- CVS Health (Tallahassee, FL)
- …+ Pharmacy Investigative experience + Marketplace Broker Investigative experience + Medicaid and Medicare experience **Education** + Bachelor's degree in Criminal ... Justice or equivalent experience **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $46,988.00 - $112,200.00 This pay range represents the base hourly rate or base annual full-time salary for all… more
- Molina Healthcare (Orlando, FL)
- …**PREFERRED EXPERIENCE:** + SQL expertise + Excel expertise + Medicare, Medicaid , Marketplace claims expertise **PHYSICAL DEMANDS:** Working environment is generally ... favorable and lighting and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods. Reasonable… more
- Cardinal Health (Tallahassee, FL)
- …with secondary insurance company when necessary. + Bills supplemental insurances including all Medicaid states on paper and online. + Mails all paper claims. + Acts ... as a subject matter expert in claims processing. + Manages billing queue as assigned in the appropriate system. + Manages and resolves complex insurance claims, including appeals and denials, to ensure timely and accurate reimbursement. + Processes denials &… more
- Aveanna Healthcare (Naples, FL)
- …and completion of OASIS documentation 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 (Tallahassee, FL)
- …You will maintain a thorough working knowledge of the rules of Medicare, Medicaid , and private payer regulations and processes. You will possess a thorough ... understanding of managed-care concepts and length-of-stay management relating to patient and organizational fiscal responsibility. + You will perform thorough assessments and develop appropriate discharge plans for high-risk patients with discharge planning or… more
- AdventHealth (Palm Coast, FL)
- …with the State of Florida regulatory agencies, basic Centers for Medicare & Medicaid Services (CMS) regulations, as well as other local, state, and federal agencies, ... regulatory, and accrediting bodies and applicable policies and procedures. + OPERATING AND CAPITAL BUDGET/FISCAL RESPONSIBILITY: Ensures that all practices within scope of responsibility operate within allocated budget. Implements appropriate tracking systems… more
- AdventHealth (Minneola, FL)
- …not limited to: Coordination of Care, Centers for Medicare & Medicaid Services (CMS) Conditions of Participation, Discharge Planning, Social Services, Readmission ... Prevention, Length of Stay, Excess days, Avoidable Days, Value Based Care partnerships, Care Manager's roles in Multidisciplinary Rounds, Care Transitions, team member engagement, team member evaluations and customer experience. **The value you'll bring to the… more
- Help at Home (Medley, FL)
- …or healthcare support. + 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 growth… more
- Humana (Tallahassee, FL)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information,… more
- Humana (Tallahassee, FL)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information,… more