• Medicare Patient Accounts

    System One (Deland, FL)
    …initiate follow-up, and resolve all unpaid or underpaid system debit balances on Medicare insurance claims; Actions include but are not limited to remit ... Job Title: Medicare Patient Accounts Location: Deland, FL Type: Contract...think root cause analysis Preferred Qualifications: + Healthcare experience; insurance or revenue cycle is a plus! + … more
    System One (06/13/25)
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  • Medical Director - National 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 (07/21/25)
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  • Quality Analyst Specialist-Retiree Health…

    Alight (FL)
    …and delivering effective and timely colleague feedback. + Experience in a Medicare insurance industry, telephone sales, and/or customer service environment. ... from leadership. **Requirements** + Enhanced (SME) for Customer Service best practices, Insurance & Compliance processes, and Medicare (AHIP). + Facilitate… more
    Alight (07/23/25)
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  • Customer Service Performance Manager

    WTW (Tampa, FL)
    …direct-to-consumer insurance services business, specializing in the distribution of Medicare Advantage, Medicare Supplement and Life & Supplemental ... work in telemarketing or call center settings. + Knowledge of Medicare Advantage, Medicare Supplement, Life Insurance , Prescription Drug Products and… more
    WTW (07/08/25)
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  • Patient Access Representative 2 (On-Site) (H)

    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… more
    University of Miami (08/01/25)
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  • Patient Access Representative 2 - Full Time…

    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 (07/23/25)
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  • Patient Access Representative 3 (On-Site)

    University of Miami (Doral, FL)
    …HIPAA Notice of Privacy, No Surprise Billing, Good Faith Estimate, Off Campus Medicare Co- insurance and Advance Beneficiary Notices, and Medicare Secondary ... s ' families or physician s' offices to obtain missing insurance information . + Verifies insurance and confirms insurance eligibility of patient coverage… more
    University of Miami (07/25/25)
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  • Pre-Service Coordinator

    Humana (Miramar, FL)
    …Maintain working knowledge of applicable CPT, HCPC, ICD-10 codes, and all insurance contracts. Understand Medicare /Medicaid criteria and Health Plan policies to ... experience with Word, Outlook, and Excel + Knowledge of Medicare /Medicaid & commercial insurance + Must be passionate about contributing to an organization… more
    Humana (07/30/25)
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  • AVP Account Management - Remote (FL Preferred)

    Prime Therapeutics (Tallahassee, FL)
    …spanning all market segments and lines of business (Employer Markets, Health Insurance Marketplace (HIM), Commercial, Medicare , and Medicaid). This individual is ... suggestions or inquiries + Lead retention efforts for Employer Markets, Health Insurance Marketplace, Commercial, Medicare , and Medicaid health plan clients;… more
    Prime Therapeutics (07/19/25)
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  • RN / Registered Nurse - Hospice Admissions

    BrightSpring Health Services (Palatka, 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 (06/17/25)
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