- HCA Healthcare (Ocala, FL)
- …Our services include scheduling, registration, insurance verification, hospital billing , revenue integrity, collections, payment compliance, credentialing, health ... information management, customer service, payroll and physician billing . We also provide full-service revenue cycle management as well as targeted solutions, such as… more
- Humana (Miramar, FL)
- …for compliance, accuracy, and completeness, helping reduce audit risk and billing delays. The auditor monitors QA metrics, identifies trends, and collaborates ... of care with clinical documentation. + Perform timely QA reviews to minimize billing delays and improve operational KPIs. + Monitor QA dashboard metrics and provide… more
- HCA Healthcare (Miami, FL)
- …Our services include scheduling, registration, insurance verification, hospital billing , revenue integrity, collections, payment compliance, credentialing, health ... information management, customer service, payroll and physician billing . We also provide full-service revenue cycle management as well as targeted solutions, such as… more
- HCA Healthcare (Ocala, FL)
- …Our services include scheduling, registration, insurance verification, hospital billing , revenue integrity, collections, payment compliance, credentialing, health ... information management, customer service, payroll and physician billing . We also provide full-service revenue cycle management as well as targeted solutions, such as… more
- Humana (Tallahassee, FL)
- …complex data sets within large organizations + Experience working with Claims, Billing and Reconciliation or related healthcare data + Expertise in Microsoft Office ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more
- Centene Corporation (Tallahassee, FL)
- …policies and standards **Education/Experience:** Associate's degree and claims processing, billing and/or coding experience preferred. Three years of experience in ... and medical claims. Knowledge of health care, managed care, Medicare or Medicaid .Pay Range: $22.79 - $38.84 per hour Centene offers a comprehensive benefits… more
- Highmark Health (Tallahassee, FL)
- …duties as specified. + Identify and report improper coordination of benefit billing practices through paid clams review. + Participate as pharmacy representative in ... formulary terminology + Pharmacy technicians must be familiar with multiple Medicaid drug benefit design offerings and rules/regulations across multiple states. They… more
- Cognizant (Tallahassee, FL)
- …to referral, preauthorization, medical necessity, non-covered services, investigational/experimental and billing resulting in denials and/or delays in payment. . ... on the review of clinical documentation in accordance with Medicare, Medicaid , and third-party guidelines. . Effectively document and log claims/appeals information… more
- Molina Healthcare (FL)
- …into actions/interventions to improve financial performance. * Advanced understanding of Medicaid and Medicare programs or other health care plans. * Advanced ... standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/ billing (UB04/1500 form). * Advanced understanding of key managed care concepts… more
- University of Miami (Miami, FL)
- …and clears patient work queues daily to ensure data integrity, prompt billing and minimal AR days. + Identifies and collects patient's self-pay responsibility ... to services being rendered and in accordance with Centers for Medicare & Medicaid Services (CMS) Federal regulations, as needed. + Reviews and processes information… more