- AdventHealth (Tampa, FL)
- …with physicians, nursing and HIM coders, the Clinical Documentation Specialist (CDS) strategically facilitates and obtains appropriate and quality physician ... healthcare team. This includes quarterly and annual compliance updates from Medicare . Qualifications **The expertise and experiences you'll need to succeed:**… more
- Modernizing Medicine (Tampa, FL)
- …Chile, and Germany. ModMed (https://www.modmed.com/company/) is hiring a driven Patient Claim Specialist who will play a pivotal role in shaping a positive patient ... medical billing claims submission process and working with insurance carriers required (eg, Medicare , private HMOs, PPOs) + Manage/ field 60+ inbound calls per day +… more
- University of Miami (Fort Lauderdale, FL)
- …. Core Job Summary: The Patient Access Specialist (On-Site) is responsible for coordinating a wide ... Advance Directives, HIPAA, No Surprise Billing, Good Faith Estimate, Off Campus Medicare Co-insurance, ABNs, and MSPQ, prior to services being rendered. + Provides… more
- NHS Management, LLC (Crystal River, FL)
- …along the way. We are in search of a qualified Financial Specialist /Medical Billing collections to join our team of dedicated professionals. Perform and/or ... billing and collection experience with nursing home receivable which includes Medicaid and Medicare Part A & B, HMO's + Experience with Medicaid Applications +… 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
- Molina Healthcare (Miami, FL)
- …to determine if providers have sanctions/exclusions. * Reviews and processes daily alerts for Medicare Opt-Out reports to determine if any provider has opted out of ... Medicare . * Reviews and processes daily NPDB Continuous Query reports and takes appropriate action when new reports are found. **JOB QUALIFICATIONS** **Required… more
- AdventHealth (Altamonte Springs, 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
- Highmark Health (Tallahassee, FL)
- …share and risk share models and will be implemented for the Organization's Medicare Advantage, Medicaid, ACA, and commercial populations with the goal of maximizing ... interpretation, and outcomes strategic plan development. + 1 year experience with Medicare STARS, Medicaid HEDIS, risk revenue value streams, and population health… more
- Molina Healthcare (FL)
- …administration of contracts with State and/or Federal governments for Medicaid, Medicare , Marketplace, and other government-sponsored programs to provide health care ... Experience** * 2+ years compliance related experience. * 1+ years in Medicare . **Preferred License, Certification, Association** N/A To all current Molina employees:… more
- Cardinal Health (Tallahassee, FL)
- …+ Cell/Gene therapy and/or Oncology experience, preferred + Knowledge of Medicare , Medicaid and Commercially insured payer common practices and policies, preferred ... + Knowledge of the Health Insurance Market Place and the Affordable Care Act preferred + Knowledge of ICD9/ICD10 coding is preferred + Critical and creative thinking, preferred + Important to have a strong attention to detail **TRAINING AND WORK SCHEDULES:**… more