- Guidehouse (Tampa, FL)
- …various types of authoritative information. + Maintains current knowledge of Medicare , Medicaid, and other third-party payer billing compliance guidelines ... cycle support services through efficient review and timely resolution of assigned Medicare and third-party payer accounts that are subject to pre-bill claim edits,… more
- CenterWell (Orange Park, FL)
- …on-call rotation and support growth initiatives at your center. + Ensure compliance with all licensing and accreditation requirements. **What We're Looking For** ... **Preferred:** + Experience in value-based care, primary care or Medicare Advantage settings. + Active DEA license and ...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- ChenMed (Orlando, FL)
- …as Salesforce, DASH, and Availity. + Eligibility criteria in terms of Medicare , Medicaid, Low-Income Subsidies, and Special Enrollment Periods. + Organizes MGC ... of the company's patient services, value proposition, patient qualification, and compliance requirements. + Works with the Director, Growth and Business Development… more
- Merck (Tallahassee, FL)
- …reimbursement issues, and support patient assistance programs, all while ensuring compliance with healthcare regulations. The FAM role is a remote/field-based role ... how the products are covered under the benefit design (Commercial, Medicare , Medicaid) * Answer questions about coverage, including payer-specific access questions… more
- CenterWell (Weston, FL)
- …local primary care "on-call" program of Conviva as needed. . Assures personal compliance with licensing, certification, and accrediting bodies. . Spend 100% of your ... Medicine preferred . Active and unrestricted DEA license . Medicare Provider Number . Medicaid Provider Number . Minimum...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- CenterWell (West Palm Beach, FL)
- …primary care "on-call" program of CenterWell as needed. . Assures personal compliance with licensing, certification, and accrediting bodies. . Spend 100% of your ... Medicine preferred . Active and unrestricted DEA license . Medicare Provider Number . Minimum of two to five...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- CenterWell (Pinellas Park, FL)
- …"on-call" program of Conviva Senior Primary Care. + Assures personal compliance with licensing, certification, and accrediting bodies. **Required Qualifications** + ... for TB. **Preferred Qualifications** + Active and unrestricted DEA license + Medicare Provider Number/ Medicaid Provider Number + Experience managing Medicare … more
- CenterWell (Coral Springs, FL)
- …local primary care "on-call" program of Conviva. Assures personal compliance with licensing, certification, and accrediting bodies. **Required Qualifications:** ... screened for TB. **Preferred Qualifications:** Active and unrestricted DEA license Medicare Provider Number/ Medicaid Provider Number Experience managing Medicare… more
- Humana (Tallahassee, FL)
- …to make an impact** **Required Qualifications** + 2 or more years of Experience with Medicare and/or managed care + 3 or more years of NCQA HEDIS measures, PQA ... and ability to collaborate with multiple + Experience with Medicare Risk Adjustment and/or medical coding + Understanding of...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Molina Healthcare (Jacksonville, FL)
- …providers, pharmacists, pharmacies and technicians - ensuring departmental and Centers for Medicare and Medicaid Services (CMS) standards are met. * Educates Molina ... adherence. * Enforces Health Insurance Portability and Accountability Act (HIPAA) compliance standards and regulations. * Provides clerical services and support to… more