- PruittHealth (Tampa, FL)
- …from these sources. 8. Basic knowledge of insurance companies and other payer sources. 9. Supports and participates in promotional activities, sales campaigns and ... other growth initiatives. **KNOWLEDGE, SKILLS, ABILITIES:** * Demonstrates principles of the sales process in a healthcare environment. * Able to manage a territory, conduct sales calls and presentations, and generate referrals by building long term business… more
- Zelis (St. Petersburg, FL)
- …Knowledge of National Medicare and Medicaid regulations. + Knowledge of payer reimbursement policies. + Creative problem-solving skills, leveraging insights and ... input from other parts of an organization. + Consistently demonstrate ability to act and react swiftly to continuous challenges and changes. + Excellent analytical skills with data and analytics related solutions. + Excellent communication skills. + Strong… more
- Walmart (Orlando, FL)
- …as necessary in the appropriate timeframe to meet board of pharmacy regulations payer requests or internal needs for the provision of services to our patients ... Troubleshoots prescriptions by correcting legal clinical financial and physical filling issues and taking corrective action to resolve exceptions for example missed counts incorrect labels or product Provides direction and guidance to pharmacy technicians by… more
- Elevance Health (FL)
- …external environment and internal strategy, and reports on care provider and payer insights. + Builds and facilitates relationships among key stakeholders to solve ... complex problems. + Proposes opportunities to improve results based on continuous needs assessment, grounded in real world operational experience. + Responsible for the development, implementation, and monitoring of project activities, including creating… more
- Elevance Health (Miami, FL)
- …understanding of healthcare dynamics, including service delivery, reimbursement models, and payer systems preferred. + Experience in healthcare finance or healthcare ... actuarial analytics preferred. + Substantial analytical experience in the healthcare industry preferred. + Advanced SQL & SAS skills. + Oracle Exadata experience preferred. + Familiarity with AI/ML frameworks. + Additional skills for success are Python,… more
- Ochsner Health (Pensacola, FL)
- …professionally and cross trained to support multiple functions across all patient and payer types. To perform this job successfully, an individual must be able to ... perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential… more
- HCA Healthcare (Miami, FL)
- …thorough working knowledge of the rules of Medicare, Medicaid, and private payer regulations and processes. You will possess a thorough understanding of managed-care ... concepts and length-of-stay management relating to patient and organizational fiscal responsibility. + You will perform thorough assessments and develop appropriate discharge plans for high-risk patients with discharge planning or psychosocial needs. + You… more
- Select Medical (Miami, FL)
- …Planning + Care Planning Management + Fiscal Management + Payer /Referral Management **Qualifications** **Minimum Qualifications** + Current Licensure per state ... guidelines in clinical or related discipline OR a Bachelor's or Master's in a health or human services discipline. **Preferred Qualifications** + Previous experience in Case Management and Discharge Planning preferred. + CCM Certification Preferred.… more
- Select Medical (Aventura, 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 **Preferred:** + Bilingual **Additional Data** _Equal Opportunity Employer/including Disabled/Veterans_ Apply for this job (https://jobs-selectmedicalcorp.icims.com/jobs/352080/medical-receptionist… 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 + 1 year of Front Desk Experience **Additional Data** _Equal Opportunity Employer/including Disabled/Veterans_ Apply for this job (https://jobs-selectmedicalcorp.icims.com/jobs/351413/medical-receptionist… more