- Molina Healthcare (Miami, FL)
- …organized and analytical thinking. Experience with Medicare/Medicaid, MS 365 and familiarity with claims is highly preferred. The Case Manager must be able to work ... case managers. + RNs are assigned cases with members who have complex medical conditions and medication regimens + RNs conduct medication reconciliation when needed.… more
- AssistRx (Orlando, FL)
- …to expedite patient access + Document and initiate prior authorization process and claims appeals + Report any reimbursement trends or delays in coverage to ... on attendance, performance, etc. Requirements + In-depth understanding and experience with Major Medical & Pharmacy Benefit Coverage + 2 to 3 years of benefit… more
- BayCare Health System (Tampa, FL)
- …correction of charges, edits, and registration/insurance issues in order to provide clean claims for large volume areas. + Requires attention to detail as well as ... of coding experience, or + 2 years in a Medical -Related Field **Specific Skills:** + Critical thinking skills; Computer...Critical thinking skills; Computer skills appropriate to position + Medical Terminology use and understanding + Work with a… more
- University of Miami (Miami, FL)
- …to customer inquiries regarding insurance coverage of services and processing of claims . + Follows appropriate procedures to link alternative insurance plan payers ... Miami offers competitive salaries and a comprehensive benefits package including medical , dental, tuition remission and more. UHealth-University of Miami Health… more
- Cleveland Clinic (Stuart, FL)
- …Clinic Core Values and behavioral standards. Coordinates with nursing, care management, medical staff, and others as appropriate to ensure compliance with all ... improvement. + Applies management processes for disclosure of unanticipated outcomes and medical errors. + Frequently presents risk and safety data and efficiently… more
- University of Miami (North Miami, FL)
- …listed in patient's account with accurate subscriber information, policy number, and claims address and plan order. + Completes the checklist and document co-pay. ... Miami offers competitive salaries and a comprehensive benefits package including medical , dental, tuition remission and more. UHealth-University of Miami Health… more
- NASCO (Tallahassee, FL)
- …with US Healthcare payer analytics use cases (eg, risk stratification, claims analytics, provider network optimization) + Certifications in cloud technologies (AWS ... Health Benefits** + Choice of Blue Cross Blue Shield Medical , Dental, and Vision Plans + Telehealthcare - for..., Dental, and Vision Plans + Telehealthcare - for Medical and Behavioral visits + Generous PTO with buy/sell… more
- AssistRx (Orlando, FL)
- …to expedite patient access + Document and initiate prior authorization process and claims appeals + Report any reimbursement trends or delays in coverage to ... In-depth understanding and experience with Buy & Bill, Major Medical & Pharmacy Benefit Coverage. + 2 to 5...pay structure + Matching 401(k) with immediate vesting + Medical , dental, vision, life, & short-term disability insurance AssistRx,… more
- AssistRx (Maitland, FL)
- …medication assistance, prior authorizations, pharmacy benefits investigation, managed care, claims processing. + Experience working with pharmaceutical or biotech ... offers? Here are some additional benefits that our employees enjoy! + Medical , dental, vision, life, & short-term disability insurance + Teledoc services for… more
- University of Miami (Miami, FL)
- …participants, returns, and proper disposal of excess product + Audit patient claims for appropriate and accurate billing for Patient Assistance Program administered ... Miami offers competitive salaries and a comprehensive benefits package including medical , dental, tuition remission and more. UHealth-University of Miami Health… more