- 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
- AdventHealth (Altamonte Springs, FL)
- …Springs, FL **The role you will contribute:** This position leads AdventHealth's Medicaid reimbursement process across the entire company focusing on ... supplemental Medicaid payments, provider taxes, Medicaid ...team:** + Serves as AdventHealth subject matter resource for Medicaid reimbursement matters. This role is focused… more
- Humana (Tallahassee, FL)
- …part of our caring community and help us put health first** The Medicare (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... Pricer Business and System Support team responsible for administering complex Medicare provider reimbursement methodologies. The business needs of the team… more
- Molina Healthcare (Miami, FL)
- …* Working experience with, and strong knowledge of, various managed healthcare provider compensation and VBP methodologies, primarily across Medicaid and ... live in Georgia _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development… more
- Northwest Florida Community Hospital (Chipley, FL)
- …in healthcare receivables required. Work record that demonstrates in-depth knowledge of hospital and long-term care billing and reimbursement , knowledge of ... Business Office Manager - Patient Financial Services Northwest Florida Community Hospital (NFCH), in Chipley, FL, is seeking a FT experienced, energetic and… more
- AdventHealth (Maitland, FL)
- …supervision, provides necessary research, review and interpretation of Insurance Provider Manuals, payment methodologies, and reimbursement rates. Maintains ... hospital revenue cycle/patient financial services or healthcare insurance / provider relations related background Required Microsoft Office Strong analytical and… more
- Cardinal Health (Tallahassee, FL)
- …Managed Care oversees the interactions that take place between payer and provider (s) to ensure optimal reimbursement including managed care contracting, ... Functions:** + Responsible for documenting and tracking all credentialing, re-credentialing, provider enrollment, and hospital privileging activities within the… more
- AdventHealth (Maitland, FL)
- …Information * Responsible for remaining current on regulatory changes that could impact reimbursement relative to CMS, Medicaid , Tricare and Workers Comp and ... knowledge Preferred . CPT/HCPCS coding knowledge Preferred . 5 in healthcare, hospital revenue cycle or payer/ provider relations Preferred Our people are… more
- Humana (Tallahassee, FL)
- …coding auditor to review inpatient hospital claims for proper reimbursement , handle provider disputes in a result-oriented and metrics-driven environment. ... Coding Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims… more
- Gentiva (Kissimmee, FL)
- …hospice agency promptly if unable to complete F2F visits as scheduled. + May provide F2F coverage for multiple provider numbers with approval. **About You** ... physicians, interdisciplinary group (IDG) members, patients, caregivers, and families. + Provide clinical recommendations to the IDG based on F2F assessment… more