- MyFlorida (Tallahassee, FL)
- …of the Medicaid fiscal agent, including Medicaid claims process, billing procedures, reimbursement methodologies, encounter submissions, and provider enrollment. * ... Remain informed about Medicare policies, national Medicaid/CHIP-related... policies, national Medicaid/CHIP-related research and demonstration projects, Medicaid/CHIP medical assistance program innovations for general and special populations,… more
- CenterWell (Ocala, 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
- Florida Health Care Plans, Inc. (Daytona Beach, FL)
- …ICD-10 codes, HMO, Medicare , and other third-party regulations preferred * Experience with Electronic Medical Record is required experience with Epic preferred ... SUMMARY: The Practice Manager is responsible for the overall function of the medical office, including directing clinical flow and participating in patient care. The… more
- Medtronic (FL)
- …with creating training and education programs for sales force, physicians, case managers, medical directors, and billing personnel in clinics and hospitals. + ... for the company's products or therapies. + Conduct periodic analysis of Medicare regulations and communicate changes to Health Economics, Policy, and Reimbursement… 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
- Genesis Healthcare (Daytona Beach, 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 team members. We offer Dental and… more
- Humana (Tallahassee, FL)
- …Conducts on-site audits of provider records ensuring appropriateness of billing practices. Prepares complex investigative and audit reports. Understands department, ... 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
- Aveanna Healthcare (Fort Lauderdale, 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
- Aveanna Healthcare (Brandon, FL)
- …* Branch compliance with federal and state regulations * Oversight if internal billing and collection efforts to generate clean claims * Perform other duties as ... * General Healthcare experience * Valid CPR As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in… 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