- MyFlorida (Fort Myers, FL)
- …judgment. Responsible for monitoring of services and processes related to billing , clinic flow, clinic scheduling, customer service and program/grant compliance. ... for the following programs: Presumptive Eligibility for Pregnant Women, Medicaid and Financial Eligibility Determination for clinic services. Stays abreast… more
- Humana (Tallahassee, FL)
- …Principal coordinates, implements, and manages oversight of the company's Medicare/ Medicaid Stars Program for aligned areas. The Stars Improvement Principal ... Operations encompasses critical functions including care coordination, quality measurement, billing , claims processing, and customer service, each essential to… more
- Molina Healthcare (FL)
- …accordance with the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). M-F from 8am - 4:30pm EST will require to work 1 ... coordination of benefits (COB), subrogation and eligibility criteria. * Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of… more
- Molina Healthcare (Miami, FL)
- …accordance with the standards and requirements of Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Responsible for the comprehensive ... coordination of benefits (COB), subrogation and eligibility criteria. * Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of… more
- Molina Healthcare (FL)
- …with the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Manages team responsible for the ... Anesthesia, high-dollar complicated claims, COB and DRG/RCC pricing). * Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of… more
- HCA Healthcare (Sarasota, FL)
- …and insurance cards. + Understand/explain policies regarding services, pricing, insurance billing , and payment of account. **What qualifications you will need:** + ... Healthcare. Our services include scheduling, registration, insurance verification, hospital billing , revenue integrity, collections, payment compliance, credentialing, health information… more
- HCA Healthcare (Ocala, FL)
- …accounts receivable follow-up, insurance follow-up, insurance posting, professional medical/ billing , medical payment posting, and/or cash application. Relevant ... Healthcare. Our services include scheduling, registration, insurance verification, hospital billing , revenue integrity, collections, payment compliance, credentialing, health information… more
- HCA Healthcare (Ocala, FL)
- …receivable follow-up, insurance follow-up and appeals, insurance posting, professional medical/ billing , medical payment posting, and/or cash application. + Prior ... Healthcare. Our services include scheduling, registration, insurance verification, hospital billing , revenue integrity, collections, payment compliance, credentialing, health information… more
- HCA Healthcare (Ocala, FL)
- …and insurance cards. + Understand/explain policies regarding services, pricing, insurance billing , and payment of account. **What qualifications you will need:** + ... Healthcare. Our services include scheduling, registration, insurance verification, hospital billing , revenue integrity, collections, payment compliance, credentialing, health information… more
- Edwards Lifesciences (Miami, FL)
- …Center for Medicare Services (CMS) and/or Medicare Administrative Contractors (MAC), Medicaid , Veteran Affairs (VA) and commercial payers. **The Director, Global ... including hospital executives, cardiovascular administrators, quality, finance, documentation integrity, billing , and physicians (interventionists and surgeons), to support the… more