- Convey Health Solutions (Fort Lauderdale, FL)
- …disenrollment forms for correction and submission to Centers for Medicare & Medicaid Services (CMS) + Review and complete Late Enrollment Penalty (LEP) Attestations ... and submissions All Functions + Working understanding of Centers for Medicare & Medicaid Services (CMS) guidance + Conform with and abide by all regulations,… more
- Humana (Tallahassee, FL)
- …years. CarePlus strives to help people with Medicare, or both Medicare and Medicaid , achieve their best possible health and wellness through plans with benefits and ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more
- Humana (Tallahassee, FL)
- …or adjacent sectors **Preferred Qualifications** + Comprehensive knowledge of Medicare, Medicaid , and DSNP encounter processes and policies. + Working knowledge of ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more
- CVS Health (Hollywood, FL)
- …Special Needs Plan (DSNP) members, who are enrolled in both Medicare and Medicaid and face a variety of complex health and social challenges. Through compassionate ... all necessary care covered by their benefit plans and available through Medicaid and community resources. + Build relationships with hospital social workers and… more
- CenterWell (Port Saint Lucie, FL)
- …food insecurity, navigation of and application for benefits including, Medicaid , HCBS, working to reduce costs associated with prescription medications, ... prefer Bilingual Spanish/English or Creole/English . Familiarity with state Medicaid guidelines and application processes preferred . Experience working with… more
- HCA Healthcare (Tampa, FL)
- …nuances of unique coding requirements for major payers such as Medicare, Medicaid , HMO's, PPO's, IPA's, employers, etc. + Demonstrate and share knowledge of ... full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000… more
- CenterWell (Leesburg, FL)
- …food insecurity, navigation of and application for benefits including, Medicaid , HCBS, working to reduce costs associated with prescription medications, ... + Bachelor's Degree in applicable discipline + Familiarity with state Medicaid guidelines and application processes + Experience working with seniors' complex… more
- BayCare Health System (Clearwater, FL)
- …position is responsible for government payer reimbursement related to Medicare, Medicaid and TRICARE/CHAMPUS, specifically completion of the annual Medicare Cost ... report filings and audits, AHCA (Agency for Healthcare Administration) Florida Medicaid payment systems and staying current on all government regulatory changes and… more
- Humana (Tallahassee, FL)
- …or Bachelor's degree in a related field + Health Plan experience + Previous Medicare/ Medicaid Experience a plus + Call center or triage experience + Bilingual is a ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more
- Humana (Tallahassee, FL)
- …clinical experience + Knowledge of the managed care industry including Medicare, Medicaid and/or Commercial products + Must be passionate about contributing to an ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more