- MyFlorida (Fort Myers, FL)
- …data. Miscellaneous Updates EAR and HMS Personal Health Coding Pamphlets and shares Medical & Billing coding updates. Participates in team building and ... for the position: + Knowledge of the principles, practices, and procedures related to medical coding and billing , health information management, and medical … more
- IQVIA (Tampa, FL)
- …financial application software is essential. Understanding of **PBM systems and Medicaid/ Medicare billing .** + **Familiarity with NCPDP standards.** + ... PBMs, and health plans** to resolve payment discrepancies. + Educate providers on billing processes and assistance programs. + Identifies and monitors areas of risk… more
- Intermountain Health (Tallahassee, FL)
- …cycle (Payment Posting, Billing , Follow-Up) required + Knowledge of Medicaid and Medicare billing regulations required + Two (2) years of experience in ... workflow issues, and escalating in a timely manner + Advanced knowledge of Medical Terminology + Payment Handling + Effective written and verbal communication +… 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 (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 including… more
- CVS Health (Tallahassee, FL)
- …Pharmacy billing . + Excellent customer service skills. + Experience with medical billing and/or collections, or experience with accounts receivable ( _AR_ ... + 3+ years of experience in healthcare. + Working knowledge of Medicare , Medicaid and Third-Party Insurance payers and reimbursement guidelines. + Strong competency… more
- Molina Healthcare (FL)
- …* Customer/provider experience in a managed care organization (Medicaid, Medicare , Marketplace and/or other government-sponsored program), or medical ... the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** *...a health care related vocational program (ie, certified coder, billing , or medical assistant). To all current… more
- University of Miami (Palm Beach Gardens, FL)
- …and Conditions of Admissions, Advance Directives, HIPAA Notice of Privacy, No Surprise Billing , Good Faith Estimate, Off Campus Medicare Co-insurance and Advance ... Miami offers competitive salaries and a comprehensive benefits package including medical , dental, tuition remission and more. UHealth-University of Miami Health… more
- University of Miami (Palm Beach Gardens, FL)
- …and Conditions of Admissions, Advance Directives, HIPAA Notice of Privacy, No Surprise Billing , Good Faith Estimate, Off Campus Medicare Co-insurance and Advance ... Miami offers competitive salaries and a comprehensive benefits package including medical , dental, tuition remission and more. UHealth-University of Miami Health… more
- University of Miami (Miami, FL)
- …and Conditions of Admissions, Advance Directives, HIPAA Notice of Privacy, No Surprise Billing , Good Faith Estimate, Off Campus Medicare Co-insurance and Advance ... Miami offers competitive salaries and a comprehensive benefits package including medical , dental, tuition remission and more. UHealth-University of Miami Health… more