- Cardinal Health (Tallahassee, FL)
- …Be able to effectively communicate with the team on architecture, design patterns, coding quality and review, and modern technologies + Ability to mentor and grow ... the technical and non-technical skills of your team + Strong focus on compliance , quality and fault-tolerant software + Introduce and enforce good process and… more
- Intermountain Health (Tallahassee, FL)
- …the RI leadership team. Proactively seeks out positive or negative trends in charge/ coding capture and editing processes to facilitate the sharing of best practice ... in other areas of the revenue cycle to support the quality and compliance of charges and documentation. 3. Participates, researches and follows-up on topics… more
- AdventHealth (Altamonte Springs, FL)
- …and in some situations the supervision of the Clinical Documentation Integrity Manager , and in collaboration with physicians, nursing and HIM coders, the Clinical ... policies and procedures, continually ensuring quality documentation and regulatory compliance . Actively participates in outstanding customer service and accepts… more
- AdventHealth (Maitland, FL)
- …rejections of insurance claims with the oversight of the Supervisor and/or Manager Qualifications ** EDUCATION AND EXPERIENCE REQUIRED:** One-year of experience ... and all measures to resolve assigned accounts, including escalation to Supervisor/ Manager if necessary. + Processes administrative and Medical appeals, refunds,… more
- CHS (Clearwater, FL)
- …claims and customer service calls to ensure validity, accuracy, and compliance with appropriate policies, procedures, and regulations + **Health, Dental, Vision, ... customer service calls within the MPS call center. + Ensures compliance with appropriate company policies, procedures, guidelines, and reporting requirements;… more
- Zelis (FL)
- …of Zelis editing products with an ability to clearly articulate correct coding and claim adjudication guidelines, interpretation of client policies and present Zelis ... suites to assigned clients. + Primary contact for Client Manager to support the retention and expansion of Zelis...client approved edit and newly deployed edits. + Ensure compliance with HIPAA regulations and requirements. What you'll bring… more
- Citigroup (Tampa, FL)
- …firm's reputation and safeguarding Citigroup, its clients and assets, by driving compliance with applicable laws, rules and regulations, adhering to Policy, applying ... + 8+ years of experience in change management practices, technical compliance management, leading hybrid teams, test-driven development, code reviews, continuous… more
- HCA Healthcare (Tallahassee, FL)
- …rollover assistance services and preferred banking partnerships + Education assistance (tuition, student loan, certification support, dependent scholarships) ... with the director and clinical team to ensure formulary compliance and maintains contract compliance . The Buyer...in the pharmacy when the tech supervisor or pharmacy manager is unavailable. + Under the supervision of Director… more
- Community Health Systems (Sarasota, FL)
- …and submitting primary and secondary insurance claims, ensuring accuracy, compliance , and timely reimbursement. This role utilizes electronic claims management ... and secondary insurance claims accurately and in a timely manner, ensuring compliance with payer guidelines and regulatory requirements. + Reviews and resolves claim… more
- Highmark Health (Tallahassee, FL)
- …**ESSENTIAL RESPONSIBILITIES** + Takes a lead role for analyzing, designing, coding , testing and implementing more complex application enhancements, as well as ... and 24x7 supports when necessary. + Performs work in compliance with all Highmark and Highmark IT standards, policies...but not limited to, Developer, Technical Lead and Project Manager , based upon level of experience. + Effectively communicates… more
Recent Jobs
-
Director, People Business Partner Europe
- Taiho Oncology (Bear, DE)
-
Forklift Mechanic
- Amentum (Silverdale, WA)