- Centene Corporation (Tallahassee, FL)
- …**Work cross-functionally & interdepartmentally to research, develop and maintain Medicare AEP materials. Participate in workgroup(s) to implement process ... Process Flowcharts.** **Position Purpose:** Responsible for development and production of Medicare regulatory required and benefit related materials to ensure … more
- NHS Management, LLC (Daytona Beach, FL)
- …experience along the way. We are in search of a qualified Finanical Specialist Assistant: To perform the successful and timely completion of assigned business and ... resolution and development of business office goals and objectives. + Strives for compliance with internal controls and state and federal regulations. + Ability to… more
- Molina Healthcare (FL)
- **Job Description** **Job Summary** The Sr Specialist , Member & Community Interventions oversees and implements new and existing clinical quality member intervention ... initiatives including all lines of business ( Medicare , Marketplace, Medicaid). Executes health plan's member and community quality focused interventions and programs… more
- BayCare Health System (Clearwater, FL)
- BayCare is seeking a Revenue Management Specialist to join our dynamic Reimbursement team. In this role, you will assume a leadership position within your area of ... specialty, ensuring the integrity of financial reporting and compliance with CMS guidelines. You will play a key...You'll Do In the Role:** + Prepare and analyze Medicare and Medicaid Cost Reports for multiple facilities to… more
- HCA Healthcare (Ocala, FL)
- …met in compliance with departmental policies and procedures + Review Medicare Recovery Audit Contractor (RAC) recoupment requests and process or appeal as ... Do you have the career opportunities as a Clinical Denial Coding Review Specialist you want with your current employer? We have an exciting opportunity for… more
- Deloitte (Tampa, FL)
- Healthcare Clinical Documentation Specialist - Senior Consultant Our Deloitte Regulatory, Risk & Forensic team helps client leaders translate multifaceted risk and ... concerns, financial concerns and other business controversy. A Clinical Documentation Specialist (CDS) works to ensure accuracy and completeness of clinical… more
- Guidehouse (Tampa, FL)
- …various types of authoritative information. + Maintains current knowledge of Medicare , Medicaid, and other third-party payer billing compliance guidelines ... cycle support services through efficient review and timely resolution of assigned Medicare and third-party payer accounts that are subject to pre-bill claim edits,… more
- HCA Healthcare (Orlando, FL)
- …Submit your application for the opportunity below: Outpatient Coding Resolution Specialist Parallon **This is a work from home position!** **Flexible schedule ... by location._** We are seeking an Outpatient Coding Resolution Specialist for our team to ensure that we continue...with team members in billing, revenue integrity and/or the Medicare Service Center to resolve alerts/edits + Communicates coding… more
- Highmark Health (Tallahassee, FL)
- …Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including but ... (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment… more
- University of Miami (Miami, FL)
- …Department of SCCC has an exciting opportunity for a Full Time Sr. Sponsored Programs Specialist to work at the UHealth campus in Miami, Fl. CORE JOB SUMMARY The Sr. ... Sponsored Programs Specialist coordinates administrative and financial functions for the assigned...more complex grant activities in order to ensure departmental compliance with applicable guidelines, rules, and regulations. CORE JOB… more