- Molina Healthcare (St. Petersburg, FL)
- …that involve clinical HCS staff. Communicates findings to the Supervisor or Manager , HCS Department for resolution. + Maintains a minimal caseload as determined ... HCS Department staff workload for adherence to the Policies, Procedures, Guidelines, Medicare Model of Care, and deadlines. Assures oversight and direction of… more
- Molina Healthcare (Tampa, FL)
- …MCG, InterQual or other medically appropriate clinical guidelines, Medicaid, Medicare , CHIP and Marketplace, applicable State regulatory requirements, including the ... Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + Certified Professional in Healthcare… more
- Humana (Tallahassee, FL)
- …researching and resolving provider reimbursement inquiries + Experience with Optum Rate Manager + Experience with Optum WebStrat or PSI applications + Experience ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- Dialysis Clinic, Inc. (Gainesville, FL)
- …and ensures the patients' charts are in order in accordance with Medicare and company policies and procedures. **Schedule:** Full-time, five 8-hour shifts ... and information on absences. + Provides reports to the nurse manager or area operations director. **Qualifications** **Successful Candidates Bring:** + Excellent… more
- Trinity Health (Fort Lauderdale, FL)
- …abstracts data and ensure charges/coding are in alignment within AMA and Medicare coding guidelines. Ensure medical documentation and coding compliance with Federal, ... level assignment and charge entry. Other related responsibilities as assigned by manager . Minimum Qualifications: + High school diploma or equivalent combination of… more
- CenterWell (Delray Beach, FL)
- …hands-on healthcare experience in a clinical setting, preferably within the Medicare population + Proficient with Microsoft Office applications including Microsoft ... largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing the physical,… more
- CenterWell (North Miami, FL)
- …and recreational activities + Health Plan experience, including Medicare /Medicaid + Electronic Medical Record (ECW) knowledge/experience **Additional Information:** ... largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing the physical,… more
- WTW (Tampa, FL)
- …Fun Culture * Full Benefits The Sales Agent typically holds Health and/or Medicare Supplement insurance license and works directly with consumers to help them obtain ... works in a call center setting and reports to the Performance Manager . **Responsibilities:** * Contacts and qualifies prospective customers and explains features and… more
- AdventHealth (St. Cloud, FL)
- …Occupational Therapist (OT), under the general supervision of the Care Manager , provides occupational therapy to assigned patients and directs therapy assistants ... car insurance **Preferred qualifications:** + Recent, relevant experience in a Medicare -certified home health agency as a Occupational Therapist + Master's in… more
- CenterWell (Port Saint Lucie, FL)
- …of hands-on healthcare experience in a clinical setting, preferably within the Medicare population + Proficient with medical terminology + Proficient with Microsoft ... largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing the physical,… more