- Datavant (Tallahassee, FL)
- …timely and compliant claim processing.** **What You Will Do:** + Review medical records and assign precise codes to ensure accurate coding aligned with client ... to make a significant impact in the field of medical coding. You will provide essential consulting services and...service outcomes in both hospitals and alternative care settings. ** Claim edit experience is required; Must be proficient in… more
- ZOLL Medical Corporation (Miami, FL)
- …innovative technologies that make a meaningful difference in people's lives. Our medical devices, software and related services are used worldwide to diagnose and ... accounts in the field to ensure continuity of provision of ZOLL's medical devices for clinically appropriate cases. Determine independently and work collaboratively… more
- CVS Health (Tallahassee, FL)
- …implementing, and coordinating all case management activities with members to evaluate the medical needs of the member and to help facilitate the member's overall ... including co-morbid and multiple diagnoses that impact functionality. - Reviews prior claims to address potential impact on current case management plan. -… more
- Elevance Health (Tampa, FL)
- …Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider ... network satisfaction. Provides expert advice, analytic and consultative support to Medical Directors and management on cost of care issues. Supports large scale… more
- Elevance Health (Lake Mary, FL)
- …Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider ... + Provides expert advice, analytic and consultative support to Medical Directors and management on cost of care issues....impact decision making tools + Recommends policy changes and claim 's system changes to pursue cost savings. + Reviews… more
- Evolent (Tallahassee, FL)
- …and contracting. **What You'll Be Doing:** + Serve as the lead for medical cost and revenue projections for Performance Suite business + Partner with Performance ... and size impact of innovative care models + Oversee Medical Cost Action Planning work to identify, size, and...clean and consistent tracking of Evolent's covered membership and claims + Synthesize complex analyses into succinct presentations for… more
- National Health Transport (Miami, FL)
- Summary: Ambulance Medical Billing Specialist is responsible for billing and collection processes for National Health Transport's ambulance trips. Ambulance ... Medical Billing Specialist answers inquiries from insurance companies, patients,...Specialist answers inquiries from insurance companies, patients, and processes claims accordingly. Essential duties and responsibilities: + Promotes, develops,… more
- MyFlorida (Land O' Lakes, FL)
- …not limited to job applications, hiring process, disciplinary actions, workers' compensation claims , Family Medical Leave Act (FMLA), new hires and terminations. ... employment history must be verifiable. Please attach any credentials you claim (degrees, certifications, etc.) to your application. Other Personnel Technician III… more
- Molina Healthcare (Tampa, FL)
- …fraud, abuse, and over utilization by providers and recipients. The position will review claims data, medical records, and billing data from all types of ... Medicare programs as well as Marketplace + Understanding of claim billing codes, medical terminology, anatomy, and health care delivery systems + Understanding… more
- MyFlorida (Port Charlotte, FL)
- …environment (nursing home; skilled nursing; or assisted living facility). + Experience with medical finance ( medical billing; claims processing, etc.) + ... and employment history must be verifiable. Please attach any credentials you claim (degrees, certifications, etc.) to your application. MINIMUM QUALIFICATIONS: + One… more