- CenterWell (Tallahassee, FL)
- …part of our caring community and help us put health first** The ** Denials Management Specialist** is responsible to respond to, monitor and analyze all governmental ... not limited to ADR's, CERTS, RAC's, ZPIC's, SMRC's, and all other revenue-driven denials and requests. Guides and coordinates with the branch staff in developing… more
- AdventHealth (Maitland, FL)
- **Account Representative Manager Billing/Collections/ Denials -AdventHealth LOCATION** **Location Address:** **900 WINDERLEY PL, Maitland, 32751** **Top Reasons ... with Insurance payers to ensure proper follow up on billing/ denials /variances takes place on all assigned patient accounts. Compiles...and customer service for all payer and patient accounts. Manager monitors and directs the process of follow up… more
- HCA Healthcare (Gainesville, FL)
- …limits? Our HCA Florida North Florida Hospital team is looking for a(an) Manager Case Management. HCA Healthcare is an advanced healthcare network that has committed ... save lives across the country? Apply today to our Manager Case Management and be a part of the...families as appropriate. 1. Assists in management of payor denials ; issues hospital-initiated notices of non-coverage (HINN's) 1. Distinguishes… more
- HCA Healthcare (Gainesville, FL)
- …Bonus Available ** Introduction Do you have the career opportunities as a(an) RN Case Manager you want in your current role? We invest in what matters most to nurses ... seeking a dynamic Case Management RN to join our team. The RN Case Manager facilitates the interdisciplinary plan of care with a focus on evaluating the… more
- AdventHealth (Winter Garden, FL)
- …mind, body, and spirit! **The role you'll contribute** **:** The RN Care Manager in collaboration with the patient/family, social workers, nurses, physicians and the ... and progression through the continuum of care. The RN Care Manager ensures efficient and cost-effective care through appropriate resources monitoring, and… more
- AdventHealth (Altamonte Springs, FL)
- …and world-class resource **The role you'll contribute** **:** The RN Care Manager in collaboration with the patient/family, social workers, nurses, physicians and ... and progression through the continuum of care. The RN Care Manager ensures efficient and cost-effective care through appropriate resources monitoring, and… more
- BAYADA Home Health Care (Orlando, FL)
- …requirement.** BAYADA Home Health Care is hiring a full time OASIS Review and Coding Manager . The OASIS and Coding Review Manager provides support to all BAYADA ... MCM. + Prevent or decrease the occasion of Medicare denials by assuring proper coding on the plan of...Perform related duties, or as required or requested by Manager /Director. **Qualifications:** + Four (4) year college degree preferred.… more
- Zelis (St. Petersburg, FL)
- …and the personal interests that shape who you are. Position Overview The Manager , DRG Validation of the Expert Claims Review (ECR) department is responsible for ... operations and team management of the DRG product. The Manager , DRG Validation will be primarily responsible for the...outcomes + Assist in dispute process and defense of denials as necessary + Must remain current in all… more
- HCA Healthcare (Palm Harbor, FL)
- …to Provider Enrollment for follow up. + Collaborate with Parallon's Division Account Manager and practice leadership to improve Division A/R Days (charge Lag, claims ... and Medical Office Coordinators. + Implement processes to decrease denials by focusing on top denial reasons and working...where needed. + Collaborate with the Division Regional Coding Manager (RCOM) to analyze coding reports and assist with… more
- Cognizant (Tallahassee, FL)
- …As an ICD-10 Coding Professional you will be responsible for reviewing/resolving coding denials in the cardiovascular specialty. You will be a valued member of the ... manage appeals, working with various departments to prevent future denials . + Review documentation to code diagnosis and procedures...a team in a fast-paced environment. + Interacting with manager /team members on scheduled time off and breaks and… more