- AdventHealth (Maitland, FL)
- …spreadsheets throughout any settlement, mediation, arbitration or lawsuits. + Audit current contracts for potential revenue opportunities and contract violations ... of applicable rules, regulations, policies, laws, and guidelines that impact healthcare billing. **Reimbursement-30%** + Supports Managed Care leadership in contract… more
- Elevance Health (Tampa, FL)
- …analysis of claims and medical records prior to payment. + Researches new healthcare related questions as necessary to aid in investigations. + Collaborates with the ... as appropriate regarding approved interventions such as recovery of overpayment, pre-payment audit of claims or putting providers on notice. + Assists with training… more
- Walgreens (Mims, FL)
- …using the pharmacy. Enhances customer experience by increasing focus on healthcare services. **Operations** + Responsible for assisting pharmacist in the delivery ... allowed by law). Under the supervision of a pharmacist assists with healthcare service offerings including administering vaccines, health screenings, and any health… more
- Humana (Tallahassee, FL)
- …and state partnership, oversees the budget, financial reporting, and all audit activities. The individual in this role coordinates day-to-day financial operations ... of Health partners. Applies keen insight regarding the current Medicaid healthcare regulatory environment and competitive environment, and how the components of… more
- Datavant (Tallahassee, FL)
- …company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right ... team. Together, we're rising to the challenge of tackling some of healthcare 's most complex problems with technology-forward solutions. Datavanters bring a diversity… more
- Humana (Tallahassee, FL)
- …participate in meetings involving care management, provider relations, quality of care, audit , grievance and appeal and policy review. The Behavioral Health Medical ... on various behavioral health topics to the clinical operations team and healthcare organization. The Medical Director's work includes computer based review of… more
- Datavant (Tallahassee, FL)
- …company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right ... team. Together, we're rising to the challenge of tackling some of healthcare 's most complex problems with technology-forward solutions. Datavanters bring a diversity… more
- Datavant (Tallahassee, FL)
- …company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right ... we're rising to the challenge of tackling some of healthcare 's most complex problems with technology-forward solutions. Datavanters bring...ensuring precision and adherence to documentation + Oversee and audit the work of Level 1 & 2 Coders,… more
- University of Miami (Miami, FL)
- …leakage, and supporting system improvements that enhance revenue integrity across the healthcare enterprise. Working under the direction of the Director of Revenue ... requirements. + Participate in internal audits and support external audit responses. + Maintain documentation of findings, recommendations, and resolutions.… more
- BayCare Health System (Clearwater, FL)
- …facilitate monitoring visits, ensure study regulatory files are up to date & audit ready + Maintain regulatory master files for industry & investigator initiated ... Field with 1 Year of Research, Regulatory, or other Healthcare Administration experience + Or - Bachelor's Degree in...Administration experience + Or - Bachelor's Degree in Business, Healthcare Management, Nursing or Related Field and 2 Years… more