- CenterWell (Tallahassee, FL)
- …leaders and champions to identify HEDIS gaps and deficiencies. + Participate in Payer calls/chart reviews. + Compile payer findings and assist with research. ... + Participate in payor meetings/discussions to ensure accurate data submission. **Use your skills to make an impact** **Required Qualifications:** + A minimum of three years Medical Coding experience or similar (including IPA and Offshore coding management) +… more
- NCH (Naples, FL)
- …query practice brief. * Working knowledge of federal, state, and private payer regulations as well as applicable organizational policies and procedures. * Experience ... and other required reporting programs. * In-depth knowledge of MS-DRG payer issues, documentation opportunities, coding guidelines and changes to include Coding… 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 ... regarding status of their request for assistance + Demonstrate expertise in payer landscapes and insurance processes. Remain knowledgeable about long and short-range… more
- Elevance Health (Tampa, FL)
- …CareBridge. The ideal candidate has experience working in leading healthcare payer claims/ revenue cycle management (RCM) organizations, with specific understanding ... + Experience working with encounter data systems within a healthcare payer or RCM organization and associated coding/ claim integrity certifications strongly… 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 ... service environment, preferred + Clear knowledge of Medicare, Medicaid & Commercial payer policies and guidelines for coverage, preferred + Knowledge of Diagnostic… 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 ... a sense of urgency + Knowledge of Medicare, Medicaid and Commercially insured payer common practices and policies, preferred + Ability to work any schedule between… more
- Walgreens (Orlando, FL)
- …highest level of patient service (including providers and pharmaceutical and payer partners), and developing and protecting department assets. Patient Experience + ... pharmacy department employees are trained in all required functions regarding payer and pharmaceutical contractual requirements (adverse event reporting, data and… more
- Surgery Care Affiliates (Jacksonville, FL)
- …as opposed from collecting from self-payers/individuals. + Works closely with payer provider relations representatives + Contacting insurance companies by email ... billing, accounts receivable, A/R, collecting payments, collecting re-imbursements from payer organizations or from the insurance company side + Experience… more
- Datavant (Tallahassee, FL)
- …to noisy or incomplete inputs. You'll own the Matching roadmap for our Payer vertical, while also shaping the broader strategy and uncovering needs across other ... + Familiarity with healthcare data, with bonus points for experience in the payer risk adjustment space + Deep comfort working with engineering and analytics teams… more
- Select Medical (Tampa, FL)
- …of Revenue Cycle Management is mandatory. + Act as a gatekeeper of payer information, communicate updated payer information to facilities as needed; create ... facility reference tools for "top ten payors" for the market. Communicate regularly with the Contracting department to stay informed of any new changes or requirements involving payors. + Perform as a market liaison, an extension of the CBO. Develop… more