- Molina Healthcare (St. Petersburg, FL)
- …for overseeing all aspects of healthcare subrogation operations across Medicaid, Medicare , and Marketplace lines of business. This includes direct management ... to support efficient and compliant subrogation operations across Medicaid, Medicare , and Marketplace populations. + Collaborate with legal, claims, provider… more
- Fresenius Medical Center (St. Augustine, FL)
- …**LICENSES:** + HighSchooldiplomaorG.E.D. required. + Must meet Center for Medicaid/ Medicare Services ( CMS )-approved state and/or national certification ... machine alarm testing including Pressure Holding (PHT). + Initiate Solution Delivery System (SDS) system . **RECORD KEEPING:** + Complete and document ongoing… more
- AdventHealth (Orlando, FL)
- …year **The role you'll contribute:** OurLegacy is designated by the Centers for Medicare and Medicaid Services ( CMS ) as the only organ procurement organization ... extends to each of the following hospitals within the Advent Hospital system : Altamonte, Apopka, Celebration, Daytona Beach, Deland, East Orlando, Fish Memorial,… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …current Medicare Advantage operational and regulatory guidelines established by CMS , AHCA and other federal and state regulatory guidelines. + Excellent ... applied to the claim using the appropriate tools (eg CMS guidelines) + Communicate with internal departments using clear,...to ensure understanding. + Keep up via training with system updates and new applications. + Meet and maintain… more
- Fresenius Medical Center (Trenton, FL)
- …material assist devices for the heavier items. **EDUCATION** + Center for Medicaid/ Medicare Services ( CMS )-approved state and/or national certification or High ... testing including Pressure Holding (PHT). + Initiate Solution Delivery System (SDS) system . + Ensure that all...+ Inventory for Patients + Assists patient with supply management and contacting customer service **PHYSICAL DEMANDS AND WORKING… more
- AdventHealth (Orlando, FL)
- …Beach** **The role you'll contribute:** _"OurLegacy is designated by the Centers for Medicare and Medicaid Services ( CMS ) as the only organ procurement ... to each of the following hospitals within the AdventHealth's Hospital system : Altamonte, Apopka, Celebration, Daytona Beach, Deland, East Orlando, Fish Memorial,… more
- University of Miami (Fort Lauderdale, FL)
- …collects funds. + Maintains appropriate records, files, and accurate documentation in the system of record. + Serves as a lead resource for lower-level Patient ... Services staff. Recommends new approaches to management for enhancing performance and productivity. + Deploys critical...HIPAA, No Surprise Billing, Good Faith Estimate, Off Campus Medicare Co-insurance, ABNs, and MSPQ, prior to services being… more
- AdventHealth (Orlando, FL)
- …FL** **The role you'll contribute:** OurLegacy is designated by the Centers for Medicare and Medicaid Services ( CMS ) as the only organ procurement organization ... to each of the following hospitals within the AdventHealth's Hospital system : Altamonte, Apopka, Celebration, Daytona Beach, Deland, East Orlando, Fish Memorial,… more
- Humana (Tallahassee, FL)
- …degree + 3 or more years of healthcare experience in revenue cycle management (related to billing, coding, collections for Medicare and Medicaid claims) ... and internal controls, and communicating issues and recommendations to management . Coordinates implementation and compliance with corrective action plans.… more
- CenterWell (Tallahassee, FL)
- …implementing quality improvement best practice initiatives designed to improve Medicare quality measures (HEDIS), patient safety and patient experience (CAHPS-HOS). ... assist with implementation of practice specific strategies designed to improve Medicare quality measures (HEDIS), patient safety and patient experience (CAHPS-HOS).… more