- Sedgwick (Tallahassee, FL)
- …and laws + Knowledge of medical terminology for claim evaluation and Medicare compliance + Knowledge of appropriate application for deductibles, sub-limits, SIR's, ... carrier and large deductible programs. + Strong oral and written communication, including presentation skills + PC literate, including Microsoft Office products + Strong organizational skills + Strong interpersonal skills + Good negotiation skills + Ability to… more
- AssistRx (Orlando, FL)
- …+ Familiarity with regulations surrounding different health insurance types ( Medicare , Commercial, Reimbursement plans, Other Government, etc.) + Availability to ... work varying shifts (weekdays and weekends) with hours anywhere from as early as 6 am to as late as 8 pm + Proficient experience with Microsoft Office applications: SharePoint, OneDrive, Microsoft Word, Microsoft Excel, Microsoft PowerPoint, and Microsoft… more
- AdventHealth (Orlando, FL)
- …year **The role you'll contribute:** OurLegacy is designated by the Centers for Medicare and Medicaid Services (CMS) as the only organ procurement organization (OPO) ... in east central Florida and is accredited by the American Association of Tissue Banks (AATB) as a tissue recovery agency. The Referral Coordinator is responsible for all incoming Vented and Non-Vented referrals called into and/or electronically submitted to… more
- BayCare Health System (Clearwater, FL)
- …proud to be recognized as a 5-star rated facility by The Centers for Medicare and Medicaid Services (CMS). The CMS Quality Five-Star Rating helps patients; their ... families and caregivers compare nursing homes more easily. Nursing homes, like Madonna Ptak Morton Plant Rehabilitation Center, with 5 stars are considered to have much above average quality and performance based on three areas: health inspections, staffing… more
- MyFlorida (Delray Beach, FL)
- …and holidays. This position requires successful completion of all Center for Medicare Services (CMS) Quality, Safety & Education Portal (QSEP) training for Life ... Safety within six (6) months of hire. This position has been identified as mission essential. The incumbent in this position may be required to work during the weekend or on holidays. In addition, mission essential personnel will be required to work during… more
- BrightSpring Health Services (Orange Park, FL)
- …verbal and written communication, and organization skills. + Current licensure according to Medicare guidelines to practice in state of operation. + Must be a ... licensed driver with an automobile that is insured in accordance with state or organization requirements and is in good working order. About our Line of Business At Haven Hospice, our primary ambition is to bring high-quality care to the warmest and most… more
- MyFlorida (Port St. Lucie, FL)
- …and Solution Reach. + Experience dealing with HMO or third-party insurance for Medicare and Medicaid and working on Department of Health's Electronic Health Record ... Systems. Florida Department of Health Mission, Vision, and Values: Mission: To protect, promote & improve the health of all people in Florida through integrated state, county & community efforts. Vision: To be the Healthiest State in the Nation. Values: I… more
- BayCare Health System (Sarasota, FL)
- …insurance, and benefit information. + Verifying insurance and benefits for all Medicare , Managed Care and Private Fee for Service Plans. Securing authorization for ... services provided by BayCare HomeCare from the payers. + Selecting the correct payer codes to provide accurate intake information. + Understanding medical criteria for securing all required information from the referral source. + Entering the appropriate… more
- HCA Healthcare (Tallahassee, FL)
- …compliance. The role provides oversight for matters including the Centers for Medicare and Medicaid Services (CMS), The Joint Commission (TJC), state agencies and ... other external agencies for regulatory compliance. This position works closely with the quality and safety areas, leadership, and department leaders within the Facilities, to support facilitation, development, implementation, and validation of systems to… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- …QUALIFICATIONS + Must have long-term care experience + Knowledge of Medicare /Medicaid. + Experience using Microsoft Office, specifically Outlook, Word, and Excel. ... + Possess technical proficiency by simultaneously working in multiple systems and software. + Experience in customer service and a high-volume environment. + Experience in negotiating payment arrangements. + Strong written, and verbal communication. EDUCATION… more