- Community Health Systems (Naples, FL)
- As a Scheduling Specialist with Physicians Regional Medical Group you'll join a team and be a part of a culture that's dedicated to providing top quality care to our ... and student loan assistance for eligible roles. **Job Summary** The Scheduling Specialist is responsible for managing and optimizing the scheduling process for… more
- Community Health Systems (Naples, FL)
- **Job Summary** The Charge Capture Specialist is responsible for reviewing, auditing, and reconciling clinical and procedural documentation to ensure accurate and ... opportunities for improvement in the charge entry process. The Charge Capture Specialist collaborates with clinical departments, coding, and revenue cycle teams to… more
- TUDI Mechanical Systems (Tampa, FL)
- …it's not just about satisfying clients, but transforming an industry. With Tudi Mechanical Systems , you get a team that operates As a single heartbeat. Because a ... possible. We are excited to announce an opening as a Business Development Specialist for the Commercial Service Division in Tampa, FL. Responsibilities: + Develop… more
- Molina Healthcare (Miami, FL)
- …DESCRIPTION** **Job Summary** Molina's Credentialing function ensures that the Molina Healthcare provider network consists of providers that meet all regulatory and ... and request any missing information. * Updates credentialing software systems with required information. * Requests recredentialing applications from providers… more
- Molina Healthcare (Orlando, FL)
- …members, providers, team members, and manager. Basic understanding of managed healthcare systems and Medicare. **PREFERRED EDUCATION:** Associate's or Bachelor's ... years experience in customer service, consumer advocacy, and/or health care systems . Experience conducting intake, interviews, and/or research of consumer or… more
- Molina Healthcare (FL)
- …timelines are met. * Researches claims appeals and grievances using support systems to determine appropriate appeals and grievance outcomes. * Requests and reviews ... * Researches claims processing guidelines, provider contracts, fee schedules and systems configurations, to determine root causes of payment errors. * Resolves… more
- Molina Healthcare (St. Petersburg, FL)
- …(DRG) requests. * Enters and updates recovery applications and claim systems for multiple states and prepares/creates overpayment notification letters with accuracy; ... processes claims as a refund or auto debit in claim systems and in recovery application. * Follows department processing policies and procedures including, claims… more
- Molina Healthcare (Miami, FL)
- …and/or regulatory timelines are measured correctly. * Researches claims using support systems to determine **Provider No Surprise Act** cases outcomes. . * Requests ... * Researches claims processing guidelines, provider contracts, fee schedules and systems configurations, to determine root causes of payment errors. **Required… more
- Molina Healthcare (Tampa, FL)
- …timelines are met. + Research claims appeals and grievances using support systems to determine appeal and grievance outcomes. + Requests and reviews medical ... assures timeliness and appropriateness of responses per state, federal and Molina Healthcare guidelines. + Responsible for meeting production standards set by the… more
- Molina Healthcare (FL)
- …prepares documentation for further review. * Researches claims issues utilizing systems and other available resources. * Assures timeliness and appropriateness of ... for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare … more