65 Payer Jobs in Longwood, FL
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Registered Nurse Mederi Caretenders - Longwood, Florida . Ensures patients meet home health eligibility and medical necessity guidelines as defined by payer source. Initiates, develops, implements and makes necessary revisions to the plan of care in collaboration 5 days ago
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Registered Nurse - PRN Mederi Caretenders - Longwood, Florida . Ensures patients meet home health eligibility and medical necessity guidelines as defined by payer source. Initiates, develops, implements and makes necessary revisions to the plan of care in collaboration 5 days ago
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Cath Lab Coder- Remote Contract!! Bluebird Staffing - Orlando, FL, United States are being selected - Demonstrates an expert knowledge of hospital outpatient coding guidelines, medical terminology, anatomy/physiology, and payer specific coding guidelines. Understands reimbursement 12 days ago
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Database Administrator Impresiv Health - Longwood, Florida to new system focus. You Will Be Successful If: You have an understanding of systems that are used in health plan (payer) clinical operations. You have an in-depth understanding of data feeds and can 4 days ago
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HEOR Project Manager----Remote US Tech Solutions - Orlando, FL, United States Primary responsibilities include the following: Conduct Health Economics and Outcomes Research projects under the supervision of the manager to support the Value Proposition to Regulators, Payers 10 days ago
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Medical Director Orthopedic Surgery - remote UnitedHealth Group - Orlando, FL, United States and accreditation requirements. Supports compliance with regulatory agency standards and requirements (e.g., CMS, NCQA, URAC, state / federal and third-party payers) Works with clinical staff to coordinate 3 days ago
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Pharmacy Technician - Front End - RPhT REQUIRED (11am to 8pm) Kroger Health & Wellness - Lake Mary, FL - Adjudicate and review prescription insurance claims of medications to be delivered - Contact insurance companies or other payers to complete prior authorization requirements, identify co-pay structure 2 days ago
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Clinical Documentation Specialist (100% REMOTE) Amerit Consulting - Orlando, FL, United States communicate to the payer the medical necessity/appropriateness /level of care criteria that is necessary for acute care hospitalization. Skills in setting priorities that accurately reflect the relative 5 days ago
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Clinical Document Specialist (CDI) - 100% Remote Amerit Consulting - Orlando, FL, United States of clinical documentation · Ability to effectively communicate to the payer the medical necessity/appropriateness /level of care criteria that is necessary for acute care hospitalization. · Skills in setting 5 days ago
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Patient Accounting Spec I Orlando Health - Orlando, Florida to you The Patient Accounts Specialist I is responsible for accurately billing patient accounts, ensuring timely submission and reimbursement from various third-party payers and patients, ensuring proper account 2 days ago
Top locations
- Orlando, FL (53)
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