- BayCare Health System (Tampa, 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
- Otsuka America Pharmaceutical Inc. (Jacksonville, FL)
- …to competitive threats and opportunities + Educates office staff on payer guidelines and reimbursement procedures to increase pull through + Effectively ... utilizes promotional materials + **Selling Skills, Engagement & Account Pull Through** + Maintains ongoing awareness of internal support team resources available throughout the ecosystem and utilizes appropriately + Applies market and industry knowledge to… more
- Select Medical (Miramar, 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:** + 1 Year Front Desk experience + Bilingual **Additional Data** _Equal Opportunity Employer/including Disabled/Veterans_ Apply for this job… more
- AdventHealth (Altamonte Springs, FL)
- …has been achieved and/or according to the standards of practice and payer guidelines + Documents accurately, completely, and timely with legible handwriting. Uses ... measurable and objective terminology, following standards of practice, insurance guidelines and department /hospital policy and procedures + Charges patients accurately, timely and legibly according to guidelines of the CPT code format, price file and… more
- Cognizant (Tallahassee, FL)
- …the timely and accurate adjudication of professional and hospital claims utilizing payer specific policies and procedures. Provide support to claims and client for ... issues related to claims adjudication and adjustments, Service Now and Inquiry resolution, and any basic questions regarding health coverage as stated in the Plan Document. **Role Responsibilities** + Responsible for reviewing the data in the claim processing… more
- ZOLL Medical Corporation (Miami, FL)
- …as they work closely with payers to drive efficiencies within the payer 's environment.Maintain working knowledge of potential clinical and other value propositions ... based on ZOLL products and services.Ensure timely processing of required documentation to prevent delays in the appropriate provision of services and products and reduce risk to recurring revenue streams. + Develop and maintain full working knowledge of a… more
- Cognizant (Tallahassee, FL)
- …for timely and accurate adjudication of professional and hospital claims utilizing payer specific policies and procedures. Provide support to claims and client for ... issues related to claims adjudication and adjustments. You will be a valued member of the Cognizant team and work collaboratively with stakeholders and other teams. **In this role, you will:** * Be Responsible for reviewing the data in the claim processing… more
- Intermountain Health (Tallahassee, FL)
- …1. Maintains a working knowledge of CVO and MSO functions, Payer Enrollment, Roster Management, Kyruus, Attestations, Credentialed and Non-Credentialed providers, ... Provider access to Intermountain Information Systems, Radiant Logic, and Providers data in iCentra and EPIC. 2. Demonstrates understanding of the operation and maintenance of Intermountain Healthcare's Verity Credentialing Data System and other sophisticated… more
- CVS Health (Tallahassee, FL)
- …of ensuring coding is accurate and compliant with federal regulations, payer policies, and organizational guidelines. - Working experience with Microsoft Excel. ... - Strong attention to detail and ability to review and interpret data. **Preferred Qualifications** - 2 years or more previous experience with medical record review within a healthcare insurance company. - Prior special investigation unit experience. -… more
- Baylor Scott & White Health (Tallahassee, FL)
- …maintenance. * Prepares the 5-year financial operating forecast to include statistics, payer mix, payments capital, etc. * Prepares examination and presents and ... justifies findings, for any potential capital acquisitions, projects, new services, etc. * Provides ongoing budget vs. actual revenue and expense variance analysis. Reviews both standard and custom reports developed for the entity. * Prepares verbal or written… more