• Sr. Medicare Associate

    Sedgwick (Orlando, FL)
    …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Medicare Associate **Job Description** + Set up new Medicare ... Medicare Compliance System + Electronically sort and index Medicare mail in the SIR and Medicare ...index Medicare mail in the SIR and Medicare Compliance systems + Responds to questions from examiners… more
    Sedgwick (11/12/25)
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  • Medical Director, Nat'l OP Medicare

    Humana (Tallahassee, FL)
    …Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance . + ... teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements and will understand how to… more
    Humana (11/07/25)
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  • Patient Access Representative 2 (On-Site) (H) Full…

    University of Miami (Palm Beach Gardens, FL)
    …HIPAA Notice of Privacy, No Surprise Billing, Good Faith Estimate, Off Campus Medicare Co- insurance and Advance Beneficiary Notices, and Medicare Secondary ... patients for clinical services by obtaining pertinent information, verifying insurance benefits, explaining pertinent documents, and collecting payments. CORE JOB… more
    University of Miami (11/20/25)
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  • Patient Access Representative 2 (On-Site) (H) Full…

    University of Miami (Miami, FL)
    …HIPAA Notice of Privacy, No Surprise Billing, Good Faith Estimate, Off Campus Medicare Co- insurance and Advance Beneficiary Notices, and Medicare Secondary ... patients for clinical services by obtaining pertinent information, verifying insurance benefits, explaining pertinent documents, and collecting payments. Core Job… more
    University of Miami (11/08/25)
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  • Health Information Specialist

    MyFlorida (Moore Haven, FL)
    …System (HMS) billing function, which identifies cash collections, billings to Medicaid, Medicare , Private Insurance , or other third-party payment sources. As ... Health Management System (HMS)which identifies cash collections, billings to Medicaid, Medicare , Private Insurance , or other third-party payment sources. Assures… more
    MyFlorida (11/26/25)
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  • Patient Access Representative 1 (On-Site) - Full…

    University of Miami (Palm Beach Gardens, FL)
    …HIPAA Notice of Privacy, No Surprise Billing, Good Faith Estimate, Off Campus Medicare Co- insurance and Advance Beneficiary Notices, and Medicare Secondary ... registers patients for clinical services by obtaining pertinent information, verifying insurance benefits, and collecting payments. CORE JOB FUNCTIONS: + Performs… more
    University of Miami (11/13/25)
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  • Investigator, Coding Special Investigative Unit…

    Molina Healthcare (FL)
    …regulations pertaining to health insurance , investigations & legal processes (Commercial insurance , Medicare , Medicare Advantage, Medicare Part D, ... oral and written communication skills and presentation skills. + Medicare and Marketplace experience **JOB QUALIFICATIONS** **Required Education** High School… more
    Molina Healthcare (11/20/25)
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  • Associate Actuary, Analytics/Forecasting

    Humana (Tallahassee, FL)
    …+ Experience working in coding languages such as SAS and SQL + Prior Medicare Advantage or health insurance background + Additional skills developing reports and ... (work at home) + This role provides a unique opportunity to get hands on Medicare Advantage experience in a rapidly growing area outside of bid season + The role… more
    Humana (11/05/25)
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  • RN / Registered Nurse - Hospice Admissions

    BrightSpring Health Services (Jacksonville, FL)
    …comprehensive clinical assessments to determine eligibility for hospice based on Medicare / insurance guidelines + Coordinate the start of services (nursing, ... and timely documentation Benefits and Perks for You! + Medical, Dental, Vision insurance + Health Savings & Flexible Spending Accounts (up to $5,000 for childcare)… more
    BrightSpring Health Services (11/21/25)
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  • Sr. Medicare (PPS) Provider Hospital…

    Humana (Tallahassee, FL)
    …a part of our caring community and help us put health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of the Pricer ... Business and System Support team responsible for administering complex Medicare provider reimbursement methodologies. The business needs of the team continue to… more
    Humana (10/18/25)
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