- Kestra Medical Technologies, Inc (Tampa, FL)
- …care teams harmoniously monitor, manage, and protect life. The Clinical Account Specialist (CAS) will be responsible for providing high quality touchpoints in key ... in state of residence with a good driving record Preferred : . Bachelor's degree; or higher . Prior experience...Federal Food and Drug Administration and under contract with Medicare . Kestra maintains a drug free workplace and testing… more
- Molina Healthcare (Jacksonville, FL)
- …campaigns + Technically capable, excellent communicator, and a desire to improve processes ** Preferred :** + Medicaid or Medicare Health Plan experience + Strong ... Molina Healthcare is in search of an experienced Sr Digital Marketing Specialist . The Sr. Specialist , Digital Marketing will be responsible for analyzing and… more
- Aston Carter (Orlando, FL)
- Job Title: Billing Specialist Job Description We are seeking a dedicated Billing Specialist to assist the Controller with billing and data entry. This role ... (LTC) facilities is advantageous. + Prior experience in life/health or Medicare Advantage is beneficial. + Familiarity with reconciliation, month-end processes, and… more
- Molina Healthcare (Jacksonville, FL)
- …with the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Facilitates comprehensive ... (COB), subrogation and eligibility criteria. * Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory guidelines… more
- AssistRx (Maitland, FL)
- We are in search for a Compliance Specialist . Compliance works to ensure controls and safeguards are in place to promote adherence to applicable federal and state ... and management of third-party audits. + Verifies compliance with insurer rules, Medicare , Medicaid, HIPAA, and other applicable regulations. + Assists in Incident… more
- Cardinal Health (Tallahassee, FL)
- …and procedures commonly used in a call center or customer service environment, preferred + Clear knowledge of Medicare , Medicaid & Commercial payer policies ... coverage, preferred + Knowledge of Diagnostic Medical Expense and Medicare Administrative Contractor practices, preferred + Clear understanding of Medical,… 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 (St. Petersburg, 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...systems. * Experience with professional written and verbal communication. ** Preferred Experience:** Experience in the health care industry To… more
- Ochsner Health (Pensacola, FL)
- …company's discretion. **Education** Required - High School Diploma or equivalent. Preferred - Bachelor's degree in marketing, business administration or related ... OR additional combination of formal education, training, and applicable experience with Medicare Advantage. **Work Experience** Required - 3 years of experience in… more
- Molina Healthcare (St. Petersburg, FL)
- …Directory (including ongoing execution, QA and maintenance of supporting tables), Medicare Provider Directory preparation, and FQHC/RHC reports. + Generates other ... codes, etc. + Access and Excel - intermediate skill level (or higher) ** Preferred Education** Bachelor's Degree ** Preferred Experience** + 5+ years managed care… more