- Cardinal Health (Doral, FL)
- …Schedule: Monday - Friday, 8:00 AM - 4:30 PM EST **_What Contract and Billing contributes to Cardinal Health_** Contracts and Billing is responsible for finance ... and vendor contract administration customer and vendor pricing, rebates, billing (including drop-ships), processing chargebacks and vendor invoices and developing… more
- Cardinal Health (Doral, FL)
- …knowledge of insurance claim processing and denial management preferred. + Familiarity with Medicare , Medicaid , and managed care preferred. + Proficiency in ... is responsible for providing outsourced services to customers relating to medical billing , medical reimbursement, and/or other services by acting as a liaison in… more
- Humana (Tallahassee, FL)
- …Activation Principal coordinates, implements, and manages oversight of the company's Medicare / Medicaid Stars Program for aligned areas. The Stars Improvement ... efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large.… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- …portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks to Polaris and their customers. The Prior ... of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks to Polaris and their customers + Research,… more
- Molina Healthcare (FL)
- …representatives in accordance with the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). M-F from 8am - 4:30pm EST ... coordination of benefits (COB), subrogation and eligibility criteria. * Experience with Medicaid and Medicare claims denials and appeals processing, and… more
- Molina Healthcare (Miami, FL)
- …Act** cases in accordance with the standards and requirements of Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Responsible for ... coordination of benefits (COB), subrogation and eligibility criteria. * Experience with Medicaid and Medicare claims denials and appeals processing, and… more
- Molina Healthcare (FL)
- …in accordance with the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Manages team ... complicated claims, COB and DRG/RCC pricing). * Experience with Medicaid and Medicare claims denials and appeals...related vocational program in health care (ie, certified coder, billing , or medical assistant). To all current Molina employees:… more
- Cardinal Health (Tallahassee, FL)
- …and executing audit plans. + Expert-level knowledge and application of Medicare / Medicaid documentation and coding rules and guidelines; ICD/CPT/HCPCS/DRG/APC ... and manages compliance audits to determine organizational integrity of billing for professional (physician) services and/or hospital (technical) services. This… more
- Humana (Miramar, FL)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... Auditor ensures clinical documentation meets CMS regulations, OASIS accuracy, and Medicare Conditions of Participation. This role audits Start of Care,… more
- MyFlorida (Fort Myers, FL)
- …for clinic services. Stays abreast of Accounts Receivable policies, Medicaid / Medicare /Third Party insurance verification processes/requirements, and HMS ... judgment. Responsible for monitoring of services and processes related to billing , clinic flow, clinic scheduling, customer service and program/grant compliance.… more