- Convey Health Solutions (Fort Lauderdale, FL)
- …in a complex, post--Affordable Care Act environment.As a trusted partner to Medicare and commercial payers, we provide scalable, compliant solutions that span the ... entire member lifecycle--from enrollment and billing to risk adjustment, Stars performance, and member engagement. Pareto's deep analytics and financial intelligence… more
- Molina Healthcare (FL)
- …to improve financial performance. * Advanced understanding of Medicaid and Medicare programs or other health care plans. * Advanced analytical work ... standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/ billing (UB04/1500 form). * Advanced understanding of key managed care concepts… more
- Deloitte (Tampa, FL)
- …RN, Quality, DRG Validation and health IT preferred + Knowledge of Medicare reimbursement system and coding structures preferred + In-depth knowledge and experience ... including conducting charge capture and coding reviews for compliance with billing and coding regulatory requirements + Experience in program and/or project… more
- CenterWell (Ocala, FL)
- …billing are completed timely and in compliance with Medicare regulations. + Coordinates communication between team members/attending physicians/caregivers to ... ensure the appropriateness of care and outcome planning. + Works in conjunction with the Branch Director and Company Finance Department to establish location's revenue and budget goals. + Participates in sales and marketing initiatives. + Supervises all… more
- Florida Health Care Plans, Inc. (Daytona Beach, FL)
- …* Minimum 2 years of management experience in an outpatient office setting * Billing experience in a healthcare setting preferred * Experience and proficiency in the ... Office, Excel, etc.) * Knowledge of CPT-4 and ICD-10 codes, HMO, Medicare , and other third-party regulations preferred * Experience with Electronic Medical Record… more
- Convey Health Solutions (Fort Lauderdale, FL)
- …in a complex, post--Affordable Care Act environment.As a trusted partner to Medicare and commercial payers, we provide scalable, compliant solutions that span the ... entire member lifecycle--from enrollment and billing to risk adjustment, Stars performance, and member engagement. Pareto's deep analytics and financial intelligence… more
- Modernizing Medicine (FL)
- …administration or related experience required + Basic understanding of medical billing claims submission process and working with insurance carriers required (eg, ... Medicare , private HMOs, PPOs) + Manage/ field 60+ inbound calls per day + Bilingual is a requirement (Spanish & English) + Proficient knowledge of business software… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- …the Collections Specialist will: + Collect information and verify account-specific billing , insurance, and coding. + Update and document customer accounts designated ... QUALIFICATIONS + Must have long-term care experience + Knowledge of Medicare /Medicaid. + Experience using Microsoft Office, specifically Outlook, Word, and Excel.… more
- Cleveland Clinic (Weston, FL)
- …or federal law. + Assist with compliance or credentialing bodies (ACR, MQSA, Medicare , Medicaid, FDA, etc.). + Assist with instrument calibration and record to ... in after-hours transmission of images and appropriate paperwork + Knowledgeable in billing via RIS Preferred qualifications for the ideal future caregiver include: +… more
- Convey Health Solutions (Fort Lauderdale, FL)
- …in a complex, post--Affordable Care Act environment.As a trusted partner to Medicare and commercial payers, we provide scalable, compliant solutions that span the ... entire member lifecycle--from enrollment and billing to risk adjustment, Stars performance, and member engagement. Pareto's deep analytics and financial intelligence… more