- MyFlorida (Moore Haven, FL)
- …for general clerical, reception, interviewing, appointment scheduling processing requests for medical records. Acts as the Records Management Liaison Officer RMLO in ... System (HMS). Schedules patient appointments according to policy. Acts as an interpreter when requested. Cashier's services for clients which includes charging from… more
- Humana (Fort Lauderdale, FL)
- …for clinical effectiveness within the Medicaid segment. This function integrates Medical Economics, Clinical Insights, and Quality to deliver improved health ... advanced analytical, data science, and leadership capabilities to optimize medical cost management, drive program performance, and support compliant operations.… more
- CenterWell (Tallahassee, FL)
- …expert on payer authorization rules, revalidation requirements, and medical necessity workflows. * Lead large-scale transformation initiatives including ... therapy leadership, and clinical staff to ensure clinical documentation supports medical necessity. * Support resolution of clinical questions related to… more
- CenterWell (Pinellas Park, 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 ... including but not limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care. + Acts as an active participant and… more
- CenterWell (Coral Springs, FL)
- …and 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 ... including but not limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care. Acts as an active participant and… more
- Humana (Tallahassee, FL)
- …skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management ... direction and receives guidance where needed. Follows established guidelines/procedures. + Medical necessity reviews for Medicaid claims and Provider disputes. +… more
- CenterWell (Boca Raton, FL)
- …a wide range of people including physicians, office staff, hospital executives, medical groups, IPA's, community organizations and other health plan staff + ... of and experience working with Provider Communities + Experience with Electronic Medical Record (EMRs) or Health Information Management (HIMs) systems + Knowledge of… more
- Humana (Tallahassee, FL)
- …communication and available resources to promote quality, cost-effective outcomes. Coordinate medical , behavioral and other services for beneficiaries with a primary ... communication and available resources to promote quality, cost-effective outcomes. Coordinate medical , behavioral and other services for beneficiaries with a primary… more
- CenterWell (Delray Beach, FL)
- …outpatient care to adult and senior patients. + Maintain accurate and timely medical records and documentation. + Diagnose and manage moderately to complex ... medical conditions. + Coordinate referrals and collaborate with specialists...gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and… more
- Humana (Miramar, FL)
- …of 3 years' experience in the healthcare industry, with a strong understanding of medical terminology. + Proven background in medical billing, specifically as an ... knowledge of accounting principles and practices. + Hands-on experience with medical coding, including proficiency in ICD-10. + Billing and coding certification… more