- CVS Health (Tallahassee, FL)
- …operations. + 3+ years of experience in healthcare. + Working knowledge of Medicare , Medicaid and Third-Party Insurance payers and reimbursement guidelines. + ... Strong competency with Microsoft Office software applications (Outlook, Word, Excel). **Preferred Qualifications** + Excellent attention to detail, as well as the ability to handle stress and meet deadlines. + Strong organizational skills, as well as the… more
- Veterans Affairs, Veterans Health Administration (Orlando, FL)
- …and medical terminology. Provides case management utilizing knowledge of various insurance types (eg, Medicare , Medicaid, other private health insurances, ... and VA benefits) to recommend appropriate referrals and discharge plans to community providers. This may include verification of Veteran status and eligibility for participation in VA programs, monitoring admission and discharge dates of participants,… more
- Sevita (Sarasota, FL)
- …individuals with related matters including eligibility for benefits through Medicaid, Medicare , Social Security, and private insurance . + Maintain up-to-date ... case records with the status of case activity, including progress notes on all contacts. **_Qualifications:_** + Bachelor's degree in human services or equivalent in education and experience required. + Minimum of 1 year of related work experience and… more
- Convey Health Solutions (Fort Lauderdale, FL)
- …seeks a highly skilled and results-driven Senior Product Manager to lead our Medicare Advantage Risk Adjustment solution portfolio. In this critical role, you will ... drive the strategic planning, development, and optimization of our Medicare Advantage Risk Adjustment solution, ensuring that our deliverables support the… more
- Humana (Tallahassee, FL)
- …help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health, SNF, DME, dual Medicare ... 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)
- …help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health, SNF, DME, dual Medicare ... 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)
- …customers at the center of everything it does. Are you passionate about the Medicare population, looking for a role in management with the ability to directly impact ... self-driven individuals to join our team. Our Senior Manager, Medicare Sales, motivates and drives a team of ...be willing to relocate** + **Active Health & Life Insurance Licenses** + 2 or more years of sales… more
- Humana (Tallahassee, FL)
- …+ Insurance Strategy and Solutions + Clinical Operations + Medicare Divisional + Provider Experience + Medicaid **Location:** The summer internship program ... - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions… more
- Modernizing Medicine (Tampa, FL)
- …+ Basic understanding of medical billing claims submission process and working with insurance carriers required (eg, Medicare , private HMOs, PPOs) + Manage/ ... and outbound patient calls regarding patient balance inquiries, claims processing, insurance updates, and payment collections + Initiate outbound calls to patients… more
- CVS Health (Tallahassee, FL)
- …for highly motivated individual to lead a core team as a Hybrid Field Sales Medicare Manager. This position will be a part of a specialized team who will focus ... achieve monthly sales goals using our competitive portfolio of Medicare Advantage & DSNP products within the assigned market....+ Bilingual skills are preferred + Life & Health insurance license is a plus but not required to… more