- SIMEDHealth (Gainesville, FL)
- …You will be responsible for monitoring aging reports, resolving insurance denials , maintaining timely and accurate follow-up, and improving collections performance. ... filing issues + Handling insurance and patient inquiries promptly + Working denials weekly and tracking resolution progress + Auditing physician schedules for… more
- Actalent (Miami, FL)
- …in pharmacy operations, appeals, managed care, claims processing, and handling denials . + Strong data entry and customer service capabilities. + Proficient ... in computer systems and applications. + Ability to work independently in a remote environment. Additional Skills & Qualifications + National Pharmacy Technician Certification (CPhT) preferred; required for certain supervisory roles. + Prior experience with… more
- R1 RCM (Pensacola, FL)
- …PAS, Chart Manager) for their specified functions of central business office requests, denials and DNFB activities + Monitoring the task queues for data integrity ... issues including duplicates, overlaps, and overlays as well as other data integrity issues + Initiating the medical record suspension process according to the facility and regulatory requirements + Performing medical record deficiency analysis and re-analysis… more
- Molina Healthcare (FL)
- …by the Centers for Medicare and Medicaid. **KNOWLEDGE/SKILLS/ABILITIES** + Enters denials and requests for appeal into information system and prepares documentation ... for further review. + Research issues utilizing systems and other available resources. + Assures timeliness and appropriateness of appeals according to state and federal and Molina Healthcare guidelines. + Requests and obtains medical records, notes, and/or… more
- Aveanna Healthcare (Punta Gorda, FL)
- …or instruction. + Documents effectively resulting in no technical or clinical denials subsequent to review of documentation by payers + Maintain effective ... communication between staff, healthcare team members and family. Serve as a resource consultant for clinical staff. + Supervises other personnel (PTA, HHA) as applicable. + Completes OASIS assessments where allowed by state professional practice and… more
- Aveanna Healthcare (Holiday, FL)
- …or instruction. + Documents effectively resulting in no technical or clinical denials subsequent to review of documentation by payers + Maintain effective ... communication between staff, healthcare team members and family. Serve as a resource consultant for clinical staff. + Supervises other personnel (OTA, HHA) as applicable. + Completes OASIS assessments where allowed by state professional practice and… more
- MyFlorida (Lake Butler, FL)
- …on monthly and quarterly basis. This position is also responsible for working denials and any claim related issues. This position also is responsible for invoicing ... and reconciling outside vendors/accounts for services rendered. This position will be responsible for maintaining insurance fee schedules and entering Lab Codes in HMS Performs other duties as needed. Required Knowledge, Skills, and Abilities: Knowledge of the… more
- AdventHealth (Maitland, FL)
- …preventing achievement of such goal(s). Follows up on daily correspondence ( denials , underpayments) to appropriately work Patient accounts. + Assists Customer ... Service with Patient concerns/questions to ensure prompt and accurate resolution is achieved. Produces written correspondence to payers and patients regarding status of claim, requesting additional information, etc. + Initiates next billing, assign appropriate… more
- Ascension Health (Pensacola, FL)
- …+ Provides appropriate documentation that meets insurance company requirements; appeal all denials in a timely manner. + Participates in inpatient and outpatient ... consultation for specialty, which may include on call schedules. **Requirements** **Licensure/Certification/Registration:** + Licensed Physician MD/DO credentialed from the Florida Board of Medicine obtained prior to hire date or job transfer date. Board… more
- Option Care Health (Tallahassee, FL)
- …time frame. Generates and mails statements and collections letters. Follows-up on all denials within 48 hours of receipt. + Ensures compliance with policies and ... guidelines outlined in the contract terms and fee schedule. Follows HIPPA guidelines when accessing and sharing patient information to maintain patient and business confidentiality. **Basic Education and/or Experience Requirements:** + High School Diploma or… more