- Aveanna Healthcare (Clermont, FL)
- …growth initiatives for the branch. + Leverage your business acumen to review financial reports and performance data, ensuring productivity and goal achievement. + ... while driving the future of home care excellence! As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in… more
- Fresenius Medical Center (Stuart, FL)
- …the designated clinical application in an accurate and timely manner. + Review treatment sheets for completeness, ensure nursing signatures are documented, and ... **LICENSES:** + HighSchooldiplomaorG.E.D. required. + Must meet Center for Medicaid/ Medicare Services (CMS)-approved state and/or national certification requirements within… more
- Centene Corporation (Tallahassee, FL)
- …technology + Prepare and maintain claims liability lag reports + Reconcile and review claims system reports and claims liability reports to checks paid and other ... recommends enhancements to accounting methods and procedures + Assist with provision of Medicare coverage and services + Performs other duties as assigned + Complies… more
- Prime Therapeutics (Tallahassee, FL)
- …or PBM organization, or other highly regulated industry, including experience with Medicare , Medicaid, and the Affordable Care Act (ACA) + Must be eligible ... ranges from $74,000.00 - $118,000.00 based on experience and skills. To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page… more
- Gentiva (Plantation, FL)
- …hospice physician responsible for certifying the patient's terminal prognosis + Review and interpret diagnostic test results, medication profiles, and treatment ... experience in hospice, palliative care, or geriatrics + Strong understanding of Medicare hospice regulations and eligibility criteria + Experience providing care in… more
- Novo Nordisk (Jupiter, FL)
- …impact + Demonstrates understanding of the local payer market including Medicare , Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage ... by not exceeding the Novo Nordisk points threshold assigned based on review of Motor Vehicle Records. Qualifications + Bachelor's or equivalent degree, and/or… more
- Cardinal Health (Tallahassee, FL)
- …concurrent assignments and work with a sense of urgency + Knowledge of Medicare , Medicaid and Commercially insured payer common practices and policies, preferred + ... other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… more
- Humana (Tallahassee, FL)
- …and communicates information regarding actuarial/business risks across the organization. Provides peer review and counsel on a wide variety of company, industry, and ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- TEKsystems (Orlando, FL)
- …support the center's financial integrity. Essential Duties & Responsibilities: * Review operative notes, pathology reports, and supporting documentation to determine ... surgery. * Strong understanding of CPT guidelines for outpatient surgery and Medicare 's ASC payment system. Skills Surgical Coder, Surgical Coding, ASC, Ambulatory… more
- Humana (Tallahassee, FL)
- …for a health plan. + 5+ years HEDIS and quality measures and ability to review and interpret cost and quality data to drive improvements. + Experience working with ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more