- HCA Healthcare (Port Charlotte, 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 (Niceville, 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/335449/medical-receptionist… more
- Akumin (Tampa, FL)
- …data interchange (EDI,) paper claims via mail, and enters claims through payer portals. Prepares and transmits patient statements for mailing. + Ensures that ... all necessary information (Insurance plan, CPT code, procedure modifiers, ICD10 codes, etc.) has been entered into the billing system correctly and all necessary compliance paperwork is received for claims submission. + Researches and corrects rejected claims… more
- Select Medical (Fort Walton 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/335451/medical-receptionist… more
- Sumitomo Pharma (Tallahassee, FL)
- …design direction for patient support programs + Experience in reimbursement and payer pull through + Experience implementing distribution channels and managing Sales ... Operations and distributor operations for cell & gene therapy products. + Experience managing multiple patient service/reimbursement/co-pay vendors + Recent rare disease product launch experience desired + Strong track record of cross functional leadership +… more
- Evolent (Tallahassee, FL)
- …5 years of professional experience in claims-based healthcare analytics with a payer , provider, vendor, managed care, or related healthcare consulting entity + ... Extensive knowledge of healthcare claims; specifically, differences between institutional vs professional billing and various sites of care/service + Previous Experience with healthcare reimbursement methodologies and calculations such as DRGs, Revenue Codes,… more
- Highmark Health (Tallahassee, FL)
- …combination of experience and education **Preferred** + 6 years of experience in payer , hospital system, or care delivery industry + Experience influencing change in ... complex organizational systems **SKILLS** + Ability to solve complex conceptual and operational problems; potential ability to lead teams in problem-solving exercises + Strong quantitative and analytical skills + Demonstrated influencing, and teamwork skills +… more
- Evolent (Tallahassee, FL)
- …opportunity sizing. **Healthcare Industry Experience:** Familiarity with clinical workflows, payer operations, or healthcare AI applications is preferred. **Why Join ... Us?** Opportunity to drive impactful AI initiatives in a rapidly evolving industry. Collaborative environment with cross-functional teams, including data science, engineering, and operations. Competitive compensation, benefits, and opportunities for… more
- University of Miami (Miami, FL)
- …care continuum which includes interacting with consulting physicians, third party payer and other health care providers to facilitate movement of the ... patient through the system and arrangement of an appropriate discharge plan. Works collaboratively with the multidisciplinary staff to design and implement treatment plans and discharge plans for the patient. Provides education and counseling to patients and… more
- Highmark Health (Tallahassee, FL)
- …control frameworks, and assessment methodologies, particularly as applied to healthcare ( payer and provider) business processes. + Knowledge of relevant regulatory ... guidelines, vendor management, sourcing and procurement, and completing assessments of vendors + Excellent resource and project planning capabilities, decision making skills, history of results-oriented delivery, and effective team building across a… more