Managed Care Jobs in Ocala
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Search Results - Managed Care Jobs in Ocala
Gainesville, 34 mi from Ocala
Overview:
Training for this position is onsite for the first two months, after which the role will transition to a hybrid schedule.
Supports the management and administration of managed care contracts within the health system. Assists in drafting...
ufhealth.org -
Physician Assistant / Geriatrics / Florida / Locum Tenens / Nurse Practitioner / Physician Assistant
MASC Medical Recruitment Firm-Summerfield (FL), 15 mi from Ocala
or Physician Assistant program required
• Preferably 3 Years of experience working in a primary
care setting
• State of Florida License Requirements
• Bilingual English/Spanish- Strongly preferred
• Managed Care, Medicare Advantage & HEDIS coding...
Gainesville, 34 mi from Ocala
Overview:
The Director, Contracting & Operations is responsible for providing guidance and leadership to the Managed Care Account Management and Population Care Management teams for the Gainesville campus. Responsible for direct oversite...
ufhealth.org -
Altea Healthcare-Crescent City (FL), 37 mi from Ocala
Medical License
• Strong understanding of medical terminology and physiology
• Experience with managed care and EHR systems
• Experience in patient care and hospital environments
Employee must be able to perform the essential functions of this position...
Gainesville, 34 mi from Ocala
billing claims according to Federal/Managed Care rules, regulations and compliance guidelines, patient account research and resolution, insurance verification and benefits determination, identification of reimbursement issues, resolution of credits...
ufhealth.org -
Gainesville, 34 mi from Ocala
authorization performance, and payer behaviors to drive improvements. Leads initiatives to enhance coding effectiveness and appeal turnaround times, while educating departments on compliant charging, billing, and coding practices. Collaborates with Managed Care...
ufhealth.org -
Gainesville, 34 mi from Ocala
billing claims according to Federal/Managed Care rules, regulations and compliance guidelines, patient account research and resolution, insurance verification and benefits determination, identification of reimbursement issues, resolution of credits...
ufhealth.org -
Gainesville, 34 mi from Ocala
and coding practices. Collaborates with Managed Care and Compliance to resolve reimbursement and payer-related issues.
Responsibilities:
Position Summary / Key Responsibilities
• Serves as the enterprise-level dynamic denial management coding analyst...
ufhealth.org -
Gainesville, 34 mi from Ocala
to strengthen referral partnerships.
• Partners with legal and managed care teams regarding transfer agreements and market positioning.
Regulatory & Risk Oversight (Strategic Level)
• Serves as subject matter expert on EMTALA and access-to-care regulations...
ufhealth.org -
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