- 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
- TEKsystems (Orlando, FL)
- …for managing all aspects of accounts receivables to ensure maximum and timely reimbursement for hospital billing and claims. This role requires staying current ... Medicaid , Tricare, HIP Plans) + Strong understanding of reimbursement methodologies and contract pricing logic Nice-to-Have Qualifications: + Candidates with… 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
- 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
- HCA Healthcare (Gainesville, FL)
- …CMS/AHCA policies and regulations + Federal Register, Center for Medicare and Medicaid Services, American Hospital Association, Food and Drug Administration, ... spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal… more
- Cardinal Health (Tallahassee, FL)
- …understands the trends that affect current and future healthcare business models and reimbursement to make short and long term strategies. Will serve as an executive ... implements managed care contracting strategy including implementation of value-based reimbursement initiatives. Responsible for maintaining reimbursement strategy… more
- CVS Health (Homestead, FL)
- …**Dual Eligible Special Needs Plan** (DSNP) members, who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. ... interactions which include visits to member homes, in the community, facilities and/or provider locations + Care management activities will focus on quality of care,… more
- CVS Health (Coral Gables, FL)
- …**Dual Eligible Special Needs Plan** (DSNP) members, who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. ... interactions which include visits to member homes, in the community, facilities and/or provider locations + Care management activities will focus on quality of care,… more
- BrightSpring Health Services (West Palm Beach, FL)
- Our Company Amerita Overview Amerita is a leading provider of Specialty Infusion services focused on providing complex pharmaceutical products and clinical services ... to patients outside of the hospital . As one of the most respected Specialty Infusion...Short & Long-Term Disability*Flexible Schedules & Paid Time Off*Tuition Reimbursement *Employee Discount Program & DailyPay*401k *Pet Insurance Responsibilities… more
- HCA Healthcare (Ocala, 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
- AdventHealth (Altamonte Springs, FL)
- …ensure the integrity and quality of the data reported is supported by provider clinical documentation to accurately reflect reimbursement and quality reporting. ... for:** AdventHealth Orlando + Located on a lush tropical campus, our flagship hospital , 1,368-bed AdventHealth Orlando + Serves as the major tertiary facility for… more
- Centene Corporation (Tallahassee, FL)
- …established by the American Medical Association and the Centers for Medicare and Medicaid Services. + Analyze provider billing practices by utilizing code ... of experience in medical billing & coding, coding/data analysis, accounting/business or physician/ hospital data management or RN/LPN and 2+ years of related clinical… more
- Ascension Health (Pensacola, FL)
- …with some onsite responsibilities in Pensacola for Training and meetings.** + ** Hospital : Ascension Sacred Heart Hospital Pensacola** + **Location: Partially ... disability Employee assistance programs (EAP) Parental leave & adoption assistance Tuition reimbursement Ways to give back to your community _Benefit options and… more
- Humana (Tallahassee, FL)
- …to quality review the inpatient hospital claims for proper reimbursement , handle provider disputes in a result-oriented and metrics-driven environment. ... Fortune 100 Company values associate engagement & your well-being. We also provide excellent professional development & continued education. **Use your skills to… more
- CVS Health (Doral, FL)
- …and behavioral healthcare through assessment and care planning, direct provider coordination/collaboration, and coordination of psychosocial wrap around services to ... lifestyle choices. + Helps member actively and knowledgably participate with their provider in healthcare decision-making. + In collaboration with the member and… more
- Aveanna Healthcare (Ocala, FL)
- …LVN/LPN Aveanna's Private Duty nurses assist our patients with transitioning home from the hospital and provide the continuous care needed to remain at home with ... Areas Find yourself at Aveanna!We are a leading national provider of home health services to medically fragile children...at a time. We need you to help us provide the best possible life to those who trust… more
- ChenMed (Tampa, FL)
- …will implement comprehensive care plans designed by our Nurse Case Managers to provide targeted education and deliver other care under the supervision of our RN ... Nurse (RN) provides in home and telephonic visits to patients at high-risk for hospital admission and readmission (as identified by CM Plan). Main goal to prevent… more
- HCA Healthcare (Miami, FL)
- …spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal ... for our team to ensure that we continue to provide all patients with high quality, efficient care. Did...complete, accurate and consistent coding which result in appropriate reimbursement and data integrity. You will review outcomes are… more
- Grifols Shared Services North America, Inc (Clearwater, FL)
- …territory including major accounts and large players (ie, Commercial, Medicare, and Medicaid ) + Coordinate with Hospital SSR counterpart to understand the ... Grifols portfolio of plasma therapies. If a neighboring hospital does not have a formulary contract or use...needs and impact pull-through (eg, MSL, IG Nurse Educator, reimbursement specialist) + Gather and provide customer… more