- Humana (Tallahassee, FL)
- …require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient ... scope. The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities,… more
- CenterWell (Fort Lauderdale, FL)
- …specialists and providers outside of the primary care physician 's office. The Referral Coordinator performs basic administrative/clerical/operational/customer ... experiences **Preferred Qualifications** : + Knowledge of ICD 10 and CPT coding + Referral experience + Medical Assistant or Professional State Certifications… more
- AdventHealth (Tampa, FL)
- …properly billed. This position conducts chart audits comparing charges with physician orders, clinical documentation, and reports while reviewing and correcting any ... Investigates charge issues from interface rejection reports, SSI edits, or coding software for possible correction. Reviews and corrects charge errors found… more
- Molina Healthcare (FL)
- …medical facilities, healthcare vendor, commercial health insurance company, large physician practices, managed care organization, etc.) + Proficiency with Microsoft ... standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding /billing (UB04/1500 form) + Demonstrated understanding of key managed care concepts… more
- University of Miami (Medley, FL)
- …data. + Identifies potential problems on vouchers and corrects them. + Contacts physician offices, when vouchers lack sufficient information for payment of a claim, ... and educates them on proper claim coding . + Processes all charge document batches and verifies total charges on batch ledger. + Reviews encounter forms to ensure… more
- Molina Healthcare (Orlando, FL)
- …medical facilities, healthcare vendor, commercial health insurance company, large physician practices, managed care organization, etc.) + Strong Knowledge of ... standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding /billing (UB04/1500 form) + Demonstrated understanding of key managed care concepts… more
- IQVIA (Miami, FL)
- …our CSMS division has 10,000+ field professionals in more than 30 countries addressing physician and patient needs. We are excited to announce that currently we are ... Experience in claim processing required + Medical Billing Certification required + Coding Certification required + Ability to interpret Explanation of Benefits (EOB)… more
- Lake Erie College of Osteopathic Medicine (Englewood, FL)
- …and examination rooms, and clean instruments; + Assist physicians and/or physician assistant with medical treatments, procedures, and exams; + Manage inventory ... Knowledge of Patient Relations, Scheduling and Bookkeeping; + Knowledge of medical coding and insurance practices and reimbursement; + Compliance with State and… more
- ChenMed (St. Petersburg, FL)
- …SKILLS AND ABILITIES:** + Knowledge of medical terminology, CPT, HCPCS and ICD coding desired + An understanding of the company's patient population, including the ... for seniors and changing America's healthcare for the better. Family-owned and physician -led, our unique approach allows us to improve the health and well-being… more
- CenterWell (Delray Beach, FL)
- …procedures with specialists and providers outside of the primary care physician 's office. The Referral and Scheduling Coordinator 1 performs basic ... Administration + Bilingual English/Spanish + Knowledge of ICD 10 and CPT coding + Referral experience + Medical Assistant or Professional State Certifications… more
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