- Cardinal Health (Tallahassee, FL)
- …center or customer service environment, preferred + Clear knowledge of Medicare, Medicaid & Commercial payer policies and guidelines for coverage, preferred + ... Knowledge of Diagnostic Medical Expense and Medicare Administrative Contractor practices, preferred + Clear understanding of Medical, Supplemental, and pharmacy insurance benefit practices, preferred + Excellent written and oral communication, mediation, and… more
- Help at Home (Miami, FL)
- …education or certification. + Basic computer literacy and typing skills. + Medicaid , Waiver, or Home Healthcare experience preferred. + Other Requirements pursuant ... to state or local rules as applicable. **Benefits:** + Direct deposit + Healthcare, dental, and vision insurance + Paid time off and parental leave + 401k + Ongoing, in-depth training opportunities + Meaningful work with clients who need your help + Career… more
- Lake Erie College of Osteopathic Medicine (Defuniak Springs, FL)
- …the patient clinic with an understanding of dealing with and processing Florida Medicaid and Medicare; + Possess a strong sense of patient advocacy, with ... responsibility for protocols that will aid patients in the reimbursement of insurance claims; + Assist in the recruitment, interviewing, and hiring of faculty and other staff; + Conduct training sessions, in conjunction with the patient care coordinator… more
- BrightSpring Health Services (Clearwater, FL)
- …compliance with Company policies and procedures, state licensure and regulations, Medicaid and Medicare standards, as well as state reimbursement regulations + ... Leading case conferences and other client-related meetings + Chairing committees as appropriate, safety, infection control, incident review, and human rights committees + Facilitating communication and serving as a liaison between and among nursing and direct… more
- MyFlorida (Fort Pierce, FL)
- …aspects of adherence such as transportation, obtaining needed medications, receiving Medicaid or private insurance, etc. Consults with public and private personnel, ... epidemiologists, ARMPS, infection control nurses, medical laboratory technologist, Technicians personnel and other health care providers to: (1) Stimulate case reporting, (2) Obtain information on treated cases or diagnostic determination. (3) Secure… more
- Fresenius Medical Center (Boynton Beach, FL)
- …certification as defined by Center for Medicaid /Medicare Services (CMS)Allappropriatestatelicensure,education,andtraining(ifany) required. + Demonstrated commitment ... to organization culture, values, and customer service standards **EXPERIENCE AND REQUIRED SKILLS** **:** + At least two years previous patient care experience in a hospital setting or a related facility preferred. + Continued employment is dependent on… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …or care coordination strongly preferred. + Knowledge of HEDIS measures, Medicare/ Medicaid quality programs and mediation adherence is preferred. + Understanding of ... medication adherence concepts and familiarity with pharmacy operations is a plus. + Excellent verbal communication and interpersonal skills, with the ability to educate, motivate, and problem-solve over the phone. + Comfortable making high-volume outbound… more
- MyFlorida (Jacksonville, FL)
- …Qualifications: One or more years' experience determining eligibility for food stamps, Medicaid and cash assistance is preferred. EXAMPLES OF WORK Monitoring and ... Quality Review - Reviews and analyzes case records in accordance with the Quality Management System Plan and operating procedures. Discusses case reviews with staff and uses the case reading process as a positive learning and individual development experience.… more
- Aveanna Healthcare (Brandon, 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
- MyFlorida (Bushnell, FL)
- …documentation and submit audited Vouchers to Voucher Packet Submission. Processes Medicaid Reimbursements to the State Pharmacy, Processes Insufficient Funds Letters ... and tracks progress. Completes Record Disposition paperwork for the Business Office. Performs quarterly change fund audits. Backup for Quarterly Pharmaceutical Inventory. Performs Quarterly Vital Statistics Reviews. Monitors Florida PALM for outstanding… more