- Community Based Care of Brevard, Inc. (Orlando, FL)
- …serves as a liaison for Adoption, Foster Board, GAP, and as a Medicaid information resource. ESSENTIAL FUNCTIONS: Monitor and supervise information and eligibility ... specialist staff including tasks specific to Dependency, Adoption, and...GAP Monitor, approve and supervise client eligibility activities for Medicaid and Federal Funds Approve placement and payment information… more
- CVS Health (Tallahassee, FL)
- …submit ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, ... auditing. + CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist -Physician) required. + CRC (Certified Risk Adjustment Coder) + Computer… more
- MyFlorida (Largo, FL)
- …#866259 **ANTICIPATED VACANCY** ACCOUNTANT III - HEALTH INSURANCE BILLING SPECIALIST FLORIDA DEPARTMENT OF VETERANS' AFFAIRS Agency Headquarters, Mary Grizzle ... to maintain the billing. + Process monthly billing for all Medicare A&B, Medicaid , Medicaid Managed Care, Third Party Insurers, and any other payer for the State… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- …Remote Position Type Full Time Job Category Pharmaceutical Description PRIOR AUTHORIZATION SPECIALIST (REMOTE) WHO WE ARE At Polaris Pharmacy Services, we're more ... you to grow with us. OVERVIEW The Prior Authorization Specialist is responsible for managing and identifying a portfolio...D plans, third party insurance companies, and all state Medicaid plans to ensure maximum payer reimbursement adhering to… more
- Banner Health (FL)
- …with coding rules and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the Inspector General ... least one of the following: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Coding Specialist - Physician (CCS-P), Certified… more
- HCA Healthcare (Largo, FL)
- …and the state data systems What you will need: + Oncology Data Specialist (ODS) certification required + 1-3 years of Cancer Data Abstraction experience required ... full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000… more
- HCA Healthcare (Fort Pierce, FL)
- …full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 ... growth, we encourage you to apply for our Medical Insurance Claims Specialist opening. We promptly review all applications. Highly qualified candidates will be… more
- MyFlorida (Gainesville, FL)
- …and in a timely manner in compliance with state, federal and Medicaid regulations through hands-on training, modeling and oversight. Through direct observation and ... as assigned. Works closely with off home providers specifically Behavioral Specialist , Dietitian, Occupational Therapist, Physical Therapist and Adaptive Devices to… more
- HCA Healthcare (Atlantis, FL)
- …full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 ... Talent Acquisition team is reviewing applications for our Medical Records Specialist opening. Qualified candidates will be contacted for interviews. **Submit your… more
- Cardinal Health (Tallahassee, FL)
- …authorization through billing and collections. Job Purpose: The Patient AR Specialist is responsible for managing and resolving outstanding patient balances, ... claim processing and denial management preferred. + Familiarity with Medicare, Medicaid , commercial insurance plans, and managed care preferred. + Proficiency in… more