- AdventHealth (Lake Wales, FL)
- …from Day One - Paid Days Off from Day One - Student Loan Repayment Program - Career Development - Whole Person Wellbeing Resources - Mental Health Resources and ... format and following insurance guidelines. . Identifies the need for patient/caregiver education and utilizes each opportunity for teaching on a planned or… more
- Molina Healthcare (Jacksonville, FL)
- …key performance indicators (KPI's) with multiple targets depending on Medicare Program and State requirements. **Job Qualifications** **Required Education ** ... and responding timely to claim disputes. Team consists of clinical and non- clinical staff. * Establishes Medicare...appeals and grievance processing/resolution, including 2 years in a manager role. * Experience reviewing all types of medical… more
- Option Care Health (Tallahassee, FL)
- …patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the ... payment where needed (identifies opportunities and directs patient to financial assistance program ). + Supports the ongoing activities needed to ensure clean claims… more
- CenterWell (Pompano Beach, FL)
- …to engage patients at least weekly, providing culturally appropriate health education , advocate for needs, facilitate communication between key stakeholders in the ... providers (eg, coordinate visits, review annual wellness visits, and education materials, and engage people on the complex items...facing and is part of Humana's Tuberculosis (TB) screening program . If selected for this role, you will be… more
- CenterWell (Tampa, FL)
- …based coder to optimize coding specificity. . Follows policy and protocol defined by Clinical Leadership. . Meets with RMD about quality of care, review of outcome ... within the Center. . Participates in the local primary care "on-call" program of CenterWell as needed. . Assures personal compliance with licensing, certification,… more
- CenterWell (Fort Lauderdale, FL)
- …based coder to optimize coding specificity. . Follows policy and protocol defined by Clinical Leadership. . Meets with RMD about quality of care, review of outcome ... within the Center. . Participates in the local primary care "on-call" program of Conviva as needed. . Assures personal compliance with licensing, certification,… more
- CenterWell (Palm Coast, FL)
- …based coder to optimize coding specificity. . Follows policy and protocol defined by Clinical Leadership. . Meets with RMD about quality of care, review of outcome ... within the center. . Participates in the local primary care "on-call" program of Conviva as needed. . Assures personal compliance with licensing, certification,… more
- Actalent (Sunrise, FL)
- …utilization. Working under the general supervision of the Director and/or Manager /Supervisor of Medical Management, and in collaboration with an interdisciplinary ... and present reports on department activities as assigned. Essential Skills + Clinical review + Utilization review + Utilization management + Interqual + Milliman… more
- CenterWell (Apopka, FL)
- …32712** The Medical Assistant **Bilingual in English and Spanish** performs clinical duties such as discussing symptoms, obtaining vital signs, medication/vaccine ... impact** **Additional Information** **Required** * Successful completion of MA school/training program or a Certified/Registered Medical Assistant or 5+ years of… more
- CenterWell (Delray Beach, FL)
- …based coder to optimize coding specificity. + Follows policy and protocol defined by Clinical Leadership. + Meets with AMD about quality of care, review of outcome ... within the Center. + Participates in the local primary care "on-call" program of Conviva as needed. + Assures personal compliance with licensing, certification,… more