- LogixHealth (Dania Beach, FL)
- …communication, and experience in third-party billing. Key Responsibilities: + Review/work denials on an explanation of benefits (EOB) statement + Analyze A/R ... (Accounts Receivable) reports to follow up on unpaid claims + Send out appeals on claims that require an appeal + Submit required documentation to insurance companies as requested + Research claims for information in order to process bills in a timely manner +… more
- AdventHealth (Winter Park, FL)
- …patients who no longer meet medical necessity and escalates potential denials , documents avoidable days, and facilitates progression of care *Participates in ... length of stay meetings as appropriate. *Uses discretion and adherence to policies and procedures when discussing patient related issues that are confidential in nature. Protects patient privacy with all interactions. Maintains the confidentiality of… more
- AdventHealth (Altamonte Springs, FL)
- …patients who no longer meet medical necessity and escalates potential denials , documents avoidable days, and facilitates progression of care. Collaborates with ... Utilization Management staff for collaboration on patient status changes and medical necessity discussions. + Ensures patient notifications are provided and documented in a timely manner for compliance: Important Medicare Letters (IML), Medicare Outpatient… more
- AdventHealth (Tampa, FL)
- …ensure appropriate payment for services rendered are received and third-party payer denials are minimized. + Facilitates, coordinates, and oversees the expansion of ... the hospital into long-term, profitable and clinically beneficial relationships with medical schools while developing and overseeing applicable residency program(s). + Continually enhances medical knowledge through a regular program of reading, research,… more
- Zelis (St. Petersburg, FL)
- …growth initiatives and outcomes + Assist in dispute process and defense of denials as necessary + Must remain current in all national coding guidelines including ... Official Coding Guidelines, AHA Coding Clinic and AMA CPT Assistant + Participate in client facing meetings as necessary + Identify new DRG coding concepts to drive growth opportunities. + Recommend efficiencies and process improvements to improve departmental… more
- Aveanna Healthcare (Brooksville, 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
- 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
- Aveanna Healthcare (Gainesville, 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
- Abbott (Orlando, FL)
- …related to payment review, administration, andaudit support. + Monitor trends in denials , refunds, and payment patterns to proactively identify areas of concern or ... improvement. + Support quality assurance efforts by auditing payment records and refund documentation for compliance andaccuracy. + Collaboratewith RCM department leads to review QC remediation items, ensure timely resolution, and document any identified… more
- Growth Ortho (Tampa, FL)
- …Partner with Revenue Cycle, Finance, and Legal teams to address underpayments, denials , and contract compliance issues. Lead the resolution of payer disputes and ... oversee appeals or escalations as necessary. Cross-Functional Collaboration Work closely with the Revenue Cycle, Finance, Operations, and Clinical teams to ensure alignment on payer initiatives and revenue goals. Support the integration of newly acquired… more