- ChenMed (Miami, FL)
- …for quarterly audit of authorization files to ensure accurate capture of IP/Obs/ Denials in HITS + Support maintenance of ENS/DNS integration to our system ... in collaboration with IT/Analytics team. + Assist with other projects as needed by HCT leadership PHC Coordinator + Documents all aftercare and transition information in member record timeliness reviewing notification at the start of the day as well as through… more
- CenterWell (Tallahassee, FL)
- …via fax or telephone + Responsible for researching and updating clarifications and denials on patient profiles + Responsible for making or taking phones calls to ... and from providers, patients and/or retail pharmacies. **Use your skills to make an impact** **Required Qualifications** **Candidates** **MUST** **reside in one of the following states: Texas, Arizona, Florida, or Ohio.** + Must have an active Pharmacy… 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. **Ascension St. Vincent's Cardiology** + 33 board certified cardiologists practicing among 6 office locations with additional outreach clinics + Services inclusive of interventional cardiology,… more
- University of Miami (Hollywood, FL)
- …co-pay, and previous balance collections, registration processing time, and denials + Maintains harmonious and collaborative working relationship with all ... healthcare team members. + Adheres to University and unit-level policies and procedures and safeguards University assets. This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or… 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 Studer Family Children's Hospital** As part of Ascension, the largest non-profit health system in the US and the world's largest Catholic health system, Sacred… more
- University of Miami (Miami, FL)
- …insurance companies to verify benefits. + Reviews and follows up on denials /Explanation of Benefits (EOBs) received. + Reviews patient charts including demographic, ... patient/guarantor information, procedures/charges and diagnosis codes to verify and extract payment info. + Obtains Medicaid/ HMO/MediPass authorizations and referrals information when necessary. + Posts Medicaid and other 3rd party payments in the CMS… more
- University of Miami (Miami, FL)
- …co-pay, and previous balance collections, registration processing time, and denials + Maintains harmonious and collaborative working relationship with all ... healthcare team members. + Adheres to University and unit-level policies and procedures and safeguards University assets. Department Specific Functions: + Supervises the day-to-day operations of Tier 1 essential workers that provide critical functions that… more
- BayCare Health System (Clearwater, FL)
- …teams, physicians and their staff, the BayCare central business office, and denials management with information and process details for timely turnaround for ... authorizations. Utilize electronic scheduling/registration/financial systems, payer's websites, and recorded calls to validate health coverage and benefits in processing approval for medical services. Maintain proper documentation in Soarian or GE systems.… more