- Molina Healthcare (FL)
- …or have a compact license._ _This position will support our UT Medicaid & Marketplace Population. Excellent computer multi-tasking skills and good productivity is ... Guidelines, MCG, InterQual or other medically appropriate clinical guidelines, Medicaid , Medicare, CHIP and Marketplace, applicable State regulatory requirements,… 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
- MyFlorida (West Palm Beach, FL)
- …AGENCY FOR PERSONS WITH DISABILITIES POSITION: REGISTERED NURSE SPECIALIST - Other Personal Services (OPS) WORKING TITLE: REGISTERED ... NURSE SPECIALIST POSITION NUMBER: 67915013 OPEN COMPETITIVE OPPORTUNITY This position...Agency Hearings, meetings, and client staffing. Provides consultation for Medicaid exception denial requests and eligibility reviews as needed.… more
- AdventHealth (Altamonte Springs, FL)
- …and keeps up with regulatory and healthcare changes pertaining to Medicare/ Medicaid , payer guidelines, ICD-10, CPT coding, and documentation guidelines. Works ... Nurse - State Licensure and/or Compact State Licensure + Certified Coding Specialist (CCS) Or Certified Inpatient Coder (CIC) **Preferred:** + Registered Health… 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), Registered… more
- Community Based Care of Brevard, Inc. (Sanford, FL)
- …the Department of Children and Families to be at high or very high risk. The Diversion Specialist coordina te sand sche du lesFam ily TeamCon feren c es to pro mo te ... system of care and keeping families intact. The Diversion Specialist m ai nt ai nsinform ati on re...client needs. Care Planning Resources-Essential Function: Access 3rd party, Medicaid and community resources and ensures inclusion in care… more
- HCA Healthcare (Sarasota, FL)
- …Reasons + As needed, may periodically be asked to perform Coding Integrity Specialist II (CIS-II) duties + Periodically works with their Manager to review individual ... 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
- CenterWell (Deerfield Beach, FL)
- …advanced practice professionals, Pharm D, Care Coach Nurse, MA, Behavioral health specialist , Quality based Coder, Referral Coordinator and more. Our approach allows ... Qualifications:** Active and unrestricted DEA license Medicare Provider Number/ Medicaid Provider Number Experience managing Medicare Advantage panel of patients… more
- Polk County Public Schools (Bartow, FL)
- …provided to students including, but not limited to, any insurance or Medicaid claims. **Non-Essential Functions of this Job** Performs other duties as assigned. ... with a minimum of a Master's Degree and Florida certification as a specialist in school psychology. One year's internship in accordance with the standards of… more
- HCA Healthcare (Orange Park, FL)
- …the state data systems **What you will need** : + Oncology Data Specialist (ODS) certification **required** + 1-3 years of Cancer Data Abstraction experience ... 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