• Medical Insurance Claims Specialist

    HCA Healthcare (Port Charlotte, FL)
    …provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility , for external clients across the country. Parallon has ... to join an organization that invests in you as a Medical Insurance Claims Specialist ? At Parallon, you come first. HCA Healthcare has committed up to $300 million… more
    HCA Healthcare (08/30/25)
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  • Managed Care Specialist (Finance)

    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
    Devereux Advanced Behavioral Health (08/26/25)
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  • Medical Collections Specialist

    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 (08/26/25)
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  • Collections Specialist

    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
    HCA Healthcare (06/21/25)
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  • Medication Therapy Management Specialist

    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
    Prime Therapeutics (08/27/25)
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  • ESG Compliance Specialist

    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
    AssistRx (08/29/25)
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  • Specialist , Appeals & Grievances

    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
    Molina Healthcare (08/30/25)
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  • Provider Enrollment Coordinator

    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
    MyFlorida (08/26/25)
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  • Senior Coding Data Quality Auditor, Coding Quality…

    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
    CVS Health (08/24/25)
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  • Ops Medical Case Manager

    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
    MyFlorida (08/08/25)
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