- Elevance Health (Miami, FL)
- …member of Elevance Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services ... federal health programs. The **Audit and Reimbursement II** will support our Medicare Administrative Contract (MAC) with the federal government (The Centers for … more
- Humana (Tallahassee, FL)
- …directly to the Regional Vice President of Operations in support of the Medicare Advantage line of business. The Market Finance Lead supports all Market Financial, ... Works closely with internal stakeholders including Finance, Actuarial, Clinical, Medicare Risk Adjustment, Provider Contracting, and Provider Engagement internally +… more
- BayCare Health System (Largo, FL)
- …patient information including demographics, insurance and benefit information. Verify insurance and benefits for Medicare , Medicaid, Managed Care, and ... Workers Comp and Commercial Plans. Securing authorization for services provided by BayCare HomeCare from the payers. Answer telephones promptly and courteously. Responding to emails and voicemails promptly. Responsible for selecting the appropriate equipment… more
- Amgen (Orlando, FL)
- …physician-administered (buy and bill/medical benefit) products + Advanced knowledge of medical insurance terminology + Knowledge of Centers of Medicare & ... to HCPs on how the products are covered under the benefit design (Commercial, Medicare , Medicaid) + Serve as a payer expert for defined geography and promptly… more
- CenterWell (Jacksonville, FL)
- …email, etc.). **Preferred:** + Experience in value-based care, primary care or Medicare Advantage settings. + Active DEA license and Medicare /Medicaid provider ... or ability to obtain DEA license and/or Medicaid and Medicare numbers + Familiarity with HEDIS quality indicators and...+ Competitive base salary + annual bonus + Health insurance effective Day 1 + 401(k) with employer match… more
- Walmart (Orlando, FL)
- …documentation and maintaining a safe and clean work environment Complies with Medicare and Medicaid policies and procedures by implementing and adhering to rules ... on policy changes and new regulations researching information to accurately process Medicare orders to ensure compliance and interpreting and documenting Medicare… more
- Walmart (Orlando, FL)
- …labeling prescriptions and preparing packages and distributing medicationsComplies with Medicare and Medicaid policies and procedures by implementing and adhering ... keeping uptodate with regulations researching information to accurately process Medicare orders to ensure compliance with appropriate regulations and interpreting… more
- Walmart (Orlando, FL)
- …documentation; and maintaining a safe and clean work environment. + Complies with Medicare and Medicaid policies and procedures by implementing and adhering to rules ... policy changes and new regulations; researching information to accurately process Medicare orders to ensure compliance; and interpreting and documenting Medicare… more
- CenterWell (Belle Glade, FL)
- …for TB. **Preferred Qualifications** + Active and unrestricted DEA license + Medicare Provider Number/ Medicaid Provider Number + Experience managing Medicare ... care environment in a value-based relationship environment. + Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators. **Additional… more
- CenterWell (Tamarac, FL)
- …Medicine or Geriatric Medicine preferred . Active and unrestricted DEA license . Medicare Provider Number . Medicaid Provider Number . Minimum of two to five ... years directly applicable experience preferred . Experience managing Medicare Advantage panel of patients with understanding of Best...+ quarterly bonus . Excellent benefit package - _health insurance effective on your first day of employment_ .… more