- University of Miami (Miami, FL)
- …required + Understanding of the operational practices of scheduling and payer authorization, including nuances of provider schedules, scheduling practices for ... preferred + Understanding of the operational practices of scheduling and payer authorization, including nuances of provider schedules within your organization,… more
- BayCare Health System (Largo, FL)
- …provided by BayCare HomeCare from the payers. + Selecting the correct payer codes to provide accurate intake information. + Understanding medical criteria for ... into the EMR system. + Timely requesting and communicating of authorizations to payer and documentation in EMR. + The Care Coordination Assistant will work under… more
- Select Medical (Lake Worth, FL)
- …an ICU or post-surgical stay by utilizing your strong clinical background, payer knowledge and problem-solving skills. + Perform clinical assessments of referred ... physicians to create a smooth pre-admissions and transfer processes through removing payer -related and operational barriers for the patients getting into our highly… more
- Banner Health (FL)
- …its impact on reimbursement under Medicare Severity Adjusted System (MS-DRG),All Payer Group (APR-DRG) and Ambulatory Payment Classification (APC) or utilized ... operational systems. Provides explanatory and reference information to internal and external customers regarding coding assignment based on clinical documentation which may require researching authoritative reference information from a variety of sources. 2.… 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
- Gentiva (Jacksonville, FL)
- …admissions within the company's 3-hour commitment window + Verify insurance benefits, payer source, and secure authorizations for hospice care + Communicate pending ... admissions to appropriate clinical and admission staff. + Collaborate with clinical teams, billing coordinators, and external referral sources + Enter accurate patient data and documentation into the electronic system + Participate in morning stand-up… more
- Griswold Home Care, Inc (Lutz, FL)
- …around any schedule * Weekly Deposit: Clients pay you directly, through a third party payer , every week * GPS Tracking Clock in System: Allows for easy clocking in ... and out, NO timesheets * One on One Private Duty Care: Great for when you need a break from the 10-20 client facilities Requirements * Florida CNA License or Home Health Aide approved by the Florida Department of Education * At least 1 year of experience *… more
- BayCare Health System (Riverview, FL)
- …care progression, denial management, compliance with governmental and private payer regulations, appropriate physician coding and documentation requirements. + Works ... closely with the medical staff leadership, the entire medical staff, including resident physician house staff, all areas of resource management, case management, social services, discharge planning, and utilization management to develop and implement methods… more
- AdventHealth (Orlando, FL)
- …when maximum benefit has been achieved and/oraccording 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. + Regularly participates in marketing to physicians/physician practices to build referral relationships with a minimum of two contacts per month. Supports consumer… more
- Evolent (Tallahassee, FL)
- …healthcare end to end system landscape + Good knowledge US Healthcare - Payer side, Knowledge of Medicare, Medicaid, Commercial Plans and understanding on claims ... workflow, members, providers + A minimum of 1 years of experience in technical quality assurance and database testing, medical benefits, provider, enrollment, and / or claims data. + Demonstrable experience with Testing, Writing Test cases, Test Plans, and… more
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