- ChenMed (Tampa, FL)
- …biohazard waste and medicine disposal, etc. + Conducts trainings and refreshers regarding Medicare and HIPAA compliance , ensures annual OSHA trainings occur and ... employees have all required certifications current in their files. + Monitors transportation and housekeeping activities. + Monitors and/or alters team member work schedules, including approval of overtime or vacations. + Collaborates with the Leadership Team… more
- AssistRx (Maitland, FL)
- … Manager in the review and management of third-party audits. + Verifies compliance with insurer rules, Medicare , Medicaid, HIPAA, and other applicable ... We are in search for a Compliance Specialist. Compliance works to ensure controls and safeguards are in place to promote adherence to applicable federal and… more
- CenterWell (Jacksonville, FL)
- …of third-party payers. Ensures final audits/billing are completed timely and in compliance with Medicare regulations. + Coordinates communication between team ... Interprets Company standards and Company policies and procedures to ensure compliance with external regulatory authorities and ensures that caregiver clinical… more
- SIMEDHealth (Gainesville, FL)
- …leaders to resolve credentialing, insurance, and reimbursement issues. + Maintain compliance with Medicare , Medicaid, and commercial insurance regulations. + ... and develop a team of AR professionals to maximize collections and ensure compliance . + Oversee medical billing, claims submission, payment posting, and follow-up on… more
- Elevance Health (Altamonte Springs, FL)
- …programs. + Processes prior authorization requests from physicians offices and ensures compliance with Medicare requirements; informs relevant parties of all ... prior authorization determinations. + Provides resolution to grievances and appeals issues. + Responds to inquiries from physicians, sales team, and members related to formulary and prescription benefits. + Generates reports relating to rebates, physician… more
- AdventHealth (Altamonte Springs, FL)
- …allied health practitioners, nursing, and care management. This includes quarterly compliance updates from Medicare . + Effectively and appropriately communicates ... with physicians, nursing and HIM coders. The CDI Quality & Compliance Team Leader strategically facilitates and obtains appropriate and quality physician… more
- Prime Therapeutics (Tallahassee, FL)
- …fuels our passion and drives every decision we make. **Job Posting Title** Compliance Analyst Principal - Remote **Job Description** The Compliance Principal is ... execution of the Regulatory Intelligence communication strategy. This position acts as Compliance and regulatory liaison for all lines of business with internal… more
- Prime Therapeutics (Tallahassee, FL)
- …fuels our passion and drives every decision we make. **Job Posting Title** Compliance Analyst Principal (Performance and Oversight) - Remote **Job Description** The ... Compliance Principal is responsible for supporting Oversight and Monitoring...or within a highly regulated industry, including experience with Medicare , Medicaid, and the Affordable Care Act (ACA) +… more
- AdventHealth (Ormond Beach, FL)
- …support as well as ongoing volunteer training, education and support in compliance with the Medicare Hospice Conditions of Participation. The volunteer ... hospice employees and contract staff. Thorough records are maintained to ensure compliance and are available for departmental reporting and regulatory purposes. The… more
- Cardinal Health (Tallahassee, FL)
- **_What Ethics & Compliance contributes to Cardinal Health_** Ethics & Compliance promotes a culture that encourages ethical conduct and a commitment to ... compliance . This function implements strategies and processes to ensure...facility fee coding and auditing. + Expert-level knowledge of Medicare and Medicaid documentation and coding rules and guidelines;… more