- Chewy (Plantation, FL)
- …join our Human Resources Shared Services Team! Under the supervision of the team manager , this role is responsible for leaves of absence (LOA) and ADA Accommodation ... by providing end-to-end case management including engaging the candidate, hiring manager , and other customers. + Effectively document, analyze, and resolve leave… more
- BAYADA Home Health Care (Orlando, FL)
- …Health Care has an immediate opening for a **Full Time,** OASIS and Coding Review Manager with OASIS and Coding certification to work remotely. RN, PT, OT, and SLP's ... 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:** + Competency in PC skills required to… more
- 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 ... activities as needed in conjunction with the assigned care manager . + Documents inpatient/obs capture rate >95% + Inpt/obs...+ Performs other duties as assigned and modified at manager 's discretion. **KNOWLEDGE, SKILLS AND ABILITIES:** + 2 +… 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, ... (CMS) as needed. + Communicates identified problems to Supervisor / Fiscal Manager and makes recommendations as appropriate. + Performs other job-related duties… more
- R1 RCM (Pensacola, FL)
- …registry as required + Entering and updating R1 software (epars, PAS, Chart Manager ) for their specified functions of central business office requests, denials ... and DNFB activities + Monitoring the task queues for data integrity issues including duplicates, overlaps, and overlays as well as other data integrity issues + Initiating the medical record suspension process according to the facility and regulatory… more
- Option Care Health (Tallahassee, FL)
- …are mailed within 48 hours of receipt of payment. Notifies the Reimbursement Manager if there are overpayments and/or duplicate payments for the same service. ... time frame. Generates and mails statements and collections letters. Follows-up on all denials within 48 hours of receipt. + Ensures compliance with policies and… more
- AdventHealth (Altamonte Springs, FL)
- …medical staff members and lower cost. Direct reports include + Med Staff Manager **PRINCIPAL DUTIES AND JOB RESPONSIBILITIES** **:** + Leads in the continuing ... ensure appropriate payment for services rendered are received and third-party payer denials are minimized. + Facilitates, coordinates, and oversees the expansion of… more
- BayCare Health System (Tampa, FL)
- …assigned by the supervisor including but not limited to processing concurrent denials . + Preferred experience includes Critical Care or Emergency Nursing RN. ... RN (Registered Nurse) + Preferred ACM (Case Management) + Preferred CCM (Case Manager ) **Education:** + Required Associates in Nursing or + Required Bachelors in… 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 ... Preferred: + Bachelor's or master's degree in nursing (BSN/MSN) + Certified Case Manager (CCM) or similar certification + Fluent in Spanish preferred. Skills 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… more