- HCA Healthcare (Miami, FL)
- …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision...necessary (eg, combining the codes for outpatient and inpatient claims subject to the payment window) + Assist the… more
- AdventHealth (Altamonte Springs, FL)
- …Team of any coding or coding related issues that adversely impact the claims processing, coding accuracy, and compliance.e. Monitors the queue holds and adhere to ... Office programs. 5. Ability to review documentation in a medical record and to enter the coding software. **EDUCATION...**EDUCATION AND EXPERIENCE REQUIRED:** 1) High school diploma and medical coding certificate program or 2 year HIM program.… more
- Centene Corporation (New Port Richey, FL)
- …related field or equivalent experience. Two years of managed care or medical group experience, provider relations, quality improvement, claims , contracting ... utilization management, or clinical operations. Project management experience at a medical group, IPA, or health plan setting. Proficient in HEDIS/Quality measures,… more
- Elevance Health (Tampa, FL)
- …the enterprise. Included are processes related to enrollment and billing and claims processing, as well as customer service written and verbal inquiries. **How ... experience HIGHLY preferred. + Working knowledge of insurance industry and medical terminology, and in-depth knowledge of relevant systems and proven understanding… more
- Trinity Health (Fort Lauderdale, FL)
- …to managing patient care, specifically for the OP Therapy Cap and Claims -Based Outcomes Reporting Flexibility in working in several clinical locations (ie ... chart or enter information into computer. Review physician's referral and patient's medical records to help determine diagnosis and physical therapy treatment. **Job… more
- Sumitomo Pharma (Tallahassee, FL)
- …teams-including clinical development, clinical operations, data management, programming, and medical writing-to maintain the statistical integrity of study conduct. ... submissions by preparing responses to agency inquiries and contributing to labeling claims . + Review Case Report Forms (CRFs) to ensure data collection aligns… more
- CVS Health (Tallahassee, FL)
- …members who cannot advocate for themselves. The TOC team will review prior claims to address potential impact on current case management and eligibility status. ... to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and… more
- Cleveland Clinic (Weston, FL)
- …improvement. + Apply management processes for disclosure of unanticipated outcomes and medical errors. + Frequently present risk and safety data and efficiently ... leads meetings. + Identify cases that may be potential claims and provide an early notification to other departments...departments (Law, ERI) once identified. + Present cases to Medical Legal, Huddle I and Huddle II in a… more
- Kyndryl (Tallahassee, FL)
- …vaccination policies. Those who believe they are eligible may apply for a medical or religious accommodation prior to the start of employment. **Who You Are** ... Partner with CCaaS architects to build future-proof architectures with EHR, CRM, and claims system integrations. The compensation range for the position in the US is… more
- CVS Health (Tallahassee, FL)
- …compliance impacting plan sponsors. + Collaborate with internal departments-including claims , customer service, and client management-to ensure effective issue ... to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and… more