- ChenMed (North Lauderdale, FL)
- …Understanding of the communities served by ChenMed, including the complexities of Medicare programs to patients in the healthcare marketplace + Ability to determine ... data and making decision based of the data + Experience working in Medicare managed care environment We're ChenMed and we're transforming healthcare for seniors and… more
- ChenMed (Miami, FL)
- …+ Network Management experience/understanding + Understanding of cost as it relates to Medicare parts A, B and D + Proficient in Microsoft Excel, Outlook and ... data and making decision based of the data + Experience working in Medicare managed care environment We're ChenMed and we're transforming healthcare for seniors and… more
- Humana (Miramar, FL)
- …Pre-Service Coordination staff. This department is responsible for reviewing physician orders, organizing, and coordinating the delivery of requested patient ... remote workforce. + Extensive knowledge and hands-on experience with Medicare , Medicaid, and commercial/private insurance benefits, including medical authorizations… more
- University of Miami (Miami, FL)
- …insurance eligibility of patient coverage benefits, notifying patient and referring physician in the event of failed eligibility. + Collaborates with scheduling ... HIPAA Notice of Privacy, No Surprise Billing, Good Faith Estimate, Off Campus Medicare Co-insurance and Advance Beneficiary Notices, and Medicare Secondary Payer… more
- Molina Healthcare (FL)
- …Opportunity for a Texas licensed RN to join Molina to work with our Medicare members in the San Antonio service delivery area; candidates should reside in Bexar ... will be given to those candidates with previous experience working with the Medicare population within a Managed Care Organization (MCO). Mileage is reimbursed as… more
- CenterWell (Loxahatchee, FL)
- …with specialists and providers outside of the primary care physician 's office. The Referral and Scheduling Coordinator performs basic ... of hands-on healthcare experience in a clinical setting, preferably within the Medicare population + 2+ years referral experience. + Proficient with Microsoft Office… more
- Molina Healthcare (Jacksonville, FL)
- …performance is achieving desired results + Keep abreast of Medicaid and Medicare reforms and their impact on Molina Healthcare **Job Qualifications** **Required ... of related experience in healthcare + Demonstrated understanding of Medicaid and Medicare programs or other healthcare plans + Analytical work experience within the… more
- Evolent (Tallahassee, FL)
- …interacts with leadership and management staff, other Physicians, and staff whenever a physician `s input is needed or required. As well as, aids and acts as ... by any state or federal health care program, including Medicare or Medicaid, and is not identified as an...General Service Administration (GSA), or reprimanded or sanctioned by Medicare . + No history of a major disciplinary or… more
- University of Miami (Miami, FL)
- …insurance eligibility of patient coverage benefits, notifying patient and referring physician in the event of failed eligibility. Collaborates with scheduling ... HIPAA Notice of Privacy, No Surprise Billing, Good Faith Estimate, Off Campus Medicare Co-insurance and Advance Beneficiary Notices, and Medicare Secondary Payer… more
- Cardinal Health (Tallahassee, FL)
- …and keep updated on policy or procedural changes + Investigate and resolve patient/ physician inquiries and concerns in a timely manner + Enter detailed information ... a call center or customer service environment, preferred + Clear knowledge of Medicare , Medicaid & Commercial payer policies and guidelines for coverage, preferred +… more