- 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 ... Qualifications** + Experience with Ohio Medicaid hospital reimbursement methodologies + Experience researching and resolving provider reimbursement… 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
- Humana (Tallahassee, FL)
- …The Provider Contracting Executive initiates, negotiates, and executes physician, hospital , and/or other provider contracts and agreements for an ... organization that provides health insurance. The Provider Contracting Executive works on problems of diverse scope and complexity ranging from moderate to… 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
- CVS Health (Miami, 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
- 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
- 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
- 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
- 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 (Tampa, 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
- 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
- AdventHealth (Orlando, FL)
- …role you'll contribute:** OurLegacy is designated by the Centers for Medicare and Medicaid Services (CMS) as the only organ procurement organization (OPO) in east ... extends to each of the following hospitals within the AdventHealth's Hospital system: Altamonte, Apopka, Celebration, Daytona Beach, Deland, East Orlando, Fish… 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
- 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
- HCA Healthcare (Tallahassee, FL)
- …spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal ... policies for complete, accurate and consistent coding which result in appropriate reimbursement and data integrity. You will review outcomes are communicated to the… more
- HCA Healthcare (Jacksonville, 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...and self-pay accounts to enhance cash flow and gather reimbursement based on established contracts. **What you will do… more
- HCA Healthcare (Sarasota, FL)
- …spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal ... and self-pay accounts to enhance cash flow and gather reimbursement based on established contracts. **What you will do...contracts in collection of third party accounts (Medicare and Medicaid ) + You will complete account reconciliation of accounts… more
- Lake Erie College of Osteopathic Medicine (Defuniak Springs, FL)
- …of Patient Care Services works with the Director of Patient Care Services to provide oversight of dental faculty and fourth year dental students in the clinic. ... with an understanding of dealing with and processing Florida Medicaid and Medicare; + Possess a strong sense of...responsibility for protocols that will aid patients in the reimbursement of insurance claims; + Assist in the recruitment,… more