and center teams. The Stars Improvement, Clinical Professional (RN) represents the scope of provider relationships across the… more
- CVS Health (Tallahassee, FL)
- …: Conduct comprehensive analysis of provider performance metrics as well as clinical operations for VBC readiness and risk assessment. This includes clinical ... **Stakeholder Collaboration** : Collaborate closely with internal teams, including clinical and operational leadership, value-based care, quality management teams… more