- 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
- University of Miami (Doral, FL)
- …Advance Directives, HIPAA, No Surprise Billing , Good Faith Estimate, Off Campus Medicare Co- insurance , ABNs, and MSPQ, prior to services being rendered. + ... dermatology, and more. The expansion will provide residents with innovative, specialized medical services in the heart of their community. UHealth at Doral will… more
- CenterWell (The Villages, FL)
- …billing are completed timely and in compliance with Medicare regulations. + Coordinates communication between team members/attending physicians/caregivers to ... Proof of current CPR. + Valid driver's license, auto insurance and reliable transportation. + Two years as a...extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan,… more
- CenterWell (Ocala, FL)
- …billing are completed timely and in compliance with Medicare regulations. + Coordinates communication between team members/attending physicians/caregivers to ... Proof of current CPR. + Valid driver's license, auto insurance and reliable transportation. + Two years as a...extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan,… 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
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- …addition, the Collections Specialist will: + Collect information and verify account-specific billing , insurance , and coding. + Update and document customer ... + Must have long-term care experience + Knowledge of Medicare /Medicaid. + Experience using Microsoft Office, specifically Outlook, Word,...needs of the business. BENEFITS - full-time employees + Medical , Dental, Vision, and Life insurance +… 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
- Centene Corporation (Tallahassee, FL)
- …organization, and medical claims. Knowledge of health care, managed care, Medicare or Medicaid.Pay Range: $22.79 - $38.84 per hour Centene offers a comprehensive ... policies and standards **Education/Experience:** Associate's degree and claims processing, billing and/or coding experience preferred. Three years of experience in… 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