- 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
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- …payor verification * Verify insurance and Medicaid coverage * Handle Dual Coverage, Medicare Part D, and Commercial Plans related to Long-Term Care * Address ... customer billing inquiries professionally * Enter fees and charges in Framework LTC * Prepare and audit daily, weekly, and monthly billing reports * Generate statements and end-of-month summaries * Assist residents with account balances * Ensure compliance… more
- HCA Healthcare (Kissimmee, FL)
- …+ You will maintain a thorough working knowledge of the rules of Medicare , Medicaid, and private payer regulations and processes. You will possess a thorough ... understanding of managed-care concepts and length-of-stay management relating to patient and organizational fiscal responsibility. + You will perform thorough assessments and develop appropriate discharge plans for high-risk patients with discharge planning or… more
- ChenMed (Hollywood, FL)
- …quality improvement. + Follows all applicable government regulations including HIPAA, Medicare and Co-pay requirements. + Engages patients by offering assistance, ... resolving issues and answering questions to ensure a positive patient experience. + Responsible and accountable for registering all related sales on assigned cash register, collects and handles cash as required. + Directs and assists team members as needed to… more
- Humana (North Miami Beach, FL)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. ... **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic… more