- ChenMed (Miami, FL)
- …Manager and provides feedback to Center Managers when needed. + Ensures Preferred Provider List is used accurately and effectively. Collaborates with referral ... management to ensure specialist network is adequate for the geography and escalates...experience/understanding + Understanding of cost as it relates to Medicare parts A, B and D + Proficient in… more
- ChenMed (Clearwater, FL)
- …may require travel within the market + Prior experience working in a Medicare Managed Care environment preferred We're ChenMed and we're transforming healthcare ... CPL. + Responsible for meeting with high volume community specialist at least monthly to give them feedback on...related field is required + Healthcare experience within the Medicare HMO population is a plus + A valid,… more
- Evolent (Tallahassee, FL)
- …Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in interventional cardiology to help ensure the ... (5) years' experience in the practice of Cardiology is preferred + Not under current exclusion or sanction by...by any state or federal health care program, including Medicare or Medicaid, and is not identified as an… more
- Banner Health (FL)
- …least 1 year of Urology coding experience** to join our talented team. ** Preferred experience in Urology and Gynecology Oncology surgeries and coding, knowledge and ... in your attached resume);** + **Urology and Gynecology Urology Surgery experience preferred ;** + **Must be currently certified through AAPC or Ahima, as defined… more
- Banner Health (FL)
- …coding (clearly reflected in your attached resume);** + **Surgical Oncology experience preferred ;** + **Must be currently certified through AAPC or Ahima, as defined ... and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the Inspector General (OIG) and the Health… more
- AdventHealth (Altamonte Springs, FL)
- …nursing, and care management. This includes quarterly compliance updates from Medicare . + Effectively and appropriately communicates with physicians and other ... Department experience. . Two (2) years of Clinical Documentation Specialist experience **LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:** . Current active… more
- Community Health Systems (Key West, FL)
- …leaders, and staff. **Licenses and Certifications** + Certified Provider Credentialing Specialist (CPCS) preferred + Certified Medical Professional Services ... in accordance with The Joint Commission (TJC), Centers for Medicare and Medicaid Services (CMS), and state regulations. +...Degree in Healthcare Administration, Business, or a related field preferred + 3-5 years of experience in medical staff… more
- Intermountain Health (Tallahassee, FL)
- …+ Required credential: CPC Certified Professional Coder (CPC) or Certified Coding Specialist Physician (CCS-P) + Preferred related specialty coding credential + ... evaluate coding bundling guidelines and modifier usage. + Understand the Medicare Physician Fee Schedule + Communicate coding/denial trends and provider education… more
- 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 ... regulations, or third party policy. + Updates patient files for insurance information, Medicare status, and other changes as necessary or required. + Keeps email… more
- AdventHealth (Palm Coast, FL)
- …car insurance ** Preferred qualifications:** . Recent, relevant experience in a Medicare -certified home health agency as a case-manager . Certified Case Manager . ... Certificate for OASIS Specialist - Clinical This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws,… more