- Cardinal Health (Tallahassee, FL)
- …and commercially insured payer common practices and policies, preferred * Previous prior authorization and appeals experience highly desired * Knowledge of ... ICD coding, preferred * Intermediate Microsoft skills with specific experience with Excel * Organized with the ability to prioritize multiple, concurrent assignments and work with a sense of urgency * Exceptional communication skills both verbally and written… more
- Actalent (Oakland Park, FL)
- …+ Collaborate with healthcare providers to optimize patient outcomes. Essential Skills + Prior authorization + Data entry + Customer service + Pharmacy + ... PharmD Additional Skills & Qualifications + Bachelor's degree in Pharmacy and/or PharmD required. + Valid Pharmacist's license in the state of Florida. Work Environment 100% onsite in a closed-door filling pharmacy located in Oakland Park, FL. The work… more
- Actalent (Boca Raton, FL)
- …compliance and high-quality patient care. Essential Skills + Certified Pharmacist + Prior authorization experience + Data entry proficiency + Strong customer ... service skills + Bilingual in English and Spanish + Pharmacy and healthcare knowledge Additional Skills & Qualifications + Bachelor's degree in a related field + 1-2 years of experience as a pharmacist + Experience with ACHC accreditation preferred +… more
- BayCare Health System (New Port Richey, FL)
- …+ This role may be responsible for screening the patient for TMS, obtaining prior authorization for treatment, providing daily treatments for TMS patients and ... all appropriate documentation and coordination of services for the TMS program. + The Medical Support Specialist will work closely with the medical provider assessing patients for TMS services to coordinating services. **Requirements:** + BLS (Basic Life… more
- TEKsystems (Tampa, FL)
- …health care, insurance, patient access, medical terminology, patient registration, prior authorization , inbound call, administrative support, customer service, ... medicare, medicaid Additional Skills & Qualifications Required experience: * Customer Service: Minimum 2 years of experience in healthcare required. * Call Center Experience: At least 2 year of previous experience. * Remote Work Experience: Proven ability to… more
- Actalent (Boca Raton, FL)
- …standards. Essential Skills + Certified Pharmacy Technician (Cpht). + Proficiency in prior authorization procedures. + Strong data entry skills. + Excellent ... customer service abilities. + Bilingual in English and Spanish. Additional Skills & Qualifications + Bachelor's degree in a related field required. + 1-2 years of experience as a pharmacist. + Experience with ACHC accreditation preferred. + Familiarity with… more
- Actalent (Orlando, FL)
- …Interqual and Medicare + Expertise in medical, acute care, concurrent review, and prior authorization + Knowledge of managed care and patient care Additional ... Skills & Qualifications + 2-4 years of hospital experience in areas such as ICU, ER, Med-Surge, PACU, etc. + Strong multitasking and time management abilities. + Quick learner with a go-with-the-flow attitude. + Proficient with computers and technology. +… more
- Evolent (Tallahassee, FL)
- …development methodologies and lifecycles + Experience with utilization management and/or prior authorization processes is preferred + Experience with the ... Telerik for Blazor UI component library and design system is preferred + Knowledge of health care regulations and compliance standards is preferred **To comply with HIPAA security standards (45 CFR sec. 164.308 (a) (3)), identity verification may be required… more
- Cardinal Health (Tallahassee, FL)
- …cycle management specialists simplify and optimize the practice's revenue cycle, from prior authorization through billing and collections. **Job Purpose:** This ... position is responsible for the management and maintenance of the revenue cycle practice management system, including the accurate loading and mapping of fee schedules, effective CPT code management, the upkeep of the ICD-10 diagnosis directory, and insurance… more
- AdventHealth (Orlando, FL)
- …network of Infusion Centers throughout the area + Excellent staff support including Prior Authorization and Patient Access Specialists + Strong and extensive ... referral network of employed and affiliated PCP's + Large employed orthopedic group + Incredible weather year-round and an abundance of outdoor recreation + Growing, culturally diverse population + No state income tax and a low cost of living + Excellent… more