- AdventHealth (Maitland, FL)
- …reimbursement. Ensures thorough research and validation of non-contracted and government payer information * including regulatory and interim rate updates in ... system issues or trends. Pivots detail for distribution to assigned Contract Manager or analyst. Contributes to the development and implementation of new systems… more
- AdventHealth (Altamonte Springs, FL)
- …on the revenue cycle of AdventHealth. Precision of the contract build ensures payer accountability and compliance to the negotiated contract rates and terms. This ... resolve open AR and operational contract issues while managing the provider payer relationship. * Responsible for engaging in communication with hospital revenue and… more
- AdventHealth (Maitland, FL)
- …on the revenue cycle of AdventHealth. Precision of the contract build ensures payer accountability and compliance to the negotiated contract rates and terms. This ... and operational contract issues while actively contributing to the provider payer relationships. . Responsible for engaging in communication with Physician… more
- HCA Healthcare (Kissimmee, FL)
- …We care like family! Jump-start your career as a(an) RN Case Manager today with HCA Florida Poinciana Hospital. **Benefits** HCA Florida Poinciana Hospital, ... location._** Come join our team as a(an) RN Case Manager . We care for our community! Just last year,...of command. + Makes appropriate referrals to third party payer and disease and case management programs for recurring… more
- Owens & Minor (Orlando, FL)
- …such as experience, skills, education, and location. **JOB SUMMARY** The Account Manager is responsible for selling Negative Pressure Wound Therapy (NPWT) and ... focus efforts on increasing sales. In addition, the Account Manager will work with the Vice President of NPWT...continuing education programs as needed to on-site hospitals and payer case managers. + Deliver comprehensive follow-up information &… more
- Grifols Shared Services North America, Inc (Orlando, FL)
- …be available to provide any necessary support to the responsible National Account Manager (NAM) in the execution of the contracting process + Understand when to ... to utilize necessary internal resources to assist the customer (ie Director of Reimbursement, Payer Team, etc ) + Compliantly engage and interact with the MSL Team… more
- Centene Corporation (Orlando, FL)
- …management activities to ensure compliance with current state, federal, and third-party payer regulators + Provides and/or facilitates education to members and their ... families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits + Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in… more
- AdventHealth (Winter Garden, FL)
- …assisting with coordination of clinical data collection, and ensuring third-party payer notifications and authorizations are secured and documented as a support ... and services for assigned patients under the direction of the RN Care Manager and/or Social Worker and in collaboration with the patient/family. The CMA establishes… more
- AdventHealth (Lake Mary, FL)
- …and/or other extension of clinical expertise to the community as approved by manager or director + Actively supports scheduling so that each patient meets the ... hours to assist in other centers/programs as approved and observed by manager or director + Performs evaluations and re-evaluations according to standards and… more
- AdventHealth (Windermere, FL)
- …benefit has been achieved and/or according to the standards of practice and payer guidelines + Participates in practice changes as a result of performance ... and/or other extension of clinical expertise to the community as approved by manager or director **The expertise and experiences you'll need to succeed:** **Minimum… more
- AdventHealth (Altamonte Springs, FL)
- …medical staff members and lower cost. Direct reports include + Med Staff Manager PRINCIPAL DUTIES AND JOB RESPONSIBILITIES: + Leads in the continuing adoption of ... to ensure appropriate payment for services rendered are received and third-party payer denials are minimized. + Facilitates, coordinates, and oversees the expansion… more
- ChenMed (Orlando, FL)
- …+ Prescribes medication and treatment in accordance with patient condition, payer coverage/guidelines and industry standards. + Reviews PCP requests for external ... + Performs other related duties as assigned and modified at manager 's discretion. **KNOWLEDGE, SKILLS AND ABILITIES:** + Thorough knowledge of pharmacological… more
- AdventHealth (Orlando, FL)
- …of a large organization. + Knowledge of Medicare and third-party payer coding and billing regulations. **SUPERVISORY RESPONSIBILITIES** + The Director of ... including but not limited to, the Sr. Compliance Analyst(s) and the Compliance Manager , Privacy. This facility is an equal opportunity employer and complies with… more
- AdventHealth (Celebration, FL)
- …when maximum benefit has been achieved and/oraccording to standards of practice and payer guidelines. + Participates in practice changes as a result of performance ... and/or other extension of clinical expertise to the community as approved by manager or director. **The expertise and experiences you'll need to succeed:** **Minimum… more
- AdventHealth (Deland, FL)
- …when maximum benefit has been achieved and/oraccording to standards of practice and payer guidelines. + Participates in practice changes as a result of performance ... and/or other extension of clinical expertise to the community as approved by manager or director. **The expertise and experiences you'll need to succeed:** **Minimum… more