- Edwards Lifesciences (Miami, FL)
- …payment, as well as, an intermediary to payers including Center for Medicare Services (CMS) and/or Medicare Administrative Contractors (MAC), Medicaid, Veteran ... including hospital executives, cardiovascular administrators, quality, finance, documentation integrity, billing , and physicians (interventionists and surgeons), to support the… more
- CenterWell (Tampa, FL)
- …is to provide clerical support for the branch medical records and billing department. Also, responsible for day-to-day coordination of telephone / personnel ... appropriate. + Complete End of Period claim workflow as part of Billing Specialist responsibilities. This includes confirming all orders are signed appropriately and… more
- HCA Healthcare (Orlando, FL)
- …and reports to leadership 2 Job Description + Works with team members in billing , revenue integrity and/or the Medicare Service Center to resolve alerts/edits + ... research/resolution + Escalates alert/edit resolution issues as appropriate to minimize final billing delays + Monitors the aging of accounts held by an alert/edit,… more
- HCA Healthcare (Jacksonville, FL)
- …of charging activities. + Perform detailed charge audits by verifying billing data against clinical documentation, making necessary corrections in Patient ... Integrity procedures, and implement necessary changes. + Maintain up-to-date billing knowledge through webcasts and conference calls, ensuring continuous education.… more
- Molina Healthcare (Jacksonville, FL)
- …with the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Facilitates comprehensive ... (COB), subrogation and eligibility criteria. * Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory guidelines… more
- HCA Healthcare (Ocala, FL)
- …is met in compliance with departmental policies and procedures + Review Medicare Recovery Audit Contractor (RAC) recoupment requests and process or appeal as ... receivable follow-up, insurance follow-up and appeals, insurance posting, professional medical/ billing , medical payment posting, and/or cash application. + Prior… more
- MyFlorida (Fort Myers, FL)
- …judgment. Responsible for monitoring of services and processes related to billing , clinic flow, clinic scheduling, customer service and program/grant compliance. ... for clinic services. Stays abreast of Accounts Receivable policies, Medicaid/ Medicare /Third Party insurance verification processes/requirements, and HMS functions relating… more
- Convey Health Solutions (Fort Lauderdale, FL)
- …plan members via mail or phone call + Update account information such as billing options and changes of address or phone numbers + Answer questions pertaining to ... including benefits, cost sharing, and levels of coverage + Research premium billing discrepancies and prescription claims processed + Ensure HIPAA regulations are… more
- Molina Healthcare (FL)
- …clinical performance is achieving desired results. * Keeps abreast of Medicaid and Medicare reforms and impact on the Molina business. * Supports scoreable action ... care management or related field. * Demonstrated understanding of Medicaid and Medicare programs or other health care plans. * Analytical work experience within… more
- Aveanna Healthcare (Sarasota, FL)
- …resources based on ICD coding, PPS guidelines and input from billing /financial department, including insurance companies and authorizations as required. Responsible ... outlined in the laws of licensure states. Knowledge of Medicare and Medicaid regulations and reimbursement principles is desired....standing on a regular basis. As an employer accepting Medicare and Medicaid funds, employees must comply with all… more