- CenterWell (Tallahassee, FL)
- …internal policies and procedures. Establishes industry best practices and KPIs for billing and, cash collections for both patient and payers. Innovative leader that ... internal policies and procedures. Establishes industry best practices and KPIs for billing and collections for both patient and payers. Innovative leader that will… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- …portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks to Polaris and their customers. The Prior ... pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks to Polaris and their...D plans, third party insurance companies, and all state Medicaid plans to ensure maximum payer reimbursement adhering to… more
- Convey Health Solutions (Fort Lauderdale, FL)
- …timely and accurate resolution of discrepancies identified in the Enrollment, Billing and/or Reconciliation processes. The analyst will review documentation, work ... for correction and submission to Centers for Medicare & Medicaid Services (CMS) + Review and complete Late Enrollment...be submitted to the CMS Retro Processing Contractor (RPC) Billing Processing + Identify and post customer payments not… more
- HCA Healthcare (Tampa, FL)
- …and CCU coding workflow among peer groups. + Stay abreast of coding/ billing regulatory requirements and company compliance policies, ensuring timely staff education ... nuances of unique coding requirements for major payers such as Medicare, Medicaid , HMO's, PPO's, IPA's, employers, etc. + Demonstrate and share knowledge of… more
- Humana (Miramar, FL)
- …provider interactions and communications. Work with Pre-Authorization, Utilization Management, Billing , Pharmacy, Home Care and DME regarding referred services. ... of applicable CPT, HCPC, ICD-10 codes, and all insurance contracts. Understand Medicare/ Medicaid criteria and Health Plan policies to ensure the referral meets all… more
- HCA Healthcare (Orange Park, FL)
- …guidelines in all interactions with the patient + In conjunction with the Medicaid Eligibility Staff visit all uninsured patients in-house + Provide estimates to ... + Assist patients with payment arrangements and in co-ordination with the Medicaid Eligibility Staff assists patient with financial applications + Contact patient… more
- AdventHealth (Maitland, FL)
- …research to obtain and maintain non-contracted payer reimbursement including Medicare, Medicaid , Tricare and other gov't payers. * Responsible for ensuring accurate ... of reporting provided to all providers. * Works closely with physician group billing and system departments to resolve contract load issues and identify trends to… more
- HCA Healthcare (Ocala, FL)
- …deceased patient accounts to ensure that accounts follow appropriate collections and billing protocols according to SSC and corporate policy. + Review correspondence ... and bankruptcy accounts from patients and/or vendors. + Assist with the Medicaid Eligibility vendor reconciliation, as requested. You will also manage the onboarding… 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
- HCA Healthcare (Miami, FL)
- …research/resolution + Escalate alert/edit resolution issues as appropriate to minimize final billing delays + Monitorthe aging of accounts held by an alert/edit, ... reports to leadership + Work with team members in billing , revenue integrity and/or the Medicare Service Center to...cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon… more