Qualifications: Education:. Collaborates with healthcare providers to clarify documentation, resolve coding discrepancies, and ensure the integrity of coded data for billing and reporting purposes.
Jacksonville, FL18 days ago
p>PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy. As a Director, you will set the strategic direction and lead business development efforts, making impactful decisions and overseeing multiple projects while maintaining executive-level client relations.
Our purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Jacksonville, FL30+ days ago
Our purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Jacksonville, FL30+ days ago
li>Coordinate with General Ledger, Revenue Operations, and Commercial Operations teams to ensure revenue for assigned business entities is properly recorded and accrued. - Perform billing activities on behalf of various business entities varying in nature from subscription-based, usage-based, and fixed fee based.
Jacksonville, FL11 days ago
Fanatics has an established database of over 100 million global sports fans; a global partner network with approximately 900 sports properties, including major national and international professional sports leagues, players associations, teams, colleges, college conferences and retail partners, 2,500 athletes and celebrities, and 200 exclusive athletes; and over 2,000 retail locations, including its Lids retail stores. We ignite the passions of global sports fans and maximize the presence and reach for our hundreds of sports partners globally by offering products and services across Fanatics Commerce, Fanatics Collectibles, and Fanatics Betting & Gaming, allowing sports fans to Buy, Collect, and Bet.
Jacksonville, FL29 days ago
RESPONSIBILITIES: Collaborate with various departments and regional staff to ensure accurate data is captured within our systems to maximize revenue and minimize expense exposure. SUMMARY: This is a multi-functional position; the person is responsible for multi-functional following all processes and procedures to ensure accurate and timely invoicing within the confines of specified deadlines.
p>Alert Team Leader of backlogs or issues requiring immediate attention Identify trended denials and report to supervisor, export trended/unpaid invoices on Excel t to track and provide to supervisor Must be knowledgeable of specialized billing, i.e. contracts and grants Perform special projects assigned by the Team Leader or Manager Verify completeness of registration information. Follow all Managed Care guidelines using the UFJPI Payor Claims Matrix and Managed Care Matrix for each contracted plan Identify and enter affected invoices on the MES (Monthly Escalation Spreadsheet) using Excel, ESM or separate spreadsheets that may be needed Inform Team Leader on the status of work and unresolved issues.
Jacksonville, Florida3 days ago
Verifies insurance coverage, resolves billing discrepancies with providers and payers, and analyzes accounts receivable to support effective management of outstanding balances. Drive accurate billing and efficient collections—playing a key role in optimizing revenue cycle performance and patient financial experience..
p>Alert Team Leader of backlogs or issues requiring immediate attention Identify trended denials and report to supervisor, export trended/unpaid invoices on Excel t to track and provide to supervisor Must be knowledgeable of specialized billing, i.e. contracts and grants Perform special projects assigned by the Team Leader or Manager Verify completeness of registration information. Follow all Managed Care guidelines using the UFJPI Payor Claims Matrix and Managed Care Matrix for each contracted plan Identify and enter affected invoices on the MES (Monthly Escalation Spreadsheet) using Excel, ESM or separate spreadsheets that may be needed Inform Team Leader on the status of work and unresolved issues.
Jacksonville, Florida3 days ago
Jax Spine & Pain Centers is seeking a detail-oriented and motivated Accounts Receivable (AR) Representative to join our Revenue Cycle team.
Why Join Our Team?
At Jax Spine & Pain Centers, we are committed to providing exceptional patient care while maintaining operational excellence.
JACKSONVILLE, FL30+ days ago
Working knowledge of medical terminology, medical insurance industry and ICD-10/CPT/HCPCS codes. Seeking dynamic talented candidates to join our fast growing DME team!
Jacksonville, FL12 days ago
Jacksonville, FL30+ days ago
Mental Health Resource Center is a not-for-profit Florida corporation that provides a wide range of mental health and behavioral health care services to the community such as 24-hour emergency services, inpatient psychiatric services for children, adolescents, and adults as well as outpatient services such as medication management, case management, and counseling. Reviews and utilizes Accounts Receivables aging and billing error reports for the purposes of correction, reconciliation, and problem resolution in regard to receivables, in an effort to prevent 90 and 120-day receivables.
Jacksonville, FL30+ days ago
REQUIRED QUALIFICATIONS: At least 2 years clinical nursing experience, including at least 1 year of utilization review (prospective, retrospective and concurrent clinical review), medical claims review, long-term services and supports (LTSS), claims auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience. Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record and claim submitted support correct coding to ensure appropriate reimbursement to providers.
Jacksonville, Florida30+ days ago
div>The New Patient Coordinator is responsible for processing and verifying all new patient referrals, scheduling an appropriate appointment, verifying insurance requirements, providing excellent care, collaborating effectively with all departments, and cultivating a nurturing atmosphere of courtesy, compassion, respect, empathy, dignity, and optimism. About Jax Spine & Pain Centers:ABOUT OUR PRACTICEWe are proud to be the leading providers of progressive interventional pain relief.
Jacksonville, Florida20 days ago
p/>Work cross-functionally and collaboratively with multiple field teams (Regional Directors, Oncology Medical Specialists from multiple teams, Key Account & Payer teams) to act as Reimbursement/Payer Subject Matter Expert, in efforts to support the healthcare provider segment.
Provide reimbursement support services/activities in concert with multiple field teams, to educate physician offices on payer policies, billing &coding and Regeneron Patient & Practice services, in efforts to streamline the acquisition and reimbursement processes for Regeneron products.
Jacksonville, FL30+ days ago
You must also attach the Veterans Preference Certification Form and if applicable, the additional forms as noted here: http://www.coj.net/departments/employee-services/veterans-preference. Our comprehensive benefit programs include medical, dental and vision plans; life insurance coverage for you and your dependents; flexible spending plans for medical reimbursement, dependent care, parking, and transit expenses; an employee assistance program for you and your dependents; a 457(b) tax-deferred compensation plan to supplement your retirement, and a ROTH IRA plan.
Jacksonville, FL30+ days ago
This role focuses on resolving aged accounts, researching payment discrepancies, managing payer denials, and ensuring timely reimbursement for services rendered. The Patient Account Representative II is responsible for advanced accounts receivable follow-up and resolution of complex insurance and patient billing issues.
Jacksonville, Florida30 days ago
ul style="direction:ltr;unicode-bidi:embed;margin-top:0in;margin-bottom:0in">Respond and send emails to all levels of management in the Revenue Cycle Departments, Cash Posting Department, Refunds Department, Managed Care, Referral Department, Clinics. Overview:
Responsible for obtaining appropriate reimbursement for Accounts Receivables for professional services of patients seen in physician offices, out-patient hospital, in-patient hospital, ASC, urgent care, ER, off-site hospitals and Telehealth locations while maintaining timely claims submissions.
Jacksonville, Florida10 days ago
Follow all Managed Care guidelines using the UFJPI Payor Claims Matrix and Managed Care Matrix for each contracted plan Identify and enter affected invoices on the MES (Monthly Escalation Spreadsheet) using Excel, ESM or separate spreadsheets that may be needed Inform Team Leader on the status of work and unresolved issues. Overview: Responsible for obtaining appropriate reimbursement for Accounts Receivables for professional services of patients seen in physician offices, out-patient hospital, in-patient hospital, ASC, urgent care, ER, off-site hospitals and Telehealth locations while maintaining timely claims submissions.
Jacksonville, FL30+ days ago
p>What you’ll bring to the table: A high school diploma or equivalent, excellent organizational & interpersonal communication skills, the ability to remain calm and supportive towards our patients in busy or stressful situations, and preferably two years’ experience in a medical front office or customer service setting. What you’ll be doing: We are hiring a Patient Services Advocate to help us in creating the ultimate patient experience upon entrance to a CareSpot clinic, providing exemplary customer service from check-in to check-out.
Jacksonville, FL17 days ago
p>What you’ll bring to the table: A high school diploma or equivalent, excellent organizational & interpersonal communication skills, the ability to remain calm and supportive towards our patients in busy or stressful situations, and preferably two years’ experience in a medical front office or customer service setting. What you’ll be doing: We are hiring a Patient Services Advocate to help us in creating the ultimate patient experience upon entrance to a CareSpot clinic, providing exemplary customer service from check-in to check-out.
p>What you’ll bring to the table: A high school diploma or equivalent, excellent organizational & interpersonal communication skills, the ability to remain calm and supportive towards our patients in busy or stressful situations, and preferably two years’ experience in a medical front office or customer service setting. What you’ll be doing: We are hiring a Patient Services Advocate to help us in creating the ultimate patient experience upon entrance to a CareSpot clinic, providing exemplary customer service from check-in to check-out.
Jacksonville, Florida30+ days ago
div>Provide direct patient care as assigned, including: