- BAYADA Home Health Care (Orlando, FL)
- …set by the Director of MCM. + Prevent or decrease the occasion of Medicare denials by assuring proper coding on the plan of care and accurate OASIS documentation. + ... Provide support and communication to all disciplines within the service. + Provide customer service/education and act as a resource to Medicare Certified Offices with regards to CMS guidelines, Home Care Coding, PDGM guidelines and billing related issues. +… more
- AdventHealth (Tampa, FL)
- …changes and/or identified gaps pertaining to specified dx, topics, DRGs and denials . Acts as a direct contact for the Physician Documentation Improvement designee ... (physician advisor) and site administration. Develops ongoing documentation improvement education programs based on regulatory changes or updates and internal quality audits for site CDS. Partners with coding leadership related to accuracy of final DRG… more
- Ascension Health (Jacksonville, FL)
- …coding, quality and/or compliance processes. + Develop strategy and processes to reduce denials and audits. + Assist with appeals and length of stay market ... initiatives. + Utilize hospital data sources to identify & analyze patterns of over or under-utilization of services, quality metrics and collaborate with appropriate stakeholders to help achieve those goals. **About Ascension St. Vincent's Hospitals… 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. **About Ascension Sacred Heart Pensacola** As part of Ascension, the largest non-profit health system in the US and the world's largest Catholic health system, Sacred Heart Hospital Pensacola is… more
- Cordis (Miami Lakes, FL)
- …autonomy. Provide on-site and virtual expert guidance to resolve claim denials , appeal challenges, and billing disputes-ensuring institutions are equipped to secure ... appropriate payment. + Build a field-based team to expand the support and engagement with key customers and hospital systems driving expanded adoption of the Cordis portfolio. + Represent Cordis at CMS and industry meetings ensuring appropriate representation… more
- Ascension Health (Panama City, 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 Sacred Heart Bay** As part of Ascension, the largest non-profit health system in the US and the world's largest Catholic health system: + Sacred Heart offers competitive… more
- LogixHealth (Dania Beach, FL)
- …interpersonal communication, and experience in medical billing. Key Responsibilities: + Review denials on an explanation of benefits (EOB) statement + Review A/R ... (Accounts Receivable) reports to follow up on unpaid claims + Prepare and submit out appeals on claims that require additional review or reconsideration + Provide necessary documentation to insurance companies as requested + Investigate claims for information… more
- Butterfly Effects (Deerfield Beach, FL)
- …backlogs and meet deadlines. + Identify and resolve billing errors to reduce claim denials . + Correct and resubmit denied claims for billing errors. + Review and ... address immediate rejections from the clearinghouse. + Stay up to date with third-party payer requirements and regulatory guidelines. Why Work at Butterfly Effects? + Impactful Work - Support services that directly benefit children and families. +… more
- LogixHealth (Dania Beach, FL)
- …email as needed + Collaborate with Account Managers to resolve provider denials + Update/Maintain Provider Enrollment Credentialing System + Attends conference calls ... with clients as requested Qualifications: To perform this job successfully, an individual must be able to perform each Key Responsibility satisfactorily. The following requirements are representative of the knowledge, skills, and/or ability required to perform… more
- Akumin (West Palm Beach, FL)
- …insurance companies. Provides supporting documentation for all insurance appeals and denials . + Other duties as assigned. **Position Requirements:** + High School ... Diploma or equivalent experience. + CPR Certification. + 1 year in medical/hospital setting + **Interpersonal Skills:** Relationship building skills to work with all functional units of the organization effectively. Experience in working with demanding… more