- CVS Health (FL)
- …and efficiency of the appeals and grievances process. + Documents patient billing questions and concerns. + Prepares educational materials, training programs, or ... provider relations, customer service or audit experience. **Preferred Qualifications** + Medicare experience + Claims experience + Experience in reading or… more
- CenterWell (Jacksonville, FL)
- …billing are completed timely and in compliance with Medicare regulations. + Coordinates communication between team members/attending physicians/caregivers to ... your life extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan, time off (including… more
- AbbVie (Orlando, FL)
- …medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkable impact on people's ... and ability to communicate technical elements of coding and billing requirements at the National and Regional level across...understanding of Parts A, B, C and D or Medicare and associated reimbursement dynamics + Strong understanding of… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- …the Collections Specialist will: + Collect information and verify account-specific billing , insurance, and coding. + Update and document customer accounts designated ... QUALIFICATIONS + Must have long-term care experience + Knowledge of Medicare /Medicaid. + Experience using Microsoft Office, specifically Outlook, Word, and Excel.… more
- Centene Corporation (Tallahassee, FL)
- …standards **Education/Experience:** High school diploma or equivalent. 3+ years of medical billing , insurance verification experience, call center, and/or ... referral + Ensure assignment of benefits are obtained and on file for Medicare claims + Bill insurance companies for therapies provided + Document all pertinent… more
- Cognizant (Tallahassee, FL)
- …in healthcare revenue cycle with specializing in hospital claims. *Expertise in Medicare , Medicaid, Managed Care, and Commercial payer processes. *Strong grasp of ... federal/state billing guidelines and reimbursement methodologies. *Clear and effective communications abilities *Familiarity with HIPAA, RARC and CARC codes. *Sharp… more
- Insight Global (Jacksonville, FL)
- …and follow-up experience * Familiar with various insurance carriers (BCBS, Tricare, Medicare , Medicaid, etc.) * Understanding of Medical Terminology including ... be paid. You will be responsible for ensuring efficient resolution of billing discrepancies and denials/rejection by promptly analyzing and understand Explanation of… more
- Aveanna Healthcare (Miami, FL)
- …* Branch compliance with federal and state regulations * Oversight if internal billing and collection efforts to generate clean claims * Perform other duties as ... and Spanish) * Valid CPR As an employer accepting Medicare and Medicaid funds, employees must comply with all...including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate. Notice for Job… more
- Genesis Healthcare (Fort Pierce, FL)
- …eligible for licensure as required in the state of practice 3. Thorough knowledge of Medicare and third party billing required 4. Must have good verbal and ... Powerback is the place for you. **Why Powerback?** + **Benefits:** We offer Medical , Dental, and Vision plans to Full-Time and Part-Time team members. + **Support… more
- Highmark Health (Tallahassee, FL)
- …authorizations. By reviewing member claims history, clearly defines the medical necessity of non-formulary and prior authorization medication exception requests. ... specified. + Identify and report improper coordination of benefit billing practices through paid clams review. + Participate as...across multiple states. They must also be familiar with Medicare drug benefit design offerings that may differ by… more