16 jobs found in Orlando

The Why Behind Wellvana: The healthcare system isn't designed for health. We're designed to change that. We're Wellvana, and we help doctors deliver life-changing healthcare. Through our high-touch approach to value-based care, we're moving beyond fee-for-service and helping tie the healthy outcomes of patients directly to healthier profitability for providers and health systems. Providers in our curated network keep their independence, reduce their administrative headaches, and spend more time with patients. Patients, in turn, get an elevated experience with coordinated care that is nothing short of life changing. Named a Best Place to Work by Nashville Business Journal and featured in Insider's 33 startups investors expect to take off in 2023, we're one of the fastest-growing companies in America because what we do works. This is the way medicine is meant to be. Clarity on the Role: Wellvana is looking for a Certified Risk Adjustor to perform concurrent, prospective, and...

The Why Behind Wellvana: The healthcare system isn't designed for health. We're designed to change that. We're Wellvana, and we help doctors deliver life-changing healthcare. Through our high-touch approach to value-based care, we're moving beyond fee-for-service and helping tie the healthy outcomes of patients directly to healthier profitability for providers and health systems. Providers in our curated network keep their independence, reduce their administrative headaches, and spend more time with patients. Patients, in turn, get an elevated experience with coordinated care that is nothing short of life changing. Named a Best Place to Work by Nashville Business Journal and featured in Insider's 33 startups investors expect to take off in 2023, we're one of the fastest-growing companies in America because what we do works. This is the way medicine is meant to be. Clarity on the Role: Wellvana is looking for a Certified Risk Adjustor to perform concurrent, prospective, and...

A wellestablished Medical Billing & Coding company is seeking an experienced Medical BillingSpecialistto join their billing team. Job Description Seeking an individual with medical billing and EMR billing software EXPERIENCE who strives to deliver the highest of customer service standards. This position is responsible for supporting the Account Management team by posting insurance payments and completing daily Explanation of Benefits (EOB) batches in accordance with established billing and collections policies and procedures, filing all primary and secondary claims by electronic and paper methods, running all standard monthly reports, and performing follow-up with insurance tracking report as directed. This is NOT a remote position . Qualifications · Preferred 4 years’ experience in a medical office reimbursement department · Experience with EMR Management software · Strong background in Accounts Receivable · Strong communication skills as you will be speaking...

$3,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS  Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life’s best work. As a  Certified Sr. (IP) Acute Edits Medical Coder you will work remotely to correct CCI, MUE, and Medical Necessity Edits on accounts of all patient types in addition to periodic coding. You will ensure that all coding assignments are accurate according to coding policies and based on the documentation provided in the medical record. Using a thorough knowledge of coding policies and...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. Position in this function review documentation to assure proper application of ICD-10 coding/risk adjustment guidelines and policies are being met. Application of appropriate CPT, CPT II, HCPCS, and modifiers necessary for accurate charge submission and reimbursement. Maintain defined charge submission turnaround times. Query providers for documentation clarification. Communicate with providers...

Position Summary: About Orlando Health: Founded more than 100 years ago, Orlando Health is a not-for-profit healthcare organization with a long tradition of serving its many and varied communities. With physicians in more than 100 specialties, the healthcare system attracts patients from across the state, region and nation. The healthcare system encompasses award-winning hospitals, stand-alone emergency departments, behavioral health care, skilled nursing facilities, rehabilitation services and urgent care locations. Our network of primary care physicians and specialists extends from the Atlantic to Gulf coasts and spans more than a dozen counties. The Physician Coder accurately and efficiently accesses wide range specialty physician billing and Health Information Systems to secure and gather all necessary records to accurately code and bill professional physician and/or physician extender (mid-level) services. Responsibilities: Reviews medical records and codes...

$3,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and  your life’s best work.SM  You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Schedule:  This position is full-time (40 hours/week). Employees will have the opportunity to choose between Tuesday – Saturday or Sunday – Thursday (1 weekend day is required). It may be necessary, given the business need, to work occasional overtime. Primary...

Medical Operations Supervisor (Nurse Supervisor) page is loaded Medical Operations Supervisor (Nurse Supervisor) Apply locations Americas, US-FL, Tampa 109, CSL Plasma time type Full time posted on Posted 2 Days Ago job requisition id R-220267 Job Description Summary This position is responsible for overseeing the applicant and return donor reception and registration processes. • Supervise reception and medical staff. • Assist management with daily center operations to include development of reception and medical staff, assessment and improvement of processes, troubleshooting issues and managing donor flow.   Job Description Main Responsibilities 1. In compliance with Standard Operating Procedures (SOPs), supervise daily activities of reception, medical, and customer service operations. Provide clear and consistent instructions and directions, conduct meetings, and clearly communicate performance...

The Medical Billing Specialist is responsible for accurately coding spine and orthopedic procedures and services, submitting insurance claims, and managing the billing process for a spine and orthopedic practice or healthcare facility. They ensure compliance with healthcare regulations and maximize revenue by optimizing reimbursement. Key Responsibilities: Prepare and submit insurance claims accurately and in a timely manner. Verify patient insurance coverage and eligibility for spine and orthopedic services. Follow up on unpaid claims and denials, resubmitting claims if necessary. Review and address coding-related denials and discrepancies. Compliance: Ensure compliance with federal and state healthcare regulations, including HIPAA (Health Insurance Portability and Accountability Act). Stay informed about changes in billing and coding regulations specific to spine and orthopedics. Documentation: Collaborate with healthcare providers to improve documentation accuracy for...

Bilingual Medical Billing Specialist – 100% Remote - Immediate Opening - Portuguese, Italian or German QUAD is currently seeking a bilingual Medical Billing Specialist for an organization in the Philadelphia area. This is a 100% remote position. Bilingual- fluent in English and one or more foreign languages required, such as Portuguese, German, or Italian The Medical Billing Specialist will be responsible for communicating with health institutions (pharmacies, hospitals, etc.) to ensure members are delivered appropriate services and will be resolving contracted claims and financial inquiries from providers, facilities, and vendors. This position accurately records bank account information and direct international payments , as well as other duties, as assigned. Responsibilities: Researches and resolves escalated claims issues reported by contracted providers and facilities. Works effectively with colleagues in Claims, Finance, the Global Service Center, and Provider...

JOB DESCRIPTION Job Summary Designs and implements processes and solutions associated with a wide variety of data sets used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and deliverables by applying statistical analysis techniques to examine structured and unstructured data from multiple disparate sources. Collaborates across departments and with customers to define requirements and understand business problems. Uses advanced mathematical, statistical, querying, and reporting methods to develop solutions. Develops information tools, algorithms, dashboards, and queries to monitor and improve business performance. Creates solutions from initial concept to fully tested production and communicates results to a broad range of audiences. Effectively uses current and emerging technologies. KNOWLEDGE/SKILLS/ABILITIES With limited supervision, the Sr. Analyst, Data is responsible for...

Job Description Job Description Company Description A well-established growing Medical Billing & Coding company based in Orlando is currently looking for experienced Certified Professional Coder. Job Description Seeking an experienced certified professional coder (CPC) who would be responsible for correctly coding healthcare claims in order to obtain reimbursement from insurance companies and government healthcare programs, such as Medicare. The CPC candidate must also dually function as a medical auditor. As a medical auditor, the prime responsibility is to plan and conduct financial chart audits, present audit results to senior management and provide coding/documentation/compliance support to the Account Management team. The candidate must strive to deliver the highest of customer service standards. This position works collaboratively with the Account Management team in accordance with established billing and collections policies and procedures, running all standard...

Job Description Job Description Company Description Nationally recognized leading provider of medical billing services providing best in class revenue cycle management services to healthcare organizations nationally.  Job Description Seeking an individual with medical billing and EMR billing software  EXPERIENCE  who strives to deliver the highest of customer service standards. This position is responsible for supporting the Account Management team by evaluating denials from EOBs and ERAs and working denials as well as A/R to the company's high standards. In addition, filing all primary and secondary claims by electronic and paper methods, running all standard monthly reports, and performing follow-up with insurance tracking report as directed will be required in this role.  Role will report into a member of the Account Management team.  This is NOT a remote position and will not be a remote position - if you're looking to work within a team environment apply to be...

Benefits Information Full-time employees will enjoy a competitive benefits package with options for you and your family including: • Paid Time Off • Paid Holidays • 401(k) Matching • Health Insurance • Vision Insurance • Life Insurance • Health Savings Account • Tuition Reimbursement • Employee Discount • Reduced Tuition Rates • Disability Insurance • Employee Assistance Program • 401(k) • Pet Insurance • Dental Insurance • Paid Training • Flexible Spending Account • Other Benefits Available Equal Opportunity Employer. Responsibilities Are you looking for a career you can feel good about? We hire only those that strive to do their best. By joining our family, you'll receive the honor and recognition that comes with working for the industry's global leader in evidenced based rehabilitation. Who We Are: GEO provides complementary, turnkey solutions for numerous government partners worldwide across a spectrum of diversified correctional and...

Overview Unified Women’s Healthcare is a company dedicated to caring for Ob-Gyn providers who care for others, be they physicians or their support staff. A team of like-minded professionals with significant business and healthcare experience, we operate with a singular mindset - great care needs great care. We take great pride in not just speaking about this but executing on it. As a company, our mission is to be an indispensable source of business knowledge, innovation and support to the practices in our network. We are advocates for our Ob-Gyn medical affiliates – enabling them to focus solely on the practice of medicine while we focus on the business of medicine. We are action oriented. We strategize, implement and execute – on behalf of the practices we serve. The Compliance Auditor performs comprehensive audit of care center locations/divisions. Reviews patient chart documentation for accuracy of Evaluation and Management (E/M) service levels, modifier use, in-office...

Bilingual Medical Billing Specialist – 100% Remote - Immediate Opening - Portuguese, Italian or German QUAD is currently seeking a bilingual Medical Billing Specialist for an organization in the Philadelphia area. This is a 100% remote position. Bilingual- fluent in English and one or more foreign languages required, such as Portuguese, German, or Italian The Medical Billing Specialist will be responsible for communicating with health institutions (pharmacies, hospitals, etc.) to ensure members are delivered appropriate services and will be resolving contracted claims and financial inquiries from providers, facilities, and vendors. This position accurately records bank account information and direct international payments , as well as other duties, as assigned. Responsibilities: Researches and resolves escalated claims issues reported by contracted providers and facilities. Works effectively with colleagues in Claims, Finance, the Global...