- 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
- Molina Healthcare (FL)
- …standards and requirements established by the Centers for Medicare and Medicaid . **KNOWLEDGE/SKILLS/ABILITIES** + Enters denials and requests for appeal into ... information system and prepares documentation for further review. + Research issues utilizing systems and other available resources. + Assures timeliness and appropriateness of appeals according to state and federal and Molina Healthcare guidelines. + Requests… more
- Aveanna Healthcare (Naples, FL)
- …thinking and strategic sales skills 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
- Bristol Myers Squibb (Gainesville, FL)
- …a strong understanding of Commercial payers, Medicare plans and state Medicaid in geography. + Immunology experience (emphasis on Dermatology, Rheumatology or ... Gastroenterology) + Background of guiding and influencing others + Industry experience + Biologic or small molecule experience + Working knowledge of the psoriasis market, geographic conditions, customer base, etc. + Understanding of environmental and industry… more
- HCA Healthcare (Port Charlotte, 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