- Prime Therapeutics (Tallahassee, FL)
- …understanding of healthcare-specific financial models, reimbursement systems, and payer -provider dynamics **Preferred Qualifications** + Master's degree in business ... (MBA) or health administration (MHA) or related area of study + People leadership experience + PBM experience Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all… more
- Norstella (Tallahassee, FL)
- …+ Strong attention to detail + Expert knowledge of provider and payer dynamics within healthcare, specifically within oncology, cellular therapy / CAR-T, immunology, ... neurology / CNS, and/or other rare diseases / specialty therapeutics **The Guiding Principles For Success At Norstella** **01: Bold, Passionate, Mission-First** We have a lofty mission to Smooth Access to Life Saving Therapies and we will get there by being… more
- University of Miami (Miami, FL)
- …Medicare Co-insurance and Advance Beneficiary Notices, and Medicare Secondary Payer Questionnaire. + Serves as gatekeeper, performs insurance verification, and ... obtains referrals and/or authorizations as needed. + Provides financial counseling services at check-in, explains benefits, creates estimates, and notifies patients of self-pay liabilities including co-pays, deductibles, co-insurances, global self-pay… more
- HCA Healthcare (Margate, 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
- LogixHealth (Dania Beach, FL)
- …of A/R follow-up experience in professional healthcare billing + Familiarity with payer regulations, claims appeals processes, and denial reasons + Proficiency in ... EHR and billing systems and clearinghouse portals + Prior word processing, spreadsheet, and internet software experience including p roficiency with MS Teams, Word, Excel, and Outlook + Excellent written and verbal communication skills Preferred: + Experience… more
- HCA Healthcare (Fort Walton Beach, FL)
- …thorough working knowledge of the rules of Medicare, Medicaid, and private payer regulations and processes, and possesses a thorough understanding of managed-care ... concepts and length-of-stay management relating to patient and organizational fiscal responsibility. The scope of this role includes intensive care units, Trauma, Oncolgy, NICU, Transplant, ED, and responds to physician, non-discharge planning social work… more
- AdventHealth (Lake Mary, FL)
- …or discharges patients as appropriate and/or according to standards of practice and payer guidelines. + Participates in practice changes as a result of performance ... improvement activities. Supports quality standards and initiatives set by the department. Facilitates further development of staff clinical competency on an as-needed basis. **The expertise and experiences you'll need to succeed:** **Minimum qualifications:**… more
- AdventHealth (Orlando, 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
- 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
- AdventHealth (Lake Wales, 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