- University of Miami (Miami, FL)
- …facilitating the understanding of and obtaining signature on legal, ethical, and compliance related documents that must be presented and thoroughly explained to the ... HIPAA Notice of Privacy, No Surprise Billing, Good Faith Estimate, Off Campus Medicare Co-insurance and Advance Beneficiary Notices, and Medicare Secondary Payer… more
- University of Miami (Miami, FL)
- …facilitating the understanding of and obtaining signature on legal, ethical, and compliance related documents that must be presented and thoroughly explained to the ... HIPAA Notice of Privacy, No Surprise Billing, Good Faith Estimate, Off Campus Medicare Co-insurance and Advance Beneficiary Notices, and Medicare Secondary Payer… more
- HCA Healthcare (Orange Park, FL)
- …downgrade letters + Complex NCD/LCD guidelines, CMS/AHCA policies and regulations + Federal Register, Center for Medicare and Medicaid Services, American ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more
- CenterWell (Loxahatchee, FL)
- …of hands-on healthcare experience in a clinical setting, preferably within the Medicare population + 2+ years referral experience. + Proficient with Microsoft Office ... + 1-3 years of hands-on healthcare experience in a clinical setting, preferably with Medicare population + 1-3 years of EMR experience, preferably with eCW or Athena… more
- CenterWell (Jacksonville, FL)
- …medicine, continuity of care, health maintenance, and disease prevention. Keeps a medical history and medical records. Refers the patient to specialists ... located at our Beach Boulevard center.** **Required** **Qualifications:** . Current and unrestricted medical license or willing to obtain a medical license in… more
- CVS Health (Tallahassee, FL)
- …The Manager (109), Product Owner (PO) is responsible for leading the Medicare innovation product development for the Grievance & Appeals (G&A) Department. This ... Vision, Strategy, and Roadmaps (10%) + Develop a deep understanding of the Medicare innovation strategy and initiatives + Provides clarity of the product vision,… more
- AdventHealth (Altamonte Springs, FL)
- …to provide feedback to CDI Market Leaders + Performs quality reviews of the medical record for compliance including completeness and accuracy for severity of ... allied health practitioners, nursing, and care management. This includes quarterly compliance updates from Medicare . + Effectively and appropriately communicates… more
- CVS Health (Tallahassee, FL)
- …and prosecution of health care fraud to recover lost funds. Responsible for compliance with state and federal regulations mandating the reporting of corporate ... experience in a Healthcare Program Integrity, Medicaid Special Investigation or Medicaid / Medicare / Commercial Compliance role + Strong verbal and written… more
- Highmark Health (Tallahassee, FL)
- …related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, ... with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts… more
- Humana (Tallahassee, FL)
- …oversight of up to 700 BPO partner associates across two vendors supporting all Medical lines of business ( Medicare and Medicaid) + Focuses on improvement ... for continuous improvement in initial claims processing for all medical lines of business. The role will focus on...to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities… more