- Aston Carter (Medley, FL)
- …and processing invoices and claims, resulting in payment applications, credits, denials , and the collection of balances. Strong communication skills are essential ... for interacting with customers, account managers, and other employees and departments by phone and email. Responsibilities + Analyze and reconcile various aging to ensure billing accuracy. + Conduct advanced research and analysis on Post Audits, both proposed… more
- AdventHealth (Maitland, FL)
- …month-end net patient revenue. Provides guidance and direction to PFS, Central Denials , Patient Access and Managed Care staff regarding contract terms and policies ... including; governmental initiatives, rules and regulations. Develops and maintains a strong working relationship with AdventHealth Florida and Multi-state Division leadership, Managed Care Reimbursement team, Regional Revenue Cycle leadership,… more
- Aveanna Healthcare (Sebring, 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
- HCA Healthcare (Davie, FL)
- …appropriate facility staff members and Division Office. + You will review denials issues and trends for maximizing net reimbursement for Facility. You will ... maintain accuracy of charge master. + You will review contracts, purchase agreements, and other financial arrangements to ensure compatibility with business goals and expectations about profitability. **What qualifications you will need:** + Bachelor's degree… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …in identifying and reporting variances in utilization of resources, avoidable days/ denials . Works in collaboration with Appeals Management/Medical Director in the ... appeals process. + Responsible for the appropriate use of software and applications and enters case management information accurately and in a timely manner. + Adheres to Medicare and Medicaid regulatory guidelines as it pertains to patient admission/safe… more
- Aveanna Healthcare (Naples, 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
- Humana (Tallahassee, FL)
- …requests. + Process and email member letters (Letter of Agreements, Approvals, Denials etc.) + Assist the team with various clerical/administrative tasks as ... necessary. + Participate in special projects as assigned by your Supervisor or Manager **Use your skills to make an impact** **Required Qualifications** + Bilingual English/Spanish able to speak, read and write in both languages without limitations or… more
- University of Miami (Miami, FL)
- …ensure accurate and complete billing. + Identify trends in missed charges, denials , and underpayments. + Conduct root cause analysis and recommend corrective ... actions. System & Workflow Support + Assist in testing and validating revenue cycle system changes and upgrades. + Collaborate across IT and operational teams to improve charge capture workflows. + Support implementation of automation tools and reporting… more
- BayCare Health System (Clearwater, FL)
- …assigned by the supervisor including but not limited to processing concurrent denials . + Preferred experience includes Critical Care or Emergency Nursing RN. ... **Position details:** + **Location:** Morton Plant Hospital + **Status:** Part Time, Exempt: No + **Schedule:** 6:45 AM - 7:15 PM + **Weekend Work:** Every + How often will this team member be working remotely? Hybrid (onsite to start for up to 6 months, then… more
- Ascension Health (Jacksonville, 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. **About Ascension St. Vincent's Hospitals (Riverside, Southside, Clay, and St. Johns)** + St. Vincent's Medical Center Riverside is a 528-bed hospital founded by the Daughters of Charity in 1916.… more