- Molina Healthcare (FL)
- …different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/ billing (UB04/1500 form) + Demonstrated understanding of key managed ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst, Medical Economics provides support and consultation to the...achieving desired results + Keep abreast of Medicaid and Medicare reforms and their impact on Molina Healthcare **Job… more
- Molina Healthcare (Orlando, FL)
- …different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/ billing (UB04/1500 form) + Demonstrated understanding of key managed ... **JOB DESCRIPTION** **Job Summary** The Manager, Medical Economics provides support and consultation to the...achieving desired results + Keep abreast of Medicaid and Medicare reforms and their impact on Molina Healthcare **JOB… more
- Robert Half Office Team (Miramar, FL)
- …with insurance intake processes, including verification, preauthorization, benefit identification, billing , and collections. * Understanding of medical insurance ... coordinating insurance authorizations and ensuring accurate patient documentation for medical equipment delivery. This role requires exceptional organizational skills… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- …portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks to Polaris and their customers. The Prior ... of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks to Polaris and their customers + Research,… more
- Cognizant (Tallahassee, FL)
- …with UB/institutional (CMS-1450) and/or professional (CMS 1500) claims + Knowledge of Medicare billing & payment and coverage guidelines and regulations + ... Based** Claims Processors to join our growing team. The ** Medical ** **Claims Processor** is responsible for the timely and...preferred + Knowledge of physician practice and hospital coding, billing , and medical terminology, CPT, HCPCS, ICD-9… more
- Molina Healthcare (FL)
- …and Medicare programs as well as Marketplace. + Understanding of claim billing codes, medical terminology, anatomy, and health care delivery systems. + ... waste, and abuse. Duties include performing accurate and reliable medical review audits that may also include coding and... review audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing… more
- BayCare Health System (Largo, FL)
- …and quantities are utilized for billing . + Verify patient eligibility for Medicare billing for drugs, requests authorization based on HCPC units for each ... Graduate or Equivalent GED + 3 years of Infusion Billing + In-depth knowledge of coverage issues with respect...all aspects of your life and career goals. + Medical benefits (Health, Dental, Vision) + Paid time off… more
- Amgen (Orlando, FL)
- …knowledge of medical insurance terminology + Knowledge of Centers of Medicare & Medicaid Services (CMS) policies and processes with expertise in Medicare ... the products are covered under the benefit design (Commercial, Medicare , Medicaid) + Serve as a payer expert for...in managed care, clinical support, and/or sales + Strong medical reimbursement experience and/or Specialty Pharmacy and Buy &… more
- Sarasota County Government (Sarasota, FL)
- …Improvement measures in collaboration with EMS billing . + Manage ambulance billing compliance with Medicare , Medicaid, and private insurers while ensuring ... to the EMS Team, who will be responsible for overseeing Emergency Medical Services (EMS) clinical quality assurance, both operationally and administratively. This… more
- Cardinal Health (Tallahassee, FL)
- …Administration, Business, or related field preferred + 5+ years of experience in medical billing and insurance follow-up, with 2+ years in a leadership ... or supervisory role preferred. + Strong understanding of medical billing practices, payer guidelines, and reimbursement methodologies (commercial, Medicare ,… more