- Cognizant (Tallahassee, FL)
- …billing, with strong knowledge of RARC and CARC codes. . Expertise in Medicare , Medicaid , Managed Care, and Commercial payer processes. . Deep understanding ... reduce denials. You'll work closely with payers to ensure timely reimbursement and contribute to operational excellence through data-driven insights and… more
- Molina Healthcare (Miami, FL)
- …modeling current and future contract rate proposals. * Research, analyze, and consult Medicaid and Medicare reimbursement methodologies, evaluate the impact ... affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable… more
- Molina Healthcare (Tampa, FL)
- …modeling current and future contract rate proposals. + Research, analyze, and consult Medicaid and Medicare reimbursement methodologies, evaluate the impact ... affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable… more
- Aveanna Healthcare (Fort Lauderdale, FL)
- …* Bilingual (English and Spanish) * Valid CPR As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements ... if internal billing and collection efforts to generate clean claims * Perform other duties as assigned Benefits Offerings:...Health, dental, vision, life, and pet insurance + Mileage reimbursement and cell phone allowance + Generous PTO, sick… more
- Molina Healthcare (FL)
- …+ Knowledge and experience with federal regulatory policy resources including Centers for Medicare & Medicaid Services (CMS) and the Affordable Care Act (ACA). ... and/or functional requirements related to but not limited to coverage, reimbursement , and processing functions to support systems solutions development and… more
- Baylor Scott & White Health (Tallahassee, FL)
- …and reporting to stakeholders across all lines of business (Commercial, DTE, Medicare , and Medicaid ). Candidate will oversee extracting and analyzing medical ... and pharmacy claims data, translating output into business recommendations. This individual...plan with dollar-for-dollar match up to 5% + Tuition Reimbursement + PTO accrual beginning Day 1 Note: Benefits… more
- Molina Healthcare (FL)
- …observations into actions/interventions to improve financial performance. * Advanced understanding of Medicaid and Medicare programs or other health care plans. ... care operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) * Advanced understanding on health care financial… more
- Lake Erie College of Osteopathic Medicine (Defuniak Springs, FL)
- …by the patient clinic with an understanding of dealing with and processing Florida Medicaid and Medicare ; + Possess a strong sense of patient advocacy, with ... responsibility for protocols that will aid patients in the reimbursement of insurance claims ; + Assist in the recruitment, interviewing, and hiring of faculty… more
- Aveanna Healthcare (Brandon, FL)
- …health * General Healthcare experience * Valid CPR As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related ... if internal billing and collection efforts to generate clean claims * Perform other duties as assigned Why Join...for employees at 30+ hours * Tuition Discounts and Reimbursement * PTO, Sick Time, and Paid Holidays *… more
- Aveanna Healthcare (Deland, FL)
- …2-3 Years Management Experience * Home Health experience As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related ... if internal billing and collection efforts to generate clean claims Aveanna Healthcare Offers: * 401(k) with match *...Health, Dental and Vision Benefits * Tuition Discounts and Reimbursement * PTO, Sick Time, and Paid Holidays Requirements:… more