- 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, managing revenue, and managing and mentoring of director reports. Must be able to complete extensive and complex financial, operational, and analysis of managed care contracts, proposals, analyze fee schedules, and determine… more
- Community Health Systems (Naples, FL)
- …+ Familiarity with insurance verification, prior authorizations, and healthcare payer requirements. + Proficiency in electronic medical records (EMR) systems ... and healthcare documentation practices. + Strong organizational and time management skills, with the ability to prioritize multiple tasks. + Excellent communication and interpersonal skills, ensuring effective collaboration with patients, families, and… more
- Florida Atlantic University (Boca Raton, FL)
- …including, but not limited to, university-wide student affiliation agreements, third party payer agreements, etc. This position will also provide legal support to ... FAU's Division of Research (DoR), primarily the Office of the Vice President for Research, the Office of Sponsored Programs, Research Integrity Office, Office of Technology Development, and the Office of Comparative Medicine, as well as other units within the… more
- HCA Healthcare (Kissimmee, 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
- HCA Healthcare (St. Petersburg, 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 (Santa Rosa Beach, 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 Medical Office Experience **Preferred:** + Health care experience Apply for this job (https://jobs-selectmedicalcorp.icims.com/jobs/339522/medical-receptionist… more
- Centene Corporation (Miami, 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
- Cardinal Health (Tallahassee, FL)
- …need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient ... markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas,… more
- HCA Healthcare (West Palm Beach, FL)
- …as an educational resource to patients, families, interdisciplinary team members, payer representatives, and other parties as appropriate about behavioral services. ... + Reviews, coaches, and helps with the training of new staff/interns as assigned within approved practice and program guidelines. Participates in developing department goals and clinical programming. + Performs utilization review as assigned. + Helps with… more
- AdventHealth (Winter Park, FL)
- …benefit has been achieved and/or according to 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 patient accurately, timely and legibly according to guidelines of the CPT code format and following… more