- Walgreens (St. Petersburg, FL)
- …are correctly authorized and required documentation is on file. + Ensure all Medicare documentation is received from the medical provider and submitted to Danville. ... and accurate prior to claim submission (ie, medical claims billing). + Process reimbursement checks/payment in accordance with policy. + Review price modify logs and… more
- AdventHealth (Orlando, FL)
- …record, applying appropriate ICD-10-CM/PCS coding conventions and MS-DRG Medicare Prospective Payment System requirements. Actively participates in outstanding ... ICD-10-CM rules and conventions, coding policy and procedures, requirements of Medicare / payer specifications, and official coding guidelines as outlined by… more
- AdventHealth (Altamonte Springs, FL)
- …intervening to remove barriers to timely and efficient care delivery and reimbursement . The RN Care Manager provides education to nurses, physicians and the ... are provided and documented in a timely manner for compliance: Important Medicare Letters (IML), Medicare Outpatient Observation Notice (MOON), Patient Choice,… more
- HCA Healthcare (Orange Park, FL)
- …and resolving coding related denials from payers, preventing lost reimbursement and promoting denial prevention. The Inpatient Coding Denials Specialist ... guidelines, CMS/AHCA policies and regulations + Federal Register, Center for Medicare and Medicaid Services, American Hospital Association, Food and Drug… more
- Kestra Medical Technologies, Inc (Sarasota, FL)
- …provides training, on-going product service and support, and assistance in the reimbursement process. ESSENTIAL DUTIES * Responsible for the sales and ongoing ... Federal Food and Drug Administration and under contract with Medicare . Kestra maintains a drug free workplace and testing...Federal Food and Drug Administration and under contract with Medicare . Kestra maintains a drug free workplace and testing… more
- NASCO (Tallahassee, FL)
- …laws and regulations related to our products and services, including for our Medicare Advantage and ACA Exchanges business + Interacts with vendors and customers on ... on compliance issues, including related to HIPAA + Experience supporting Medicare Advantage and ACA Exchanges business **Required Training, Certification and… more
- Aveanna Healthcare (Stuart, FL)
- …and Vision Benefits for employees at 30+ hours + Tuition Discounts and Reimbursement + PTO, Sick Time, and Paid Holidays Requirements: + Registered Nurse licensure ... in a healthcare setting (home health or hospice) + Medicare Skilled Nursing experience and a basic understanding of...a basic understanding of OASIS As an employer accepting Medicare and Medicaid funds, employees must comply with all… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- …and identifying a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks to Polaris and their ... and identify a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks to Polaris and their… more
- HCA Healthcare (Tampa, FL)
- …to improve the accuracy, consistency, and efficiency of code assignment for reimbursement and reporting purposes. This individual will assist in training and support ... communicate nuances of unique coding requirements for major payers such as Medicare , Medicaid, HMO's, PPO's, IPA's, employers, etc. + Demonstrate and share knowledge… more
- AdventHealth (Orlando, FL)
- …data reported is supported by provider clinical documentation to accurately reflect reimbursement and quality reporting. Maintains knowledge of and keeps up with ... regulatory and healthcare changes pertaining to Medicare /Medicaid, payer guidelines, ICD-10, CPT coding, and documentation guidelines. Works closely with CDI… more