- Elevance Health (Tampa, FL)
- …The Audit and Reimbursement Senior will support contractual workload involving complex Medicare cost reports and Medicare Part A reimbursement . ... Services to transform federal health programs. The **Audit and Reimbursement Senior** will support our Medicare Administrative...as assigned. + Prepare and perform supervisory review of cost report desk reviews and audits. +… more
- BayCare Health System (Clearwater, FL)
- …related to Medicare , Medicaid and TRICARE/CHAMPUS, specifically completion of the annual Medicare Cost report filings and audits, AHCA (Agency for ... care reimbursement is required, with at least two years direct preparation of the Medicare cost report working papers and filing of the reports via HFS… more
- AdventHealth (Altamonte Springs, FL)
- … reports; preparation of reopening and appeal papers, audit preparation and other cost report settlement activity and related analysis for third party financial ... operational decisions; and serves as subject matter resource for Medicare and Medicaid reimbursement matters. The Director...agencies auditors to support positions taken on the hospital cost report , or other required reporting +… more
- Molina Healthcare (St. Petersburg, FL)
- …Plan and Finance team through analyzing key business issues related to cost , utilization and revenue for multiple Molina Healthcare products. Analyzes data and ... to monitor health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives improvement change by recommending… more
- CenterWell (Tallahassee, FL)
- …and automated solutions to drive efficiency and performance. This role will report directly into the Associate Vice President, Central Operations. The Associate ... + Responsible for day-to-day operations of centralized RCM offerings and Medicare Advantage financial recoveries through health plan contestations process. + Oversee… more
- HCA Healthcare (Orange Park, FL)
- …include: + Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health ... and resolving coding related denials from payers, preventing lost reimbursement and promoting denial prevention. The Inpatient Coding Denials Specialist… more
- HCA Healthcare (Oviedo, FL)
- … report as requested by Administration. + Responsible for accurately completing the Medicare Cost Report . + Responsible for timely and accurately ... medical coverage that covers many common services at no cost or for a low copay. Plans include prescription...Objects reports administration. + Responsible for understand 3rd party reimbursement . + Timely and accurately submit monthly Post Close… more
- Aveanna Healthcare (Miami, FL)
- …patients coming onto services * Supervise and evaluate client satisfaction survey report on client served * Incident Management/Issue Resolution * Plan and implement ... to measure productivity and goal achievement and to determine areas needing cost reduction and program improvement * Consistently meet reporting deadlines * Branch… more
- Modernizing Medicine (Tampa, FL)
- …medical billing claims submission process and working with insurance carriers required (eg, Medicare , private HMOs, PPOs) + Manage/ field 60+ inbound calls per day + ... and life insurance plans, including coverage for family members, all at no cost to employees, + Allowances: Annual wellness allowance to support your well-being and… more