- HCA Healthcare (Ocala, FL)
- …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and… more
- University of Miami (Miami, FL)
- …guidelines per division/specialty/provider, resource availability, special needs, timeframes, medical necessity, and payer and contractual guidelines. + Oversees ... and clears patient work queues daily to ensure data integrity, prompt billing and minimal AR days. Identifies and collects patient's self-pay responsibility… more
- Centene Corporation (Tallahassee, FL)
- …& Abuse:** Experience in fraud/waste/abuse identification and investigation, provider billing , or clinical coding preferred; Experience with data mining, machine ... health, and statistical modeling preferred **Quality:** Experience with HEDIS, NCQA, Medicare Star Rating System, QRS, or other quality measures preferred; Quality… more
- SIMEDHealth (Gainesville, FL)
- …of AR professionals to maximize collections and ensure compliance. + Oversee medical billing , claims submission, payment posting, and follow-up on outstanding ... SIMEDHealth, a progressive, physician-owned multi-specialty medical group, is seeking an experienced Accounts Receivable Director to oversee our AR operations and… more
- Highmark Health (Tallahassee, FL)
- …all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, ... billing and documentation related to DRGs, APCs, CPTs and...in response to external coding audits conducted by the Medicare Administrative Contractor, the RAC, MIC, ZPIC, etc. Determine… more
- HCA Healthcare (Brooksville, FL)
- …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and… more
- Cognizant (Tallahassee, FL)
- …clinical denials including but not limited to referral, preauthorization, medical necessity, non-covered services, investigational/experimental and billing ... the Health Plan/Payer. The comprehensive process includes analyzing, reviewing, and processing medical necessity denials for resolution. You will be a valued member… more
- University of Miami (Doral, FL)
- …and Conditions of Admissions, Advance Directives, HIPAA Notice of Privacy, No Surprise Billing , Good Faith Estimate, Off Campus Medicare Co-insurance and Advance ... dermatology, and more. The expansion provides residents with innovative, specialized medical services in the heart of their community. Once complete, UHealth… more
- CHS (Clearwater, FL)
- … terminology + Knowledge of medical coding systems + Knowledge of Medicaid/ Medicare Guidelines + Knowledge of billing rules and regulations. + Strong ... Clearwater, FL** ** ** **Summary** The Claims & Call Auditor audits processed medical insurance claims and customer service calls to ensure validity, accuracy, and… more
- Gentiva (Panama City, FL)
- …helping them achieve the highest quality of life possible while managing complex medical needs. You will work autonomously in collaboration with the Palliative ... Medical Director, delivering exceptional care and guiding patients and...palliative medicine principles, home health, hospice care eligibility, and Medicare /Medicaid regulations. + Familiarity with the interdisciplinary care process.… more