- MyFlorida (Spring Hill, FL)
- …team. Shares the responsibility of maintaining records of all providers Medicaid, Medicare , Unique Physician Identifier Number (UPIN), license and Drug ... same. Independently communicates with clerks, clerical supervisors, and providers upon the review of CPT, Diagnostics and HMS Codes. Processes Medicaid, Medicare… more
- ChenMed (Miami Gardens, FL)
- …documentation related to appointment, uploading into organization's medical record system for physician review prior to PCP follow-up appointment. + Ensures any ... understanding of the company's patient population, including the complexities of Medicare programs + Exceptional organizational skills with the ability to… more
- HCA Healthcare (Port Charlotte, FL)
- …patient goals and maintain high quality patient care. Performs in accordance with physician 's orders and under the supervision of the Clinical Manager. **What you ... indicate continuing communication and coordination of services with the physician , other interdisciplinary team members and patient/family/caregiver. + Communicates… more
- HCA Healthcare (Largo, FL)
- …patient goals and maintain high quality patient care. Performs in accordance with physician 's orders and under the supervision of the Clinical Manager. **What you ... indicate continuing communication and coordination of services with the physician , other interdisciplinary team members and patient/family/caregiver. + Communicates… more
- Humana (Tallahassee, FL)
- …group practice management. + Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or ... this knowledge in their daily work. The Medical Director's work includes computer-based review of moderately complex to complex clinical scenarios, review of all… more
- Evolent (Tallahassee, FL)
- …interacts with leadership and management staff, other Physicians, and staff whenever a physician `s input is needed or required. **What You Will Be Doing:** . Serve ... as the Physician match reviewer in Advanced Imaging cases, that do...rationale for standard and expedited appeals. . Utilizes medical/clinical review guidelines and parameters to assure consistency in the… more
- Evolent (Tallahassee, FL)
- …interacts with leadership and management staff, other Physicians, and staff whenever a physician `s input is needed or required. **What You Will Be Doing:** + Serve ... as the Physician match reviewer in Imaging cases, that do not...rationale for standard and expedited appeals. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the… more
- Cardinal Health (Tallahassee, FL)
- …Summary** Senior executive leader responsible for leading all aspects of Navista's Physician Office's revenue cycle, managed care and value based care programs and ... responsibilities include optimizing the revenue cycle to create financial stability to physician offices, develop short and long term strategic plans for manage care… more
- Teleflex (Orlando, FL)
- …for all products by interfacing directly with medical directors/key decision makers of Medicare , BCBS, MCO's, other commercial payers * Assist in the development and ... establishment of coverage policies and appropriate payment levels of payment with Medicare and other commercial payers for Teleflex therapies in the US (Potentially… more
- Evolent (Tallahassee, FL)
- …interacts with leadership and management staff, other Physicians, and staff whenever a physician `s input is needed or required. As well as, aids and acts as ... the regulatory timeframe of the request. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the...by any state or federal health care program, including Medicare or Medicaid, and is not identified as an… more