- Cardinal Health (Tallahassee, FL)
- …skills and prioritizes getting the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will ... follow-up & disposition. + Verifies patient eligibility with secondary insurance company when necessary. + Bills supplemental insurances including all Medicaid… more
- Highmark Health (Tallahassee, FL)
- ** Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding ... system entities in response to external coding audits conducted by the Medicare Administrative Contractor, the RAC, MIC, ZPIC, etc. Determine appeal action, prepare… more
- CenterWell (Daytona Beach, FL)
- …indicators (KPIs), such patient experience via Net Promoter Score (NPS) and Medicare clinical quality via HEDIS, meeting local and organizational goals *Personally ... primary care including health promotion & prevention, disease management, effective specialist & hospital co-management, and complex care management *Spend 20-30% of… more
- TEKsystems (Tampa, FL)
- …school diploma or equivalent. * Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent coding credential. * Minimum 2 years of medical ... Strong understanding of CPT guidelines for outpatient surgery and Medicare 's ASC payment system. Skills Surgical Coder, Surgical Coding,...power of true partnership. TEKsystems is an Allegis Group company . The company is an equal opportunity… more
- Humana (Tallahassee, FL)
- …the team as a Senior Product Manager working anywhere in the US. As a Specialist in NBA Execution, you'll play a hands-on role in translating strategy into real-time ... for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its… more
- ChenMed (Jacksonville, FL)
- …the charts? Do you inspire others with your kindness and joy? Do you want a company to support you in everything you do? ChenMed is different than any other primary ... family of companies: ChenMed, JenCare and Dedicated Care. Our company started 35 years ago and now consists of:...caregivers transforming the health and lives of seniors on Medicare Advantage. Through our Value Based Care approach, you… more
- AdventHealth (Maitland, FL)
- …role you'll contribute:** The Pre-Access Infusion Benefits and Authorization Specialist , under general supervision, maintains performance standards appropriate to ... requirements. + Verifies medical necessity in accordance with Centers for Medicare & Medicaid Services (CMS) standards by reviewing guidelines and communicates… more
- Cognizant (Tallahassee, FL)
- …is required. **Travel:** None required **About the role:** As Claims Adjudication Specialist , you will be responsible for timely and accurate adjudication of ... (CMS-1450) and/or professional (CMS 1500) claims * Knowledge of Medicare / Medicaid payment and coverage guidelines and regulations. *...authorized to work in the United States without requiring company sponsorship now or at any time in the… more
- Banner Health (FL)
- …and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the Inspector General (OIG) and the Health ... Care Financing Administration (HCFA), as well as company and applicable professional standards. Ability to address related...degree in a health care field. Requires Certified Coding Specialist (CCS) or Certified Outpatient Coder (COC) or Certified… more