- Molina Healthcare (Tampa, FL)
- …compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical/ medical reviews of previously denied cases in which a formal ... likelihood of a formal appeal being submitted. + Independently re-evaluates medical claims and associated records by applying advanced clinical knowledge, knowledge… more
- AdventHealth (Oviedo, FL)
- **Financial Counselor - AdventHealth Medical Group** **All the benefits and perks you need for you and your family:** + Paid Days Off from Day One + Career ... 40 specialties, provide patients with a broad range of medical and surgical services. + AdventHealth Medical ...experience + 1 year of ICD-9, CPT-4 and HCPCS coding experience This facility is an equal opportunity employer… more
- CenterWell (Apopka, FL)
- …Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators ... accordance with standards of care. + Follows level of medical care and quality for patients and monitors care...manner working with a quality- based coder to optimize coding specificity. + Follows policy and protocol defined by… more
- CVS Health (FL)
- …Summary** The Negotiator Analyst is responsible for negotiating out-of-network (OON) medical claims valued at $10,000 and above. This role involves learning ... the negotiation role, and understanding (U&C) calculated rates and benchmarking of medical costs. The individual will be developing their role as a negotiator,… more
- CenterWell (Daytona Beach, FL)
- …treats center patients in accordance with standards of care. . Follows level of medical care and quality for patients and monitors care using available data and ... limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care. . Acts as...manner working with a quality- based coder to optimize coding specificity. . Follows policy and protocol defined by… more
- MyFlorida (Bushnell, FL)
- …Accountability, ResponsivenessandExcellencein all aspects of their work. Obtains patients' medical history, measures height and weight, takes blood pressures ... to examination by provider. Performs timely and accurate client documentation and coding of services both electronically and manually according to policies and… more
- CenterWell (Orlando, FL)
- …treats center patients in accordance with standards of care. + Follows level of medical care and quality for patients and monitors care using available data and ... limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care. + Acts as...manner working with a quality- based coder to optimize coding specificity. + Follows policy and protocol defined by… more
- Cardinal Health (Tallahassee, FL)
- …drive business value. Application Development & Maintenance performs configuration or coding to develop, enhance and sustain the organization's software systems in ... enhancements of existing applications. **_Responsibilities_** + Lead IT projects in the Medical Transportation and Management space within Medical Supply Chain… more
- University of Miami (Miami, FL)
- …for a Full Time Research Support Specialist to work at the UHealth medical campus in Miami, Fl. CORE JOB SUMMARYThe Research Support Specialist performs a ... conduct of the study including screening phone calls and the pre-screening of medical records + Determine potential patient eligibility through medical records… more
- University of Miami (Doral, FL)
- …scheduling of surgical procedures and serves as liaison between physicians, medical staff, and other departments to ensure smooth scheduling operations. Moreover, ... dermatology, and more. The expansion will provide residents with innovative, specialized medical services in the heart of their community. Once complete, UHealth at… more
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