- Elevance Health (FL)
- …experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing ... Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs… more
- Highmark Health (Tallahassee, FL)
- …all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, ... billing and documentation related to DRGs, APCs, CPTs and...steps to effect resolution. (10%) + Reviews and interprets medical information, classifies that information into the appropriate payor… more
- AdventHealth (Maitland, FL)
- …damages calculations, and organizing data/materials from other AdventHealth departments (ie medical records, itemized bills, etc.) within the scheduled timeframes. + ... + Facilitate resolution to contract violations by leveraging knowledge of state Insurance and Managed Care laws and state reporting requirements for HMO/ Insurance… more
- Ascension Health (Jacksonville, FL)
- …bills for reimbursement to individual and third party payers in an out-patient or medical office environment. + Prepare insurance claims for submission to third ... **Details** + **Department:** Billing and Claims + **Schedule:** Full-Time, Days Mon....United States **Benefits** Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer… more
- Option Care Health (Tallahassee, FL)
- …Requirements: (if required)** N/A **Preferred Qualifications & Interests (PQIs)** + Healthcare/ medical billing experience preferred. _This job description is to ... as internal equity and alignment with market data. Pay Range is $17.02-$28.38 **Benefits:** - Medical , Dental, & Vision Insurance -Paid Time off -Bonding Time Off… more
- Ryder System (Tallahassee, FL)
- …only** : Ryder offers comprehensive health and welfare benefits, to include medical , prescription, dental, vision, life insurance and disability insurance ... Financial Analysis and Planning, Financial Reporting, Accounts Payable, Accounts Receivable and Billing . Will serve as the financial check and balance as Ryder makes… more
- EXOS (Santa Rosa Beach, FL)
- …state, and national laws and regulations, as well as licensing and insurance certification + Reviews and evaluates physician's referrals and patients' records to ... progress daily within company's documentation format + Completes documentation requirements and billing procedures in a timely manner per policy + Updates treatment… more
- HCA Healthcare (Palm Harbor, FL)
- …or equivalent combination of education and/or work experience. + 5+ years of medical billing or collections experience + 3+ years of supervisory experience ... 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… more
- Humana (Miramar, FL)
- …service and communication skills + Microsoft Office proficiency + Knowledge of medical authorizations/ billing preferred + Infusion Pharmacy experience + Wound ... Screen physician's orders and documentation to identify that all qualifying medical documentation and required information is included. When necessary, request… more
- Aston Carter (Deerfield Beach, FL)
- …and compliance. You'll collaborate with carriers, resolve discrepancies, and support billing audits-all while keeping our accounts payable system organized and ... uploads. + Serve as a backup auditor to ensure billing accuracy. + Communicate with carriers to resolve rate...for this temporary role may include the following: * Medical , dental & vision * Critical Illness, Accident, and… more