- Trinity Health (Fort Lauderdale, FL)
- …and HCPCS level II coding guidelines, along with CCI edits and Medicare claims processing manual contents in a multi-facility, integrated health care delivery ... years of experience in multi-specialty coding, with comprehensive knowledge of Medicare , Medicaid, and other third-party billing rules and regulations preferred.**… more
- Convey Health Solutions (Fort Lauderdale, FL)
- Job Description Receive inbound calls from members who are enrolled in a Medicare , Medicare Advantage or Medicaid plan. Assist those members with taking orders ... for items sponsored by the plan, update account information, provide plan information and resolve issues with utilization of the plan benefit. Place outbound calls as directed and necessary for member resolution. ESSENTIAL DUTIES AND RESPONSIBILITIES + Update… more
- Convey Health Solutions (Fort Lauderdale, FL)
- …applications and disenrollment forms for correction and submission to Centers for Medicare & Medicaid Services (CMS) + Review and complete Late Enrollment Penalty ... Data Validation file and submissions All Functions + Working understanding of Centers for Medicare & Medicaid Services (CMS) guidance + Conform with and abide by all… more
- Highmark Health (Tallahassee, FL)
- …share and risk share models and will be implemented for the Organization's Medicare Advantage, Medicaid, ACA, and commercial populations with the goal of maximizing ... interpretation, and outcomes strategic plan development. + 1 year experience with Medicare STARS, Medicaid HEDIS, risk revenue value streams, and population health… more
- Elevance Health (Tampa, FL)
- …organization with health plans for people enrolled in Medicaid and/or Medicare programs in Florida. **Title** : Medical Management Specialist I **Virtual:** ... Skills, Capabilities and Experiences:** + Understanding of managed care or Medicaid/ Medicare strongly preferred. + Strong attention to detail in data entry… more
- Humana (Tallahassee, FL)
- …Experience with public speaking and presentation skills with healthcare providers + Medicare Risk Adjustment knowledge **Additional Information** Work at home - with ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- Evolent (Tallahassee, FL)
- …current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid, and is not identified as an "excluded person" by the ... Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare . + No history of disciplinary or legal action by a state medical… more
- Evolent (Tallahassee, FL)
- …current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid, and is not identified as an "excluded person" by the ... Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare . . No history of disciplinary or legal action by a state medical… more
- Evolent (Tallahassee, FL)
- …current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid, and is not identified as an "excluded person" by the ... Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare . + No history of disciplinary or legal action by a state medical… more
- WTW (Fort Myers, FL)
- …leading direct-to-consumer insurance services business, specializing in the distribution of Medicare Advantage, Medicare Supplement and Life & Supplemental ... insurance policies. Our focus is on leveraging our highly skilled team of over 3,000 professionals to deliver innovative solutions for our insurance carrier partners and provide consumers with best-in-class experience. We work with some of America's largest… more