- Centene Corporation (Tallahassee, FL)
- …management activities to ensure compliance with current state, federal, and third-party payer regulators + Provides education to members and their families on ... procedures, healthcare provider instructions, treatment options, referrals, and healthcare benefits, which may include behavioral health and social determinant needs + Provides feedback to leadership on opportunities to improve and enhance care and quality… more
- Centene Corporation (Orlando, FL)
- …care management activities to ensure compliance with current state, federal, and third-party payer regulators + May perform home and/or other site visits to assess ... member's needs and collaborate with healthcare providers and partners + Provides and/or facilitates education to long-term care members and their families/caregivers on procedures, healthcare provider instructions, service options, referrals, and healthcare… more
- University of Miami (Miami, FL)
- …care continuum which includes interacting with consulting physicians, third party payer and other health care providers to facilitate movement of the ... patient through the system and arrangement of an appropriate discharge plan.* Works collaboratively with the multidisciplinary staff to design and implement treatment plans and discharge plans for the patient.* Provides education and counseling to patients and… more
- AdventHealth (Maitland, FL)
- …financial and economic data related to healthcare costs and managed care payer rates and reimbursement. The role focuses on financial trends, reimbursement ... methodology, data tools, modeling, and managing revenue. Must be able to complete extensive and complex financial and operational analyses of managed care contracts and proposals, analyze fee schedules, and determine contract compliance. The Senior Medical… more
- Centene Corporation (West Palm Beach, FL)
- …management activities to ensure compliance with current state, federal, and third-party payer regulators + Provides and/or facilitates education to members and their ... families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits + Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in… more
- Evolent (Tallahassee, FL)
- …You'll Need (Required)** + Bachelor's Degree + Previous experience with payer /provider/healthcare sector + 7+ years of consulting, strategy, product or business ... development experience + Proven track record of new business building **Finishing Touches (Preferred)** + Strong drive to see concepts realized in nature by securing alpha customers + Intense curiosity and an abhorrence for 'ivory tower' product development +… more
- AdventHealth (Tampa, FL)
- …record information is given regarding the patient and that the pertinent payer information is obtained andcorrect. This position requires the ability to multitask, ... adequate medical terminology, ability to read and understand insurance cards, ability to read and understand the patients' medical record, excellent verbal and written communication skills. Customer service skills are a MUST, as everyone we encounter is our… more
- University of Miami (Miami, FL)
- …of data analysis and possible corrective actions.3. Analyzes non-governmental payer contracts and assures that contractual adjustments are accurate.4. Reviews ... and validates billing accounts, and communicates findings to appropriate staff.5. Identifies and rectifies any special circumstances affecting delayed submission of payments.6. Reviews billing information for accuracy and completeness, and identifies and… more
- Select Medical (Pensacola, FL)
- …business development team + Collect co-pays from patients, manage payer approvals and conduct insurance authorizations and verifications **Qualifications** ... **Minimum:** + High School Diploma or GED + Healthcare experience Apply for this job (https://jobs-selectmedicalcorp.icims.com/jobs/339518/medical-receptionist patient-service-specialist/job?mode=apply&apply=yes&in\_iframe=1&hashed=1374627814) Share this job… more
- AdventHealth (New Smyrna Beach, FL)
- …to third party payers. + Monitoring receipt and distribution of third-party payer requests and logs. + Assists with locating appropriate facilities for placement ... of patients moving to another level of care. + Facilitation of the transfer to alternate care facilities including transport arrangements. Facilitating referrals for home care services. + Provides backup administrative/clerical assistance to department… more