- AdventHealth (Maitland, FL)
- …**The role you'll contribute:** **This position is responsible for physician contract review and interpretation; as well as, the building and maintenance of rates ... necessary research to obtain and maintain non-contracted payer reimbursement including Medicare , Medicaid, Tricare and other gov't payers. * Responsible for ensuring… 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...other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… more
- Cardinal Health (Tallahassee, FL)
- …about long and short-range changes in the reimbursement environment including Medicare , Medicaid, Managed Care, and Commercial medical and pharmacy plans while ... High School diploma or equivalent preferred + Knowledge of Medicare (A, B, C, D), Medicaid & Commercial payers...other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… more
- 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
- HCA Healthcare (Largo, 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...our Home Health RN opening. Our team will promptly review your application. Highly qualified candidates will be contacted… more
- Aveanna Healthcare (West Palm Beach, FL)
- …home. + Support recruitment, training, and validation of clinical staff. + Review physicians' orders and update care plans and documentation as necessary. ... to infants, children, adolescents, and/or adults. Note: As an employer receiving Medicare and Medicaid funds, Aveanna employees must comply with all health-related… more
- Option Care Health (Jacksonville, FL)
- …is maintained by providing direct patient care 20-40% of the time. In a Medicare Certified Home Health agency, this position may also serve as the alternate ... Director of Nursing of the Home Health Agency for Medicare certified home health agencies in the absence of...using find and replace, undo, spell check, track changes, review pane and/or print functions). + Basic level skill… more
- HCA Healthcare (Fort Walton Beach, FL)
- …with the patient, including having the Patient Choice letter signed. + Monitors Medicare patient's planned discharge dates and delivers the Important Medicare ... you to apply for our Case Management Assistant opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. **Unlock… more
- CenterWell (Winter Haven, FL)
- …audits/billing are completed timely and in compliance with Medicare regulations. + Coordinates communication between team members/attending physicians/caregivers ... + Assesses staff education needs based on own the review of clinical documentation in addition to feedback and...documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and… more
- AdventHealth (Orlando, FL)
- …guidance to clinical questions from Utilization Management staff involved in authorizations, concurrent review , and denials as a back up to UM Physician Advisory as ... necessity criteria Responsible for reviewing Clinical Documentation and performs secondary review for escalations Evaluates and reviews charts for Quality indicators… more