- HCA Healthcare (Pensacola, FL)
- …reviewed based on specific insurance payor requirements. + Submit adjustment requests to Medicaid through online automated system. + Work the unbilled alert and comp ... census reports daily. + Work the Medicare 72 hour and Medicaid 24 hour reports to identify Compliance overlapping accounts. + Transfer charges when appropriate. +… more
- AdventHealth (Maitland, FL)
- …Analyst will have expertise in Commercial and Governmental (Medicare, Medicaid , Tricare) payer reimbursement language and methodologies. The Senior Compliance ... + Facilitate resolution to contract violations by leveraging knowledge of Medicaid contract requirements, regulations, and state specific appeal processes. +… more
- BD (Becton, Dickinson and Company) (Stuart, FL)
- …strategy to ensure optimal coverage and maximize reimbursement from Commercial, Medicaid and Medicare plans. The individual will also have direct supervision ... Leads the development and execution of the commercial reimbursement strategy including Medicaid and Managed Medicare plans. + Responsible and accountable for… more
- Molina Healthcare (FL)
- …intervention initiatives including all lines of business (Medicare, Marketplace, Medicaid ). Executes health plan's member and community quality focused interventions ... **PREFERRED QUALIFICATIONS:** + 1 year of experience in Medicare and in Medicaid managed care + Experience with data reporting, analysis, and/or interpretation +… more
- Humana (Tallahassee, FL)
- …accountable care organization that participates in the Centers for Medicare and Medicaid Services' Medicare Shared Savings Program (MSSP), plus other commercial 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
- AssistRx (Orlando, FL)
- …comply with all federal, state, and industry regulations, including anti-kickback statutes, Medicare/ Medicaid rules, FDA and OIG guidance. + Work closely with the ... pharmaceutical manufacturers and understanding of third-party payer systems (commercial, Medicare, Medicaid ). Skills & Competencies: + . Strong leadership and team… more
- NHS Management, LLC (Crystal River, FL)
- …+ Healthcare billing and collection experience with nursing home receivable which includes Medicaid and Medicare Part A & B, HMO's + Experience with Medicaid ... Applications + Strong organization skills including the ability to prioritize and manage multiple tasks in a dynamic environment + Strong analytical skills; ability to quickly identify problems and find effective solutions + Strong written and oral… more
- HCA Healthcare (Orange Park, FL)
- …policies and regulations + Federal Register, Center for Medicare and Medicaid Services, American Hospital Association, Food and Drug Administration, Medicare ... 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
- Molina Healthcare (St. Petersburg, FL)
- …with other Core Ops areas of responsibilities) within Medicare and Medicaid . Role is predicated on building relationships with vendors, stakeholders, functional ... Level Agreements between the parties. **Job Duties** + Develops Medicare and Medicaid vendor strategies aligned with CMS and State regulations, including contract… more
- Prime Therapeutics (Tallahassee, FL)
- …Management organization, or within a highly regulated industry, including experience with Medicare, Medicaid , and the Affordable Care Act (ACA) + Must be eligible to ... in related area of study, such as Juris Doctor + Medicare Part D, Medicaid , and/or Affordable Care Act knowledge and experience **Physical Demands** + Ability to… more