- AdaptHealth LLC (North Port, FL)
- …within the agency and community to accomplish care objectives. This position will provide education and care to the patient and communicate with team, physicians and ... a smooth transition to the home setting. * Performs in-services to hospital staff, referrals, other professionals regarding equipment & issues of clinical nature.… more
- 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
- Humana (Tallahassee, FL)
- … Provider Contracting Professional 2 initiates, negotiates, and executes physician, hospital , and/or other provider contracts. The Provider Contracting ... and independent determination of the appropriate courses of action. The Provider Contracting Professional 2 communicates contract terms, payment structures, and … more
- Edwards Lifesciences (Miami, FL)
- …They will work directly with hospital leaders and physicians to deliver hospital economic analyses customized to each provider . This individual will also ... of reimbursement plans (coding, coverage, payment) unique to each provider . + Articulate a thorough understanding of the structural heart landscape, trends,… 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
- Guidehouse (Tampa, FL)
- …and third party payer accounts that are subject to pre-bill claim edits, hospital billing scrubber bill hold edits, and claim denials. **This position is 100% ... for charge reconciliation audits + Escalate departments noncompliant with policy and provide action plan when needed + Responsible for the daily resolution of… more
- Option Care Health (Tallahassee, FL)
- **Extraordinary Careers. Endless Possibilities.** **With the nation's largest home infusion provider , there is no limit to the growth of your career.** Option Care ... the largest independent home and alternate site infusion services provider in the United States. With over 8,000 team...and more impactful. Our organization requires extraordinary people to provide extraordinary care, so we are investing in a… more
- Humana (Tallahassee, FL)
- …- 5 years of experience in negotiating managed care contracts with physician, hospital and/or other provider contracts. + Proficiency in analyzing, understanding ... part of our caring community and help us put health first** The Provider Contracting Professional 2 initiates, negotiates, and executes dental provider contracts… more
- Molina Healthcare (FL)
- …and/or functional requirements related to but not limited to coverage, reimbursement , and processing functions to support systems solutions development and ... **JOB DUTIES** + Develops and maintains requirement documents related to coverage, reimbursement and other applicable system changes in areas to ensure alignment to… more
- Gentiva (Jacksonville, 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
- Oracle (Tallahassee, FL)
- …focus more on patient care by reducing administrative burden of clinical and reimbursement tasks such as charting, documentation, and coding by applying power of ... opportunities to prevent future denials, and ensure maximum appropriate reimbursement . This role is critical for financial recovery and...on experience preparing appeals for claim denials in the hospital and ambulatory setting + 3+ years hands on… more
- Molina Healthcare (Jacksonville, 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
- Molina Healthcare (Tampa, 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
- Molina Healthcare (FL)
- …(UB04/1500 form). * Advanced understanding of key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS ... from functional areas such as finance, health care services and provider contracting to translate analytic observations into meaningful clinical/operational actions… more
- Cleveland Clinic (Weston, FL)
- Join Cleveland Clinic Weston Hospital 's team of caregivers that remain on the leading edge of technology and education, all while consistently providing ... healthcare. As part of Cleveland Clinic's Florida region, Weston Hospital is recognized as one of the top hospitals...A caregiver who excels in this role will: + Provide consultation and direction to ensure programs and services… more
- Aveanna Healthcare (Fort Walton Beach, 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
- Centene Corporation (Tallahassee, FL)
- …is hiring a **Remote Concurrent Review Nurse** to support our **Florida Medicaid ** line of business. This role is responsible for performing **initial reviews ... valid in FL). + **Concurrent review experience** in a managed care or hospital /facility setting. + Ideal candidates will have a clinical background in **critical… more
- TEKsystems (Tampa, FL)
- …for serving as the customer's primary point of contact providing operational and reimbursement support to complex programs. + The focus of the Program Specialist is ... prior authorization, inbound call, administrative support, customer service, Medicare, Medicaid Additional Skills & Qualifications * Call Center Experience: (High… more
- Ascension Health (Pensacola, FL)
- …disability Employee assistance programs (EAP) Parental leave & adoption assistance Tuition reimbursement Ways to give back to your community _Benefit options and ... Process paperwork and maintain computerized patient/program records. + Reconcile Medicaid and third-party insurance payments. **Requirements** Licensure / Certification… more
- Gentiva (Pensacola, FL)
- …designated teams and functions as an interdisciplinary (IDG) team member to provide care and liaise between physician, patient/family and hospice team. + Performs ... minimum of one (1) year experience as an RN, either in acute care hospital , oncology, long-term care, hospice or home health. + In instances where state-specific… more
