- MyFlorida (Tallahassee, FL)
- …using available resources, such as: HMS, STARS, DMV, Florida SHOTS, Accurint, Medicaid , Jail, white pages, Spokeo, medi.net, etc. for obtaining patient contact ... treating others with dignity and respect. Qualifications: Prior Disease Intervention Specialist (DIS) experience Prior data entry experience Prior customer service… more
- ChenMed (Hallandale Beach, FL)
- …the assigned centers. + Participates in recruiting and interviewing PCP and specialist candidates. + Partners with Clinical COE and Talent Acquisition to support ... years' previous experience as Medical Director or equivalent with a Medicare or Medicaid patient population + Board eligibility is required. + Board Certified in… more
- Cognizant (Tallahassee, FL)
- …is required. **Travel:** None required **About the role:** As Claims Adjudication Specialist , you will be responsible for timely and accurate adjudication of ... UB/institutional (CMS-1450) and/or professional (CMS 1500) claims * Knowledge of Medicare/ Medicaid payment and coverage guidelines and regulations. * 1 year of… more
- Cardinal Health (Tallahassee, FL)
- …skills and prioritizes getting the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will ... with secondary insurance company when necessary. + Bills supplemental insurances including all Medicaid states on paper and online. + Mails all paper claims. + Acts… more
- Humana (Tallahassee, FL)
- …the team as a Senior Product Manager working anywhere in the US. As a Specialist in NBA Execution, you'll play a hands-on role in translating strategy into real-time ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… 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
- Molina Healthcare (Tampa, FL)
- …Guidelines, MCG, InterQual or other medically appropriate clinical guidelines, Medicaid , Medicare, CHIP and Marketplace, applicable State regulatory requirements, ... + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management +… more
- Veterans Affairs, Veterans Health Administration (Tampa, FL)
- …advice and consultation on the interpretation and application of Medicare/ Medicaid standards for medical laboratory services & other cytopathology related ... Certification: Candidates must currently possess the Cytotechnologist (CT) (ASCP) or Specialist in Cytotechnology (SCT) (ASCP) certification given by the ASCP Board… more
- MyFlorida (Daytona Beach, FL)
- …AGENCY FOR PERSONS WITH DISABILITIES POSITION: Registered Nurse Specialist - Other Personal Services (OPS) WORKING TITLE: Medical ... in Agency Hearings, meetings, and client staffing. Provides consultation for Medicaid exception denial requests and eligibility reviews as needed. Performs… 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
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