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Compliance Oversight Analyst
Eon Heath Plans - Miramar, FL
Assessments of departmental compliance, specific to Medicare Part C and Medicare Part D requirements. Identification of instances of non-compliance and/or...
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Sponsored
Community Specialist
eQHealth Solutions - Miami, FL
Position engaged in teaching Medicare beneficiaries, family and caregivers how to prevent, detect and report Medicare Fraud through community outreach,...
Sponsored
Nurse Practitioner - ARNP / Nurse Consultant
Chapters Health System - Sebring, FL
ARNP certification recognized by CMS for Medicare billing. Model highest standards of conduct and ethical behavior, adopting a strong position against fraud and...
Sponsored

Medical Review Nurse - Remote FL

HMS - 478 reviews - Miramar, FL
Use knowledge of fraud, waste and abuse definitions to identify and participate in fraud referral when indicated....

Access Service Coordinator

SOUTH - Martin Health System Hospital - Port Salerno, FL
Must obtain passing (90% or better) score on Medicare Fraud & Abuse test during probationary period. Interviews patients to gather demographic and financial...

Investigative Analyst

ISN CORPORATION - Tampa, FL  +1 location
The Investigative Analyst is responsible for identifying subjects, initiating investigations, and developing cases for potential Medicare/Medicaid fraud....
Easily apply

Medical Billing Account Representative

Intralign - Tampa, FL
Know and adhere to company policies regarding HIPAA or Fraud and Abuse. Report any violations of the HIPAA or Fraud and Abuse policies to your Team Leader....

Case Manager

Consulate Health Care - Palm Coast, FL
Greet newly admitted care and Medicare residents upon admission. Participate in all Medicare and managed care resident interdisciplinary meetings....

Access Service Coordinator

NORTH - MAIN MEDICAL CENTER - Martin Health System - Stuart, FL
Must obtain passing (90% or better) score on Medicare Fraud & Abuse test during probationary period. Interviews patients to gather demographic and financial...

Social Services Assistant

Jacaranda Manor - Saint Petersburg, FL 33709
Report suspected or known incidence of fraud relative to false billings, cost reports, kickbacks, etc. The primary purpose of your job position is to assist in...
Easily apply

Patient Service Representative- REHAB

All Facilities - Martin & St. Lucie - Port Saint Lucie, FL
Eviews Medicare Secondary Payor (MSP) queries to determine payor for Medicare and Medicare HMO patients. Must obtain passing (80% or better) score on Medicare...

Health First Health Plans - Case Manager - Orlando - Full Ti...

Health First Health Plans, Inc - Rockledge, FL
Knowledge of CPT codes, HEDIS, HIPAA, ICD-9 codes, Medicare Guidelines, and NCQA. The HFHP Case manager is responsible and accountable for providing Quality /...

Community Specialist

eQHealth Solutions - Miami, FL
Position engaged in teaching Medicare beneficiaries, family and caregivers how to prevent, detect and report Medicare Fraud through community outreach,...

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