- Highmark Health (Tallahassee, FL)
- …teams that engage providers enrolled in the Organization's value-based reimbursement programs and continuous improvement models. The incumbent plays different ... of workflows resulting in outstanding performance in the Organization's value-based reimbursement programs ensuring that ROI targets as set by the Organization… more
- Humana (Tallahassee, FL)
- …community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an ... System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing Medicaid business and… more
- University of Miami (Coral Gables, FL)
- …Attitudes: + Basic knowledge of medical terminology, healthcare billing and reimbursement principles, Federal, State, Medicare and other applicable government ... of Miami. CORE JOB SUMMARY The Contracts and Grants Analyst 1 ( Medicare Billing Coding & Financial) works independently to review internally and externally… more
- Cardinal Health (Tallahassee, FL)
- …verbal format + Be familiar with long- and short-range changes in the reimbursement environment including Medicare , Medicaid, Managed Care, and Commercial plans ... Communication + Data Entry Skills + Product Knowledge - Insurance, reimbursement , specialty pharmaceutical + Objectivity + Dependability + Multi-tasking + Maintain… more
- BayCare Health System (Largo, FL)
- …and clinical excellence. We are currently seeking a **Infusion Pharmacy Reimbursement Specialist** who is passionate about providing outstanding customer service to ... 8-5PM + **Weekend Work:** None + **On Call:** No **Infusion Pharmacy Reimbursement Specialist** , under the immediate oversight of the Pharmacist, responsibilities… more
- Cardinal Health (Tallahassee, FL)
- …a call center or customer service environment, preferred + Clear knowledge of Medicare , Medicaid & Commercial payer policies and guidelines for coverage, preferred + ... Knowledge of Diagnostic Medical Expense and Medicare Administrative Contractor practices, preferred + Clear understanding of Medical, Supplemental, and pharmacy… more
- Cardinal Health (Tallahassee, FL)
- …a lot of different hats, without getting overwhelmed), required * Clear knowledge of Medicare (A, B, C, D), Medicaid & Commercial payers' policies and guidelines for ... coverage, preferred * Knowledge of DME, MAC practices, preferred * Prior understanding of Medical, Supplemental, and pharmacy insurance benefit practices, preferred * Intermediate to advanced computer skills and proficiency in Microsoft Office including but… more
- BrightSpring Health Services (Clearwater, FL)
- …with Company policies and procedures, state licensure and regulations, Medicaid and Medicare standards, as well as state reimbursement regulations + Leading ... case conferences and other client-related meetings + Chairing committees as appropriate, safety, infection control, incident review, and human rights committees + Facilitating communication and serving as a liaison between and among nursing and direct care… more
- BrightSpring Health Services (Gainesville, FL)
- …with Company policies and procedures, state licensure and regulations, Medicaid, and Medicare standards, as well as state reimbursement regulations + Leads ... case conferences and other client-related meetings when the Director of Nursing is unavailable + Participates on the safety, infection control, incident review and human rights committees + Facilitates communication and serves as a liaison between and among… more
- Humana (Tallahassee, FL)
- …The Provider Contracting Executive communicates contract terms, payment structures, and reimbursement rates to providers. Analyzes financial impact of contracts and ... recognized leader in healthcare delivery that has been offering Medicare Advantage health plans in Florida over 23 years....over 23 years. CarePlus strives to help people with Medicare , or both Medicare and Medicaid, achieve… more