- CVS Health (Tallahassee, FL)
- …medical costs and provides an unmatched experience for adults on Medicare in medically underserved communities. By providing holistic, comprehensive and integrated ... the industry-leading clinical operations and population health platform to support the delivery of high quality care to the... the delivery of high quality care to the Medicare population. As a Senior Product Manager within the… more
- Evolent (Tallahassee, FL)
- …to the Utilization Management process, interpretation, guidelines and/or system support . . Participates in on-going training per inter-rater reliability process. ... by any state or federal health care program, including Medicare or Medicaid, and is not identified as an...General Service Administration (GSA), or reprimanded or sanctioned by Medicare . . No history of disciplinary or legal action… more
- WTW (Fort Myers, FL)
- …leading direct-to-consumer insurance services business, specializing in the distribution of Medicare Advantage, Medicare Supplement and Life & Supplemental ... communication, partnering with internal HR partners in complex situations. + Support employee relations matters by capturing initial details, escalating issues… more
- Evolent (Tallahassee, FL)
- …related to the Utilization Management process, interpretation, guidelines and/or system support . + On a requested basis, may function as Medical Director ... by any state or federal health care program, including Medicare or Medicaid, and is not identified as an...General Service Administration (GSA), or reprimanded or sanctioned by Medicare . + No history of a major disciplinary or… more
- Walgreens (St. Petersburg, FL)
- …are correctly authorized and required documentation is on file. + Ensure all Medicare documentation is received from the medical provider and submitted to Danville. ... assistance programs in order to coach pharmacy technicians and other support staff. **Job ID:** 1622916BR **Title:** Specialty Billing Technician **Company… more
- University of Miami (Miami, FL)
- …HIPAA Notice of Privacy, No Surprise Billing, Good Faith Estimate, Off Campus Medicare Co-insurance and Advance Beneficiary Notices, and Medicare Secondary Payer ... issues. + Cross trained to carry out all Front-End Revenue Cycle and Clinical Support functions and able to float across all areas and assist as needed. +… more
- AdventHealth (Orlando, FL)
- …Career Development + Whole Person Wellbeing Resources + Mental Health Resources and Support **Our promise to you:** Joining AdventHealth is about being part of ... medical record, applying appropriate ICD-10-CM/PCS coding conventions and MS-DRG Medicare Prospective Payment System requirements. Actively participates in outstanding… more
- Aveanna Healthcare (Dade City, FL)
- …Assistance Program (EAP) - unlimited mental health telephonic counseling sessions, support with identity left, Will preparation and travel assistance + Robust ... the state of application + Valid CPR Preferred: + Medicare Skilled Nursing experience + Basic understanding of Oasis...in a health care setting As an employer accepting Medicare and Medicaid funds, employees must comply with all… more
- AssistRx (Orlando, FL)
- …comply with all federal, state, and industry regulations, including anti-kickback statutes, Medicare /Medicaid rules, FDA and OIG guidance. + Work closely with the ... with pharmaceutical manufacturers and understanding of third-party payer systems (commercial, Medicare , Medicaid). Skills & Competencies: + . Strong leadership and… more
- ChenMed (Miami, FL)
- …tasks. Assists coordinators with complicated referrals. + Provides referral consulting support to assigned centers. Acts as referrals liaison for Center Managers. ... experience/understanding + Understanding of cost as it relates to Medicare parts A, B and D + Proficient in...decision based of the data + Experience working in Medicare managed care environment We're ChenMed and we're transforming… more