- AdventHealth (Maitland, FL)
- …and/or National Comprehensive Cancer Network (NCCN) guidelines. Ensures specified medical terms, diagnosis, medication codes and supporting clinical documentations ... of the authorization to payor or third-party administrators, as assigned. + Reviews medical records in detail to confirm the treatment is supported by approved … more
- University of Miami (Miami, FL)
- …GME Coordinator 1 (A) performs administrative duties in support of the assigned medical residency or fellowship program(s). The GME Coordinator 1 (A) supports the ... are performed to standard to maintain compliance with Accreditation Council for Medical Education (ACGME) requirements. The incumbent serves as the contact and… more
- Community Health Systems (Naples, FL)
- As a Scheduling Specialist with Physicians Regional Medical Group you'll join a team and be a part of a culture that's dedicated to providing top quality care to our ... process for patients and physicians offices within the hospital or medical facility. This role involves coordinating appointments, procedures, and treatments across… more
- ChenMed (Miami, FL)
- …or opportunities to be seized. The incumbent serves as the primary medical cost analytics consultant to our Finance, Clinical, Operations, and Specialty Care ... + Partners with finance and business leaders to create benchmarks to monitor medical cost trends and variances. Assists in the design and evaluation of company… more
- University of Miami (Miami, FL)
- …other regulatory agency reportable events and prepare submission for approval by Associate Medical Risk management Officer and the Chief Medical Risk Officer. + ... + Provide notification and documentation of potentially compensable events to Chief Medical Risk Officer, Director of Medical Claims and Assistant General… 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** ... + Understanding of Operating Systems and Network Protocols. + Familiarity with Microsoft Windows administrative tools, and the Unix/Linux command line. + Familiarity… more
- Performance Optimal Health (Naples, FL)
- …verifying insurance benefits, collecting co-payments, and updating records in electronic medical record (EMR) systems. + Address client inquiries, feedback, and ... professionally with clients, clinical staff, and internal teams using Microsoft Teams and other channels. Requirements Qualifications: + Exceptional customer… more
- AdventHealth (Altamonte Springs, FL)
- …skills is essential. Additionally, working knowledge and understanding of major medical claims, insurance contracts, and the traditional actuarial functions, eg, ... R, Power BI, Tableau or similar Working knowledge of Microsoft Office suite, particularly Microsoft Excel and...or equivalent Actuarial valuation and reserving experience for major medical insurance contracts or equivalent This facility is an… more
- CVS Health (Tallahassee, FL)
- …basis. **Required Qualifications** Proficient computer skills and knowledge of Microsoft Word, Excel and Access Demonstrated analytical and problem-solving skills. ... preferred. Knowledge of other reporting platforms such as: Business Objects, Microsoft Access, web development technology, big data analytics, data mining, Visual… more
- AdventHealth (Altamonte Springs, FL)
- …+ Demonstrates advanced functional knowledge of Epic, applicable third-party solutions, and the Microsoft suite of products + Serves as a lead member of the Clinical ... in library information systems, information literacy, health information resources, copyright, medical education, and the role of technology; ensuring the current… more