- Devereux Advanced Behavioral Health (Orlando, FL)
- …and adults whose needs are extra ordinary. As a Contracts / Managed Care Specialist , you will: + Distribute monthly rosters to programs for updates on new hires, ... for new MDs and ARNPs joining MMA plans. + Apply for Florida Medicaid numbers for providers during onboarding. + Complete special projects within designated… more
- HCA Healthcare (Jacksonville, FL)
- …Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards) **_Note: Eligibility for benefits may vary by location._** ... We are seeking a Medical Collections Specialist for our team to ensure that we continue...contracts in collection of third party accounts (Medicare and Medicaid ) + You will complete account reconciliation of accounts… more
- HCA Healthcare (Sarasota, FL)
- …integrity. We care like family! Jump-start your career as a(an) Collections Specialist today with Surgery Ventures. **Benefits** Surgery Ventures, offers a total ... on income. Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards) **_Note: Eligibility for benefits may vary by location._** Come join… more
- Prime Therapeutics (Tallahassee, FL)
- …every decision we make. **Job Posting Title** Medication Therapy Management Specialist **Job Description** The Medication Therapy Management (MTM) Service ... Specialist is responsible for receiving inbound and making outbound...targeted population; for Medicare, is Centers for Medicare & Medicaid Services (CMS) compliance compliant + Utilize Prime's MTM… more
- MyFlorida (Gainesville, FL)
- HUMAN SERVICES PROGRAM SPECIALIST - 64084211 Date: Aug 14, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... No: 855100 Agency: Department of Health Working Title: HUMAN SERVICES PROGRAM SPECIALIST - 64084211 Pay Plan: Career Service Position Number: 64084211 Salary:… more
- AssistRx (Maitland, FL)
- We are in search for a Compliance Specialist . Compliance works to ensure controls and safeguards are in place to promote adherence to applicable federal and state ... third-party audits. + Verifies compliance with insurer rules, Medicare, Medicaid , HIPAA, and other applicable regulations. + Assists in...persons hired will be required to verify identity and eligibility to work in the United States and to… more
- Molina Healthcare (Tampa, FL)
- …+ Health claims processing background, including coordination of benefits, subrogation, and eligibility criteria. + Familiarity with Medicaid and Medicare claims ... and requirements established by the Centers for Medicare and Medicaid **KNOWLEDGE/SKILLS/ABILITIES** + Responsible for the comprehensive research and resolution… more
- MyFlorida (Fort Lauderdale, FL)
- …AGENCY FOR PERSONS WITH DISABILITIES POSITION: HUMAN SERVICES PROGRAM SPECIALIST - Career Service WORKING TITLE: PROVIDER ENROLLMENT COORDINATOR POSITION ... and maintenance of iBudget waiver applicants; issuance and renewal of Medicaid Waiver Service Agreements (MWSA), processing provider expansion requests, and… more
- CVS Health (Tallahassee, FL)
- …the ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, ... + CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist -Physician) required. + Experience with International Classification of Disease (ICD)… more
- MyFlorida (Daytona Beach, FL)
- …Participates in Agency Hearings, meetings, and client staffing. Provides consultation for Medicaid exception denial requests and eligibility reviews as needed. ... (https://compcalculator.myflorida.com/) AGENCY FOR PERSONS WITH DISABILITIES POSITION: Registered Nurse Specialist - Other Personal Services (OPS) WORKING TITLE: Medical… more