• Patient Access Representative 2 (On-Site) (H)

    University of Miami (Miami, FL)
    …staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The ... HIPAA Notice of Privacy, No Surprise Billing, Good Faith Estimate, Off Campus Medicare Co-insurance and Advance Beneficiary Notices, and Medicare Secondary Payer… more
    University of Miami (03/28/25)
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  • Healthcare Administrative Specialist

    Aveanna Healthcare (Panama City, FL)
    …of care, and uphold communication standards within the office. + Payroll Assistance: Review weekly timesheets, audit payroll files, and serve as the primary contact ... skills are a PLUS. Note: As an employer receiving Medicare and Medicaid funds, Aveanna employees must comply with...Aveanna's supportive and dynamic environment! As an employer accepting Medicare and Medicaid funds, employees must comply with all… more
    Aveanna Healthcare (05/31/25)
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  • RN Home Health

    HCA Healthcare (Port Charlotte, FL)
    …public nursing or acute hospital nursing experience + Familiar with Medicare home health regulations, documentation requirements, ICD-10 coding and PPS (Strongly ... quality care during their recovery at home. We are Medicare certified. Our patients are under the supervision of...to apply for our RN Home Health opening. We review all applications. Qualified candidates will be contacted by… more
    HCA Healthcare (05/31/25)
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  • RN Clinical Supervisor

    Aveanna Healthcare (Clermont, FL)
    …and "Re-evaluations" to transition patients from facilities to home care. + Review physicians' orders and update care plans and documentation as needed. + ... to infants, children, adolescents, and adults. Note: As an employer receiving Medicare and Medicaid funds, Aveanna employees must comply with all health-related… more
    Aveanna Healthcare (05/31/25)
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  • Remote Healthcare Call Center Representative

    Conduent (FL)
    …Enrollment, Eligibility, Invoicing, Claims, and related topics **. ** Fully explain the Medicare Part D and or Part C Medicare Advantage Programs. Answering ... members issue by answering their questions. Navigate the Members' plan benefits, review Client's policy and procedures, while using resources provided by the Client… more
    Conduent (05/31/25)
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  • Data Scientist

    General Dynamics Information Technology (FL)
    …work depends on Data Scientist joining our team to support the Centers for Medicare & Medicaid Services (CMS) mission to conduct oversight, monitoring, and audits of ... the Medicare Drug Price Negotiation Program. **Responsibilities:** + Performs data...and accident insurance are provided or available. We regularly review our Total Rewards package to ensure our offerings… more
    General Dynamics Information Technology (05/30/25)
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  • Senior Manager, Care Management LTC

    Healthfirst (FL)
    …CMS and New York State regulations, job aides and HF policies. This includes review of performance audit reports in order to maintain superior and accurate care data ... programs such as MAP or MLTC + Knowledge of Medicare Regulations related to Long Term Care + Experience...care plan + Understanding of health plans such as Medicare , Medicaid and/or Managed Long-Term Care Plan (MLTCP) +… more
    Healthfirst (05/24/25)
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  • Administrative Coor Home Health

    HCA Healthcare (Port St. Lucie, FL)
    …provided to the patient or responsible party (eg, Notices of Medicare Non-Coverage, DPOA documentation) Tracks documentation management activities Keeps the Clinical ... quality care during their recovery at home. We are Medicare certified. Our patients are under the supervision of...for our Administrative Coor Home Health opening. We promptly review all applications. Highly qualified candidates will be contacted… more
    HCA Healthcare (05/24/25)
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  • Field Reimbursement Manager - West Region

    Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
    …territory plans through partnerships with internal and external stakeholders + Review and educate offices on payer policies, including prior authorization ... in rare disease + Strong knowledge of Centers for Medicare & Medicaid Services (CMS) policies and processes, especially... & Medicaid Services (CMS) policies and processes, especially Medicare Part D + Experience in "Buy and Bill"… more
    Otsuka America Pharmaceutical Inc. (05/23/25)
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  • Payer Manager

    AdventHealth (Altamonte Springs, FL)
    …in Contract Administration. Under minimal supervision, provides necessary research, review and interpretation of Insurance Provider Manuals, payment methodologies, ... for Florida and multi-state hospital providers; with a concentration on Medicare , state specific Medicaid, non-contracted payers, and Tricare. Consults with key… more
    AdventHealth (05/22/25)
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