- CVS Health (Tallahassee, FL)
- …of three years Medicaid Fraud, Waste and Abuse investigatory experience. * Billing and Coding certifications such as CPC (AAPC)and/or CCS (AHIMA) * Knowledge of ... Behavioral Health policies and procedures is a plus * Experience working Behavioral Health fraud cases **Education** A Bachelor's degree, or an Associate's degree, with an additional three years (3 years total) working on health care fraud, waste, and abuse… more
- BrightSpring Health Services (Sarasota, FL)
- …both government and commercial, for admissions. + Communicates established financial/ billing procedures to patients, including proper verification of benefits ... federal and state law requirements and conditions of participation for Medicare and Medicaid are met. + Gather data for assigned area(s) and prepare written reports.… more
- MyFlorida (Spring Hill, FL)
- …reporting. QI mentor for Clinic Services staff. Manage staff processing of Medicaid Waiver Program and Presumptive Eligibility for Pregnant Women program (PEPW). ... staff duties. Prepares monthly, quarterly, or annual reports as requested. Reviews all billing slips for errors upon return to the Clerk at exit, verifying accuracy… more
- MyFlorida (Gainesville, FL)
- …specified by current rules and regulations from the State of Florida, Medicaid and any other governing agency. Document performed medical case management functions ... vendors. Submit appropriate paperwork for all vendor services authorized to billing clerk by established deadlines. Complete EARS weekly. Attend and participate… more
- MyFlorida (Fort Lauderdale, FL)
- …accounts; accounts payable and receivable; travel; fee collections; third party billing ; grants and contract billings; Environmental Health cashiering, in accordance ... procedures. Oversee accounts payable, accounts receivable, the preparation of the Medicaid cost-based report, yearend financial reports and ensure that DOH A/R… more
- HCA Healthcare (Sarasota, FL)
- …up activities on accounts to ensure prompt payment + You will identify coding or billing errors from EOBs and work to correct them + You will monitor insurance ... accounts and administer contracts in collection of third party accounts (Medicare and Medicaid ) + You will complete account reconciliation of accounts turned over to… more
- University of Miami (Miami, FL)
- …programs for which they are eligible (eg, food stamps, WIC, housing, SSI, Medicaid /Medically Needy Program, Ryan White, and ADAP, etc.). + Learns the requirements of ... state, etc. + Completes required paperwork as needed for input into data and billing systems. + Bilingual in English and Spanish preferred. This list of duties and… more