- Lundbeck (Ocala, FL)
- …to stay informed on reimbursement dynamics, anticipate and effectively address payer access issues (IDNs, Medicare, Medicaid, Commercial) using Lundbeck resources. ... **Pharmaceutical Environment/Compliance** - Ability to apply knowledge of pharmaceutical and regulatory environment, including accountability and adherence to Lundbeck policies and procedures and FDA regulations regarding the promotion of pharmaceutical and… more
- Gentiva (Orlando, FL)
- …a seamless admission experience. + Obtain and verify insurance information, complete payer source verification, and assist billing staff to ensure accurate and ... timely reimbursement. + Participate in daily team meetings, marketing initiatives, and community education events to strengthen relationships with referral sources. + Maintain accurate admission and referral data in the company's information system. + Ensure… more
- J&J Family of Companies (Orlando, FL)
- …accountable to the institutional contract. + Develop and apply knowledge of payer access and affordability landscape in the territory regarding the company's ... products. + Devise and institute an integrated business plan that includes clear strategies and tactics to target key accounts utilizing all available resources, while aligning the plan with the district's, regions, and company's goals. + Analyze business… more
- Highmark Health (Tallahassee, FL)
- …analytics, or customer analytics. + Experience in **healthcare** , payer /provider environment, or other regulated industries (preferred). + Proventrack ... recordanalyzing complex customer and campaign datasets from CRM, CDP, web/app analytics, and marketing automation platforms. + Experience with Adobe Web SDK or Tealium/Freshpaintevent instrumentation. + Background in behavioral science, marketing science, or… more
- CenterWell (Tallahassee, FL)
- …compliance standards. + Serve as the escalation point for complex payer issues, systemic process barriers or cross-functional challenges. Collaboration & Partnership ... + Partner with Region and Area leadership, Finance, Compliance, and other corporate teams to align pre-billing strategy with enterprise goals. + Collaborate with IT and HCHB support teams to optimize system workflows, reporting and automation opportunities. +… more
- HCA Healthcare (Orange Park, FL)
- …Standards + Performs research and analysis on corporate policies and federal payer rules, regulations and transmittals as directed + Logs privacy-related issues into ... the Privacy Log and ensures all information is present for appropriate reporting + Logs compliance related issues into the Compliance General Issues Log and ensures all information is present for appropriate reporting + Logs Patient Concerns, Risk… more
- ChenMed (Miami, FL)
- …business planning, process improvement, solution assessment, etc. + Analyzes and validates payer claims data. Assists markets to identify factors driving claims cost ... and estimates historical and prospective trends. + Performs actuarial analysis of CMS public information. Calculates statistical and probability forecasts and models from data. + Runs CMS risk adjustment model to calculate member level risk scores. + Provides… more
- CenterWell (Tallahassee, FL)
- …+ Ensure accurate sequencing of codes in accordance with government and payer regulations. + Review and validate documentation for diagnoses, procedures, and ... treatment outcomes. + Extract diagnostic and procedural information from clinical documentation. + Provide feedback and education to providers to improve documentation quality. + Respond to internal inquiries regarding medical information. + Maintain… more
- Datavant (Tallahassee, FL)
- …and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, and coding workflow operations reviews. In this ... role, you will offer meaningful information tailored to exceed customer expectations, actively identifying and presenting solutions for customer issues. This role is fully remote with a flexible schedule, allowing you to help shape the future of healthcare… more
- BayCare Health System (Clearwater, FL)
- …posts payments, implements billing guideline changes and identifies trends at a payer specific level, applies federal and state guidelines to collection efforts, ... interprets and follows up on Explanation of Benefits, inventories supplies, reports and tracks equipment maintenance, performs other duties as assigned. **Specific Skills:** + Customer service skills + Administrative and clerical skills + Organizational skills… more