- Humana (Tallahassee, FL)
- …Telephonic UM Coordinator / UM Administration Coordinator 2 provides non-clinical support for the policies and procedures ensuring best and most appropriate ... Providers, Hospitals, Skilled Nursing Facilities and other vendors + Support the UM Nurses to process discharge orders and...+ Document all calls and requests. + Search for Medicare and Medicaid Guidelines. + Process all incoming fax/emails… more
- CVS Health (Tallahassee, FL)
- …do it all with heart, each and every day. **Pharmacy Technician, Aetna Medicare - Work From Home** **(Aetna Medicare Pharmacy Technician)** **BUSINESS ... Advantage members' adherence to select maintenance medications informs health plans' Medicare Stars quality rating and may lead to better health outcomes.… more
- Humana (Tallahassee, FL)
- …internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare Advantage requirements, and will understand how to ... and mentored training, daily work is performed with minimal direction, but with support from other team members. The Medical Director enjoys working in a structured… more
- Humana (Miami, FL)
- …its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage ... recognized leader in healthcare delivery that has been offering Medicare Advantage health plans in Florida over 23 years....over 23 years. CarePlus strives to help people with Medicare , or both Medicare and Medicaid, achieve… more
- Humana (Tallahassee, FL)
- …ensure successful submission and reconciliation of encounter submissions to Medicaid/ Medicare . Ensures encounter submissions meet or exceed all compliance standards ... and develops tools to enhance the encounter acceptance rate by Medicaid/ Medicare . Looking for long-term improvements of encounter submission processes. Begins to… more
- Humana (Tallahassee, FL)
- …our caring community and help us put health first** The Care Management Support Assistant 3 assists in ensuring TRICARE beneficiaries receive the highest quality ... Navigator (ASN) by coordinating services and researching necessary resources to support the beneficiary and increase access to services; conduct non-clinical… more
- Cardinal Health (Tallahassee, FL)
- …be added to the database * Conducts outbound correspondence when necessary to help support the needs of the patient and/or program * Provides detailed activity notes ... Benefit Investigation processing * Working alongside teammates to best support the needs of the patient population o Will...hats, without getting overwhelmed), required * Clear knowledge of Medicare (A, B, C, D), Medicaid & Commercial payers'… more
- Cardinal Health (Tallahassee, FL)
- Cardinal Health Sonexus (TM) Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and ... drug distribution to site-of-care with non-commercial pharmacy services, patient access support , and financial programs, Sonexus Health, a subsidiary of Cardinal… more
- University of Miami (Miami, FL)
- …also help minimize fragmentation in patient care and improve throughput. + Clinical support for staff Support hospital operations in collaboration with senior ... with healthcare regulations including those set by the Centers for Medicare and Medicaid Services (CMS), Joint Commission and other regulatory bodies/agencies.… more
- CenterWell (Jacksonville, FL)
- …CAs tend to lead the huddles + Document care accurately and efficiently with support from quality-based coders. + Participate in on-call rotation and support ... email, etc.). **Preferred:** + Experience in value-based care, primary care or Medicare Advantage settings. + Active DEA license and Medicare /Medicaid provider… more