- CVS Health (Tallahassee, FL)
- …+ Utilize work instructions for accurate case processing 2. Complying with CMS mandated timelines and department productivity and quality standards 3. Acquiring and ... all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. + **Benefit… more
- AdventHealth (Altamonte Springs, FL)
- …to credentialing. Responsible for the accuracy and integrity of the credentialing database system and related applications. **The value you will bring to the team:** ... file and ensures provider files are current and noted in detail in the system of record. + Achieves productivity standards as determined by management . +… more
- Molina Healthcare (Jacksonville, FL)
- …received from providers, improve completeness of encounter data with states, CMS , HHS to reconcile data. + Responsible for encounter submissions, rejection ... management & resolution for all lines of business including...and implements processes to standardize the overall ends-to-end processing, management and accuracy of encounters, as well as working… more
- Highmark Health (Tallahassee, FL)
- …range in health status/severity and clinical needs. The incumbent assesses health management needs of the assigned member panel and utilizing data/analytics in ... active case load of members in his/her panel that are enrolled in case management . The incumbent conducts outreach to members enrolled in case management … more
- AdventHealth (Orlando, FL)
- …a close attention to detail + Adheres to government guidelines such as CMS , EMTALA, and HIPAA and AdventHealth corporate policies + Exceptional customer service ... knowledge and benefits + Advanced understanding of hospital electronic medical report (EMR) system + Basic medical terminology + Must be able to read, write, and… more
- Cognizant (Tallahassee, FL)
- …you will:** * Be Responsible for reviewing the data in the claim processing system and comparing with corresponding UB or HCFA paper or EDI information. * ... Assigning special projects or other duties as determined by management . **What you need to have to be considered:**...CPT, HCPCS, ICD-10 + Experience making payments with UB/institutional ( CMS -1450) and/or professional ( CMS 1500) claims +… more
- Humana (Tallahassee, FL)
- …or CMS guidelines, assessment and documentation practice + Case Management certification (CCM) + Bilingual in English and Spanish **Work-At-Home Requirements** ... Our nurses are titled Care Managers, because our case management services are centered on the person rather than...of the business day, primarily through an auto dialer system . Environment is fast paced and requires ability to… more
- AdventHealth (Orlando, FL)
- …OurLegacy is designated by the Centers for Medicare and Medicaid Services ( CMS ) as the only organ procurement organization (OPO) in east central Florida ... and is accredited by the American Association of Tissue Banks (AATB) as a tissue recovery agency. The Referral Coordinator is responsible for all incoming Vented and Non-Vented referrals called into and/or electronically submitted to OurLegacy from our Donor… more
- MyFlorida (Delray Beach, FL)
- 68037451 - FIRE PROTECTION SPECIALIST Date: Aug 21, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... to conduct surveys of other types of licensed providers, as assigned by management . The incumbent must be proficient with computer equipment and software programs,… more
- HCA Healthcare (Tallahassee, FL)
- …oversight for matters including the Centers for Medicare and Medicaid Services ( CMS ), The Joint Commission (TJC), state agencies and other external agencies for ... the HCA Regulatory and Accreditation Team. + Establishes and maintains proactive system for continual survey readiness with division and facility key stakeholders… more