- MyFlorida (Port St. Lucie, FL)
- …Careware, FMMIS and Solution Reach. + Experience dealing with HMO or third-party insurance for Medicare and Medicaid and working on Department of Health's ... systems modules: Client Registration, review of Family Financials, verification of Insurance Information, and recording of CSRs with accuracy. Answers the telephone,… more
- Humana (Tallahassee, FL)
- …Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance . + ... internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare Advantage requirements and will understand how to… more
- 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 (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 reference sources. Medical Directors will learn Medicare , Medicaid, and Medicare Advantage requirements and will understand… more
- Insight Global (Jacksonville, FL)
- …of insurance denials and follow-up experience * Familiar with various insurance carriers (BCBS, Tricare, Medicare , Medicaid, etc.) * Understanding of Medical ... Job Description Insight Global is seeking an Insurance Collector/Follow-up Representative to work in the Revenue...department for a large regional rehab client. As an Insurance Collector/Follow-up Rep you will work remotely to minimize… more
- Abbott (Orlando, FL)
- …The primary responsibility of this position will be to drive claims to insurance companies and governmental ( Medicare ) billings and obtain collections targets ... must have hands on experience working directly with Managed , Commercial insurance companies and Medicare , Medicaid and be able to supervise team members in a… more
- Humana (Tallahassee, FL)
- …Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance . + ... includes some experience in an inpatient environment and/or related to care of a Medicare type population (disabled or >65 years of age). + Current and ongoing Board… more
- Humana (Tallahassee, FL)
- …of the responsibilities: + Engage with the producers and the Center for Medicare and Medicaid Services/Department of Insurance regulations specific to them if ... the general ledger. + Analyze and interpret Center for Medicare and Medicaid Services and Department of Insurance... Medicare and Medicaid Services and Department of Insurance regulations to establish required appointment fees for producers… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- …+ Research, analyze and appropriately resolve rejected claims by working with national Medicare D plans, third party insurance companies, and all state Medicaid ... for full time employees + Medical, Dental, and Vision insurance + 401 (k) (available for Part Time &...Time & Full Time EEs) + Company Paid Life insurance + Short-term and Long-term disability insurance … more
- MyFlorida (Viera, FL)
- …with Case Managers assisting client access with supporting resources: Medicaid, Medicare , Tricare, VA, Employer Sponsored Insurance , ACA Marketplace, and ... Enroll and recertify clients in AIDS Drug Assistance Program (ADAP): Insurance availability and coverage: prescription medication dispensations; labs; in ADAP… more