- University of Miami (Miami, FL)
- …programs for which they are eligible (eg, food stamps, WIC, housing, SSI, Medicaid /Medically Needy Program, Ryan White, and ADAP, etc.). + Learns the requirements of ... the new Affordable Care Act and the . enrollment process to ensure patients know how to appropriately enroll or transition their care from Ryan White to a health care exchange or other insurance program that will allow them to maintain their care with our… more
- Molina Healthcare (Jacksonville, FL)
- …not limited to, phone, chat, email, and off phone work supporting our Medicaid , Medicare and/or Marketplace business. * Conduct varies surveys related to health ... assessments and member/provider satisfaction. * Accurately document pertinent details related to Member or Provider inquiries. * Ability to work regularly scheduled shifts within our hours of operation, where lunches and breaks are scheduled and work over-time… more
- Molina Healthcare (Orlando, FL)
- …and have a high level of customer service. Previous experience in Medicare, Medicaid , and/or Managed Care is very helpful. Top notch communication skills, both ... written and verbal are essential. Experience using Genesys and/or Sales Force software is a plus! Bilingual in Mandarin or Cantonese needed! **Job Summary** Responsible for continuous quality improvements regarding member engagement and member retention.… more
- Prime Therapeutics (Tallahassee, FL)
- …+ Previous experience with RxClaim + Previous experience with Medicare or Medicaid Every employee must understand, comply with and attest to the security ... responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures Every employee must be able to perform the essential functions of the job and, if… more
- Actalent (Miami, FL)
- …+ Process and manage denied prior authorization requests for Medicare and Medicaid patients. + Make 30-60 outbound calls per shift to Medicare members, ... primarily elderly individuals, regarding denied medication requests. + Review submitted documentation and gather additional information to support the appeals process. + Forward completed cases to pharmacists for final determination. + Deliver exceptional… more
- R1 RCM (Pensacola, FL)
- …Additionally, you will need to gain and display a thorough understanding of Medicaid and other funding programs to provide patients with clear and concise ... information. Previous experience as a financial counselor with a background in medical terminology, understanding State and Federal assistance programs, or relevant healthcare experience is a plus. _Here's what you can expect working as a Financial Counseling… more
- Aveanna Healthcare (St. Augustine, FL)
- …from diverse backgrounds to apply. As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant ... jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate. Notice for Job Applicants Residing in California (https://www.aveanna.com/CaliforniaPrivacyNotices.html) Apply more
- Aveanna Healthcare (Naples, FL)
- …Care Home Base exp a plus As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant ... jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate. Notice for Job Applicants Residing in California (https://www.aveanna.com/CaliforniaPrivacyNotices.html) Apply more
- HCA Healthcare (Gainesville, FL)
- …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 ... colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities. HCA Healthcare has been recognized as one of the World's Most Ethical Companies(R) by the Ethisphere Institute… more
- HCA Healthcare (Margate, FL)
- …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 ... colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities. HCA Healthcare has been recognized as one of the World's Most Ethical Companies(R) by the Ethisphere Institute… more