- Philips (Miami, FL)
- …evidence and obtaining medical record documentation. + Be an expert on Medicare , Medicaid and private insurance coverage-criteria for InCourage vest therapy. Be able ... to effectively educate healthcare teams in identifying patients who meet coverage criteria. + Ability to analyze data to effectively target priority healthcare teams and create sales call routing. Capable to be flexible and adjust routing to fit pipeline… more
- Akumin (Lakeland, FL)
- …certification accepted as allowable by customer contract._ _If Akumin is billing Medicare , registry in Magnetic Resonance is Required._ + MR registered technologist ... RT (MR) ARRT or ARMRIT + Technologist registered in other modalities + _3 months supervised MRI clinical scanning experience OR currently enrolled for more than 6 months in an accredited MRI training program_ + State license + _Licensed Radiologic Technologist… more
- HCA Healthcare (Hudson, FL)
- …the preparation of the annual financial reports including but not limited to: Medicare Cost Report, work paper package and the AHCA prior year report package. ... We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you who feels patient care is as meaningful as we do. Take the next step in your career. Responsibilities: + You will implement transformational system and… more
- Humana (Tallahassee, 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
- BrightSpring Health Services (Lake City, FL)
- …+ Uses clinical skills to assess for appropriate clients that would meet the Medicare Hospice Guidelines for all levels of care, Routine Home Care, Respite, General ... Inpatient, and Continuous Care + Would communicate effectivity that assessment to the clinical team including the admission nurse + Maintains comprehensive working knowledge of Organization's Name markets including government agencies, major payer groups, key… more
- Molina Healthcare (Doral, FL)
- …with the standards and requirements established by the Centers for Medicare and Medicaid. **KNOWLEDGE/SKILLS/ABILITIES** + Enters denials and requests for appeal ... into information system and prepares documentation for further review. + Research issues utilizing systems and other available resources. + Assures timeliness and appropriateness of appeals according to state and federal and Molina Healthcare guidelines. +… more
- HCA Healthcare (Sarasota, FL)
- …the preparation of the annual financial reports including but not limited to: Medicare Cost Report, work paper package and the AHCA prior year report package. ... We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you who feels patient care is as meaningful as we do. Take the next step in your career. Responsibilities: + You will implement transformational system and… more
- CenterWell (Port Saint Lucie, FL)
- …of hands-on healthcare experience in a clinical setting, preferably within the Medicare population + Proficient with medical terminology + Proficient with Microsoft ... Office applications including Microsoft Word, Excel and Outlook + Experience with Electronic Medical Records + Excellent professional communication abilities, at all levels within the organization and with patients, at all times + This role is considered… more
- Molina Healthcare (St. Petersburg, FL)
- …+ Exposure to Databricks, Spark, or similar data platforms + Familiarity with Medicare Advantage or Medicaid programs + Awareness of CMS audit processes or ... healthcare compliance requirements **Ideal Candidate Attributes** + **Curious and Eager to Learn** : Interested in understanding healthcare data and willing to dig into unfamiliar topics. + **Team-Oriented** : Works well in a collaborative environment and… more
- Modernizing Medicine (Tampa, FL)
- …medical billing claims submission process and working with insurance carriers required (eg, Medicare , private HMOs, PPOs) + Manage/ field 60+ inbound calls per day + ... Bilingual a plus (Spanish & English) + Proficient knowledge of business software applications such as Excel, Word, and PowerPoint + Strong communication and interpersonal skills with an emphasis on the ability to work effectively over the telephone + Ability… more