- Sedgwick (Tallahassee, FL)
- …is correct. + May process complex lifetime medical and/or defined period medical claims which include state and physician filings and decisions on ... appropriate treatments recommended by utilization review. + Maintains professional client relationships. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs… more
- US Anesthesia Partners (Fort Myers, FL)
- …is a must. We welcome pediatric and cardiac trained Anesthesiologists at HealthPark Medical Center where there is high volume in both specialties! We offer: + ... trained Anesthesiologists + Competitive rates + Guaranteed hours + Occurrence based medical malpractice policy All of our facilities are medical direction… more
- Cognizant (Tallahassee, FL)
- …* A minimum of 2 years claim processing is required. * Knowledge of physician practice and hospital coding, and medical terminology, CPT, HCPCS, ICD-10 * ... HCFA paper or EDI information. * Responsible for reviewing medical records when necessary to determine if service rendered...in the analysis and processing of claims for payments, utilization review/quality assurance procedures. * Must be able to… more
- Trinity Health (Fort Lauderdale, FL)
- …care. Analyzes the patient's current clinical status, treatment plan and past medical history to identify potential gaps on physician documentation. Identifies ... medical staff regarding status, placement, payer requirements, and utilization of resources. * Assures appropriate sequencing of care/interventions for optimal… more
- University of Miami (Doral, FL)
- …insurance eligibility of patient coverage benefits, notifying patient and referring physician in the event of failed eligibility. + Collaborates with scheduling ... via in-basket messaging. + Extensive collaboration with providers, nursing unit, and utilization review department in coordinating admissions. CTU + Must possess a… more
- University of Miami (Palm Beach Gardens, FL)
- …insurance eligibility of patient coverage benefits, notifying patient and referring physician in the event of failed eligibility. + Collaborates with scheduling ... via in-basket messaging. + Extensive collaboration with providers, nursing unit, and utilization review department in coordinating admissions. CTU + Must possess a… more
- University of Miami (Fort Lauderdale, FL)
- …insurance eligibility of patient coverage benefits, notifying patient and referring physician in the event of failed eligibility. + Collaborates with scheduling ... via in-basket messaging. + Extensive collaboration with providers, nursing unit, and utilization review department in coordinating admissions. CTU + Must possess a… more
- BayCare Health System (Tampa, FL)
- …system platforms. + Must discuss with provider when discrepancies present. + Appropriate utilization of CPT, ICD-10, and HCPCS codes. + May serve as back up ... + 1 year of coding experience, or + 2 years in a Medical -Related Field **Specific Skills:** + Critical thinking skills; Computer skills appropriate to position… more
- Sedgwick (Tallahassee, FL)
- …is correct. + May process complex lifetime medical and/or defined period medical claims which include state and physician filings and decisions on ... appropriate treatments recommended by utilization review. + Maintains professional client relationships. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs… more
- Edwards Lifesciences (Tampa, FL)
- …training and educational material during training sessions in order to drive utilization of the Edwards's THV product portfolio. + Utilizing acquired knowledge to ... + Partnering with the proctor and sales organization to plan and implement physician and support staff trainings. + Collaborating with the Territory Manager on… more