- Molina Healthcare (FL)
- …in accordance with the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Enters denials and ... * Customer/provider experience in a managed care organization (Medicaid, Medicare , Marketplace and/or other government-sponsored program), or medical office/hospital… more
- Molina Healthcare (St. Petersburg, FL)
- …using tools such as Department of Health and Human Services (DSHS) and Medicare billing guidelines, Molina claims processing policies and procedures, and other ... support for claims recovery activities including researching claim payment and billing guidelines, audit results, and federal regulations to determine overpayment… more
- Centene Corporation (Tallahassee, FL)
- …policies and standards **Education/Experience:** Associate's degree and claims processing, billing and/or coding experience preferred. Three years of experience in ... a healthcare organization, and medical claims. Knowledge of health care, managed care, Medicare or Medicaid.Pay Range: $22.79 - $38.84 per hour Centene offers a… more
- AdventHealth (Orlando, FL)
- …record, applying appropriate ICD-10-CM/PCS coding conventions and MS-DRG Medicare Prospective Payment System requirements. Actively participates in outstanding ... experience and expertise, so coding quality review is not required before billing . The Senior Coder utilizes years of experience and expertise to demonstrate… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- …Remote Position Type Full Time Job Category Pharmaceutical Description PRIOR AUTHORIZATION SPECIALIST (REMOTE) WHO WE ARE At Polaris Pharmacy Services, we're more ... you to grow with us. OVERVIEW The Prior Authorization Specialist is responsible for managing and identifying a portfolio...pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks to Polaris and their… more
- MyFlorida (Naples, FL)
- … functions. This position reports to the TB PROGRAM MANAGER-NURSING PROGRAM SPECIALIST . Your Specific Responsibilities: Medical Billing : Performs billing ... clients and representatives from 3rd party insurance companies, Medicaid, and Medicare for the verification of insurance and coverage. Additionally, this position… more
- Cardinal Health (Doral, FL)
- …Schedule: Monday - Friday, 8:00 AM - 4:30 PM EST **_What Contract and Billing contributes to Cardinal Health_** Contracts and Billing is responsible for finance ... and vendor contract administration customer and vendor pricing, rebates, billing (including drop-ships), processing chargebacks and vendor invoices and developing… more
- University of Miami (Miami, FL)
- …Identifier (NPI), or obtain an NPI, prior to employment start date and meet current Medicare requirements for billing Experience: + M inimum of 1 year of ... or specialty continuing education course; serv ing as resource /super-user/ specialist /support ; teaches specialty competency development and proctor skill validation… more