- Datavant (Tallahassee, FL)
- …to realize our bold vision for healthcare. As an **Inpatient Auditing Specialist ** you will be instrumental in addressing consulting and educational needs related ... workspace! **Preferred: In need for a FT IP auditing specialist . Auditing specialist will be responsible for...be responsible for reviewing and validating DRGs specific to Medicare and Medicare Managed Care. Interest in… more
- Elevance Health (Lake Mary, FL)
- **eCOB Specialist II** **Location** : This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing ... from 8:00 am - 4:30 pm EST. The **eCOB Specialist II** is responsible for researching and investigating other...in other coverage. + Aides members in enrolling in Medicare when they are entitled. + Determines primacy on… more
- Molina Healthcare (FL)
- **Job Description** **Job Summary** The Sr Specialist , Member & Community Interventions oversees and implements new and existing clinical quality member intervention ... initiatives including all lines of business ( Medicare , Marketplace, Medicaid). Executes health plan's member and community quality focused interventions and programs… more
- HCA Healthcare (Bradenton, FL)
- …to join an organization that invests in you as a Coding Account Resolution Specialist -Inpatient? At Parallon, you come first. HCA Healthcare has committed up to $300 ... We are looking for a dedicated Coding Account Resolution Specialist -Inpatient like you to be a part of our...with team members in billing, revenue integrity and/or the Medicare Service Center to resolve alerts/edits + Assigns interim… more
- CVS Health (Tallahassee, FL)
- …As an essential member of our Special Needs Plan (SNP) care team, the telephonic Care Manager Specialist (CMS) plays a key role in coordinating the care of our ... conditions. The CMS collaborates closely with the Registered Nurse Care Manager , Care Coordinator, Social Worker, and other interdisciplinary care team participants… more
- HCA Healthcare (Orlando, FL)
- …Submit your application for the opportunity below: Outpatient Coding Resolution Specialist Parallon **This is a work from home position!** **Flexible schedule ... by location._** We are seeking an Outpatient Coding Resolution Specialist for our team to ensure that we continue...with team members in billing, revenue integrity and/or the Medicare Service Center to resolve alerts/edits + Communicates coding… more
- HCA Healthcare (Miramar, FL)
- …Do you want to join an organization that invests in you as a Collections Specialist ? At Surgery Ventures, you come first. HCA Healthcare has committed up to $300 ... a difference. We are looking for a dedicated Collections Specialist like you to be a part of our...patient services. Under the supervision of the Business Office Manager /Business Office Supervisor, you will obtain payment from third… more
- Deloitte (Tampa, FL)
- …+ Experience as clinical registered nurse, physician, physician assistant, case manager , clinical documentation specialist , utilization review, informatics RN, ... Healthcare Clinical Documentation Specialist - Senior Consultant Our Deloitte Regulatory, Risk...DRG Validation and health IT preferred + Knowledge of Medicare reimbursement system and coding structures preferred + In-depth… more
- Aveanna Healthcare (Fort Lauderdale, FL)
- Healthcare Staffing Specialist ApplyRefer a FriendBack Job Details Requisition #: 212324 Location: Fort Lauderdale, FL 33309 Category: HR Salary: $40,000.00 per year ... Position Details Care Experience Manager (CEM) Join a Company That Puts People First!...work an after-hours on-call schedule. Note:As an employer receiving Medicare and Medicaid funds, employees must comply with all… more
- Elevance Health (Tampa, FL)
- **Medical Management Specialist I** - Medical Ops & Support (Non-Licensed) **Locations:** Tampa, FL **Hybrid 1** : This role requires associates to be in-office 1-2 ... : Monday - Friday, 8:00AM - 5:00PM Eastern Time The **Medical Management Specialist I** is responsible for providing non-clinical support to the Medical Management… more