- AssistRx (Orlando, FL)
- …comply with all federal, state, and industry regulations, including anti-kickback statutes, Medicare /Medicaid rules, FDA and OIG guidance. + Work closely with the ... with pharmaceutical manufacturers and understanding of third-party payer systems (commercial, Medicare , Medicaid). Skills & Competencies: + . Strong leadership and… more
- ChenMed (Miami, FL)
- …+ Network Management experience/understanding + Understanding of cost as it relates to Medicare parts A, B and D + Proficient in Microsoft Excel, Outlook and ... data and making decision based of the data + Experience working in Medicare managed care environment We're ChenMed and we're transforming healthcare for seniors and… more
- Aveanna Healthcare (Palm City, FL)
- …in the state of application + Valid CPR and Drivers License Preferred: + Medicare Skilled Nursing experience + Basic understanding of Oasis + 1-year LPN experience ... setting + Home Care Home Base exp a plus As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all… more
- HCA Healthcare (Orange Park, FL)
- …guidelines, CMS/AHCA policies and regulations + Federal Register, Center for Medicare and Medicaid Services, American Hospital Association, Food and Drug ... Administration, Medicare Administrative Contractors and payer websites + Escalates problem accounts/processes/trends and report opportunities to supervisor for… more
- Aveanna Healthcare (Sarasota, FL)
- …client's physician, therapists or other care givers. + Provide input to the Medicare Director regarding the need for formulation or modification of agency policies, ... year medical social work experience + Valid CPR As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in… more
- Prime Therapeutics (Tallahassee, FL)
- …Management organization, or within a highly regulated industry, including experience with Medicare , Medicaid, and the Affordable Care Act (ACA) + Must be eligible ... Advanced degree in related area of study, such as Juris Doctor + Medicare Part D, Medicaid, and/or Affordable Care Act knowledge and experience **Physical Demands**… more
- University of Miami (Miami, FL)
- …HIPAA Notice of Privacy, No Surprise Billing, Good Faith Estimate, Off Campus Medicare Co-insurance and Advance Beneficiary Notices, and Medicare Secondary Payer ... Questionnaire. Serves as gatekeeper, performs insurance verification, and obtains referrals and/or authorizations as needed. Provides financial counseling services at check-in, explains benefits, creates estimates, and notifies patients of self-pay liabilities… more
- Aveanna Healthcare (Melbourne, FL)
- …Valid CPR certification + Valid Drivers license and auto insurance Preferred: + Medicare Skilled Nursing experience + Basic understanding of Oasis + 1-year RN ... experience in a health care setting As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant… more
- Humana (Orlando, FL)
- …Florida, with at least 4 years of relevant experience + Prior experience with Medicare & Medicaid recipients + Minimum 2 years case management experience + Bilingual ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- CenterWell (Jacksonville, FL)
- …indicators (KPIs), such patient experience via Net Promoter Score (NPS) and Medicare clinical quality via HEDIS, meeting local and organizational goals + Personally ... care environment in a value-based relationship environment. + Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators **Additional… more