- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- Billing Specialist Job Details Job Location Polaris Pharmacy Services of Ft Lauderdale - Ft. Lauderdale, FL Position Type Full Time Job Category Admin - Clerical ... Description BILLING SPECIALIST WHO WE ARE Polaris Pharmacy Services is an...census balancing and payor verification * Verify insurance and Medicaid coverage * Handle Dual Coverage, Medicare Part D,… 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 ... by location._** Come join our team as a(an) Collections Specialist . We care for our community! Just last year,...contracts in collection of third party accounts (Medicare and Medicaid ) + You will complete account reconciliation of accounts… more
- Highmark Health (Tallahassee, FL)
- …goals including but not limited to Government Markets (STARS, ACA, CHIP, Medicaid DE) and Enterprise Quality, Safety, and Values (Health Outcomes Measures). Provide ... share models and will be implemented for the Organization's Medicare Advantage, Medicaid , ACA, and commercial populations with the goal of maximizing quality while… more
- Molina Healthcare (FL)
- …and administration of contracts with State and/or Federal governments for Medicaid , Medicare, Marketplace, and other government-sponsored programs to provide health ... Experience** * 2+ years experience in a managed care environment, preferably in Medicaid environment. * Knowledge of state Medicaid Policies and Programs.… more
- Elevance Health (Tampa, FL)
- **Medical Management Specialist I** **Location** : **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person ... as required by law. **Shift:** Monday-Friday 8a-5p EST The **Medical Management Specialist I** is responsible for providing non-clinical support to the Medical… 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
- Molina Healthcare (Jacksonville, FL)
- Molina Healthcare is in search of an experienced Sr Digital Marketing Specialist . The Sr. Specialist , Digital Marketing will be responsible for analyzing and ... capable, excellent communicator, and a desire to improve processes **Preferred:** + Medicaid or Medicare Health Plan experience + Strong analytical skills **PHYSICAL… 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
- National Health Transport (Miami, FL)
- Summary: Ambulance Medical Billing Specialist is responsible for billing and collection processes for National Health Transport's ambulance trips. Ambulance Medical ... Billing Specialist answers inquiries from insurance companies, patients, and processes...+ Medical coding training and experience + Familiar with Medicare/ Medicaid laws and billing + Certified Ambulance Coder helpful… more
- Molina Healthcare (FL)
- …standards and requirements established by the Centers for Medicare and Medicaid . **KNOWLEDGE/SKILLS/ABILITIES** + Enters denials and requests for appeal into ... to appeals and grievances. + Elevates appropriate appeals to the Appeals Specialist . + Generates and mails denial letters. + Assists with interdepartmental issues… more
Recent Jobs
-
Supervising Public Health Nurse
- Sacramento County (Sacramento, CA)
-
Medical Assistant- Gastroenterology (Creekside/ Spring)
- Houston Methodist (Spring, TX)
-
Security Officer - Temporary Flex
- Allied Universal (Phoenix, AZ)
-
Director, Artificial Intelligence
- Pioneer Management Consulting (Denver, CO)