- Humana (Tallahassee, FL)
- …our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... the Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support… more
- Molina Healthcare (FL)
- …* Clearly and professionally communicates contract terms, payment structures, and reimbursement rates to physician, hospital and ancillary providers. * ... contract negotiations in a managed healthcare setting ideally in negotiating different provider contract types, ie physician, group and hospital contracting,… more
- AdventHealth (Maitland, FL)
- …contracts. * Performs necessary research to obtain and maintain non-contracted payer reimbursement including Medicare, Medicaid , Tricare and other gov't payers. ... needed. * Demonstrates and encourages a team environment between hospital departments, * regions, payors and provider ...on regulatory updates and rate changes that affect Medicare, Medicaid and TriCare reimbursement for contract loading… more
- University of Miami (Miami, FL)
- …respect. + Maintain composure during stressful situations and use sound judgment. + Provide immediate service recovery by taking ownership of any problems that may ... arise and resolving them utilizing appropriate rationale. + Provide patients with and interpret Patient Rights and Responsibilities. Department Specific Functions 1.… more
- HCA Healthcare (Miami, FL)
- …spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal ... like to unlock your potential with a leading healthcare provider dedicated to the growth and development of our...staff, and shared service center departments. You will also provide support to coding leadership by coordinating coding and… more
- CVS Health (Hialeah, FL)
- …interactions which include visits to member homes, in the community, facilities and/or provider locations + Care management activities will focus on quality of care, ... care allowed under the member's benefit plan and as available through Medicaid benefits and/or other community resources + Develops relationships with hospital… more
- Veterans Affairs, Veterans Health Administration (Tampa, FL)
- … reimbursement , workload, accepted nomenclature, and proper sequencing. Ensures provider documentation is complete and supports the diagnoses and procedures ... in classifying medical data from patient health records in the hospital setting/physician-based settings. These coding practitioners analyze and abstract patients'… more
- Molina Healthcare (Orlando, FL)
- …modeling current and future contract rate proposals. + Research, analyze, and consult Medicaid and Medicare reimbursement methodologies, evaluate the impact of ... Business Intelligence tools (Medinsight, PowerBI), and Executive Dashboard. + Generate hospital performance analytics tools on a quarterly basis; develop reports on… more
- Surgery Care Affiliates (Panama City, FL)
- …Meeting and maintaining cash collection metrics and goals. + Maximized facility reimbursement . + Understands each payer contract and will utilize to ensure payments ... of Benefits received from any payer. + Works closely with payer provider relations representatives. + Has thorough knowledge of ASC Allowable procedures. +… more
- Bristol Myers Squibb (Miami, FL)
- …and reimbursement , inclusive of private Commercial coverage, Medicare, and Medicaid + Knowledge of health economics + Thorough knowledge of the healthcare ... environment. We offer a wide variety of competitive benefits, services and programs that provide our employees with the resources to pursue their goals, both at work… more