Certified Risk Adjustment Coder

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  • Location: Dunedin, FL

  • Company: Ama Medical Group

IT in Clearwater, FL

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Claims adjustment representative - remote in louisiana
1
Claims adjustment representative - remote in louisiana
Clearwater, FL
Dec 25, 2023

people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us and start doing your life’s best work. SM This position is full-time Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours ( Flexible working hours after ramp).

It may be necessary, given the business need, to work occasional overtime. We offer weeks of on-the-job training. The hours of the training will be aligned with your schedule. All Telecommuters will be required to adhere to United Health Group’s Telecommuter Policy. Primary Responsibilities:

Update claim information based on research and communication from member or provider Complete necessary adjustments to claims and ensure the proper benefits are applied to each claim by using the appropriate processes and procedures (e.

g. claims processing policies and procedures, grievance procedures, state mandates, CMS/Medicare guidelines, benefit plan documents/certificates) Communicate extensively with members and providers regarding adjustments to resolve claims errors/issues, using clear, simple language to ensure understanding Learn and leverage new systems and training resources to help apply claims processes/procedures This is a challenging role with serious impact. You’ll

be providing a high level of support and subject matter expertise within a fast paced, intense and high volume claims operation where accuracy and quality are essential.

Multitasking in this role is required to conduct data entry and rework, analyzing and identifying trends as well as completing reports daily. You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: High school diploma / GED or equivalent work experience 6+ months of claim processing experience or medical or insurance experience Claim processing experience in Facets (CSP Platform) Demonstrated ability in using computer and Windows 365 applications, which includes the ability to learn new applications Ability to full-time Monday - Friday.

Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours ( Flexible working hours after ramp). It may be necessary, given the business need, to work occasional overtime. Must be 18 years of age or older Preferred Qualifications : 1+ years of experience of Medicaid and Medicare policies and regulations 2+ years of experience processing original claims or reworks Experience working with Microsoft Teams Experience working with Microsoft Outlook Experience working with Microsoft Power Point Microsoft Excel ( sorting data, basic formulas, v-lookup, and pivot tables) Soft Skills: Ability to compose grammatically correct correspondence that translates medical and insurance expressions into simple terms that members can easily understand Results-oriented Telecommuting Requirements: Reside within the state of Louisiana Ability to keep all company sensitive documents secure (if applicable) Required to have a dedicated work area established that is separated from other living areas and provides information privacy.

Must live in a location that can receive a United Health Group approved high-speed internet connection or leverage an existing high-speed internet service. At United Health Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, interactionuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes.

We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission. Diversity creates a healthier atmosphere: United Health Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, interaction, age, national origin, protected veteran status, disability status, interactionual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

United Health Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. #RPO #YELLOWFor more details: jobs-search. org/information-technology_clearwater-c427743/claims-adjustment-representative-remote-in-louisiana-clearwater_i1971951398

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Web Flow Developer
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Web Flow Developer
Clearwater, FL
Dec 13, 2023

and key deliverables to peers and executive level stakeholders Write clean, efficient, and maintainable HTML, CSS, and Java Script code within Web Flow platform and apply/enforce accessibility standards to all work Proficient in actively using Finsweet tools, best practices, and using client-first coding methodology ( source ) Identify and resolve bugs, issues, or inconsistencies in the design or functionality via the website or mobile sites Conduct thorough testing of websites to ensure cross-browser compatibility, responsiveness, and optimal performance Manage, maintain and create multi types of pages, while managing multiple web development projects simultaneously, ensuring timely delivery

and adherence to project timelines and page optimization Continue to establish and promote design guidelines, best practices, and brand standards Other duties as assigned QUALIFICATIONS: BS in Computer Science, Web Development, or a related field Must be proficient in Responsive Design, Photoshop, Illustrator, Webflow Platform, HTML/CSS, Basic Javascript, or other visual design and wire-framing tools Demonstrable graphic design skills with strong portfolio Solid experience in creating wireframes, storyboards, user flows, process flows, and site maps Excellent visual design skills with sensitivity to user-system interaction Proficient in coding in REM units (not PX) Ability to solve problems creatively

and effectively A solid understanding of how web applications work including security, session management, and best development practices Hands-on experience with network diagnostics, network analytics tools Aggressive problem diagnosis and creative problem-solving skills Strong organizational skills with a keen attention to detail and ability to juggle multiple tasks within the constraints of timelines and budgets with business acumen Ability to work and thrive in a fast-paced environment, learn rapidly and master diverse web technologies and techniques.

Job Posted by Applicant Pro

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Senior Network Engineer
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Senior Network Engineer
Clearwater, FL
Nov 08, 2023
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Risk Adjustment Coding Specialist
1
Risk Adjustment Coding Specialist
Clearwater, FL
Oct 19, 2023

IT In Florida

1
General dentist - winter garden, fl
Apopka
Dec 24, 2023

an environment that encourages full clinical autonomy , with the ability to tap into a robust mentorship program and a network of more than 1600 supported doctors. You’ll work a schedule that inspires work life balance and receive competitive benefits, endless PTO and the opportunity to earn unlimited compensation.

Lead your ideal practice, invest in your community, leave a legacy, and do it all with the support of Heartland Dental! What You’ll Gain Unlimited PTO, paid holidays and continuing education, competitive benefits including health insurance and retirement savings plans Guaranteed base salary Uncapped earning potential Opportunity to build wealth by participating in Heartland

Dental stock offerings You will have a full clinical team including a dental hygienist and dental assistant to support you in delivering lifetime patient care World class continuing education focused on helping you achieve the elite clinical skills you desire Ability to earn your FAGD through the Doctor Mastery Program which allows you to offer a broader menu of services to your patients Access to an expansive network of mentors with 1:1 mentorship support and networking opportunities available at your fingertips Unparalleled business support and the highest quality technology, supplies, and labs means you’re in the driver’s seat About Like each Heartland Dental supported office, Dental Care

at the Mark is unique to the community and the patients they serve.

With support of a practice manager and a highly trained team on site, coupled with a vast network of experts across the nation, you’ll be completely connected to all the resources and support of Heartland Dental. Join a 10 person team that thrives on collaboration, high energy and communication Providing full-comprehensive dentistry through up-to-date technology You’ll need to have DDS/DMD degree, active and unrestricted license in state of Florida Clinical knowledge to practice comprehensive dentistry, including diagnosis and treatment of oral health issues Desire to continue learning and grow clinical skills to meet needs of patients Ability to become credentialed with dental insurance plans It’s a plus if you have Invisalign certification or desire to become invisalign certified through company provided CE Endodontic skill set or desire to advance skills through company provided CE Physical Requirements Ability to perform essential duties satisfactorily with or without reasonable accommodation.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties of the position Prolonged periods sitting and standing Must be able to lift and carry up to 45 pounds at times Availability to attend virtual training sessions (or in-person) periodically throughout the year Who is Heartland Dental?

As the largest and one of the fastest growing Dental Support Organizations, Heartland Dental provides exceptional service to its more than 2,300 supported doctors in 38 states and over 1,400 supported offices. Each Heartland Dental supported office is unique to the community and the patients they serve. Supported Doctors are the leaders of their practice and set forth their own clinical care philosophies. With the largest network of doctors, we are founded by a doctor for doctors with a mission to support dentists and their teams as they deliver the highest quality dental care and experiences to the communities they serve while providing exceptional careers and creating value for our stakeholders.

At Heartland Dental, we’re committed to living our core values which promote diversity and inclusion. We provide all employees and applicants for employment the protections of federal, state, and local laws affording equal opportunity in employment. COVID-19: The Company and supported offices comply with all local, state and federal regulations.

Employment is contingent upon an individual's continued compliance with regulations and Company policy, including COVID-19 vaccination or testing. For more details: jobs-search. org/general-dentist_winter-garden-c427666/general-dentist-winter-garden-fl-winter-garden_i1971449297

1
Ft rn on-call runner- nights - cornerstone hospice
Apopka
Dec 05, 2023

in our success! Role: The Field Care Advisor Nurse provides after-hours field visits to patients, families, and community partners. Establishes and maintains positive relationships with team members, patients/families, and referral resources. Qualifications: Current license as RN in the state where the employee will be working Minimum of one (1) year nursing experience; hospice or hospital experience preferred Previous experience working with an EMR/EHR (Electronic Medical/Health Record) system Ability to effectively communicate in English (verbal and written); bi-lingual in Spanish preferred Mobile Driver - Valid driver's license and automobile insurance per Company policy Reliable transportation

to meet patients' needinteractioncellent critical decision making and problem-solving skillinteractioncellent clinical and backssment skills Ability to use equipment with visual and auditory mechanisminteractioncellent time management skills with the ability to prioritize demands to meet patient service standards and deadlines Ability to effectively handle stressful situations professionally and calmly with exceptional customer service Strong patient service skills Information seeking / probing skills Accurate knowledge transfer Listening, understanding, and responding Able to navigate in a fast-paced environment utilizing interpersonal skills during patient visits Ability to work in a cooperative

team environment Able to exhibit a sense of urgency in daily work activities Skilled in computer operations; proficiency in MS Office software applications, on-line research and proven data entry and navigation skills Available to work shifts to accommodate extended hours of operation as scheduled Ability to perform sedentary work with frequent interruptions Ability to manage the emotional stress of working with and caring for terminally ill patients and their families Ability to perform the essential functions and physical requirements (including, but not limited to: lifting patients and/or equipment, bending, pushing/pulling, kneeling) of the job with or without reasonable accommodations Active BLS for healthcare professionals from the American Heart Association or Red Cross.

Employees hired prior to 12/31/2022 must obtain certificate prior to 10/1/2023Some locations may require: Completes clinical admissions for all Company services including, but not limited to: Explains services to potential patients/families and addresses questions regarding patient fears, physical limitations, while putting the patient/family at ease; presents services in an empathetic and compassionate manner Identifies admission objections, concerns or other entry barriers and provides responses Educates patient/family on admission requirements and addresses immediate needs Completes informed consents and initial backssment according to regulations and Company policy Provides information to Physicians and initiates Plan of Care to address patient's immediate needs Initiates skilled nursing interventions to prevent complications, alleviate symptoms and maximize physical and emotional comfort Obtains Physician orders Completes documentation per Company policy Acts as the Company representative at assigned facilities while facilitating referrals to all service lines; works closely with referring hospitals, physicians, facilities, patients, families, and the general public.

Communicates frequently with Admissions to ensure timely follow-up. When assignment is complete, informs Admissions and prepares for next assignment. Provides all necessary clinical communication timely using SBAR. Discusses any potential needs with after-hours staff. Obtains consents for services and arranges safe discharge in an efficient manner for referred and eligible patients while meeting productivity expectations. Obtains medical record information for the referral.

Develops strong relationships with case managers, physicians, etc. at facilities. Works with Professional Relations Representatives (PRRs) to provide education on all available services. Provides care for any GIP patients in a hospital including daily visits, professional management, documentation and efficient discharge. Competencies: Satisfactorily complete competency requirements for this position. Responsibilities of all employees: Represent the Company professionally at all times through care delivered and/or services provided to all clients. Comply with all state, federal and local government regulations, maintaining a strong position against fraud and abuse.

Comply with Company policies, procedures and standard practices. Observe the Company's health, safety and security practices. Maintain the confidentiality of patients, families, colleagues and other sensitive situations within the Company. Use resources in a fiscally responsible manner. Promote the Company through participation in community and professional organizations. Participate proactively in improving performance at the organizational, departmental and individual levels. Improve own professional knowledge and skill level.

Advance electronic media skills. Support Company research and educational activities. Share expertise with coworkers both formally and informally. Participate in Quality backssment and Performance Improvement activities as appropriate for the position. Job Responsibilities: Makes after-hours visits to patients in their home, assisted living facility, nursing home, or hospital, anywhere within the assigned affiliate(s) territory. Provides compassionate customer service to patients and families backsses patient/family and identifies immediate needs and appropriate nursing interventions by phone and/or during visit.

Provides and manages direct care to patients and families as part of Interdisciplinary Group (IDG), incorporating psychosocial, spiritual, cultural, physical and biological components, and appropriate nursing intervention and follow-up. Demonstrates clinical skills regarding case management, application of company policy and procedure, physical backssment, intravenous therapies, pain medication titration, symptom management, and patient/family relationships. Prioritizes, consults, refers, and collaborates with other professionals to promote quality and continuity of patient/family care.

Educates patient, family, caregivers and other health professionals about disease process and decline, palliative interventions, care giving, dying process, and safety practices. Reports changes in the patient's condition to appropriate members of the IDG or other health professionals. Attends patient deaths; prepares body for transport; oversees disposal of medications; and provides bereavement support. Completes documentation per policy and procedure. Perform other duties as assigned. This position requires consent to drug and/or alcohol testing after a conditional offer of employment is made, as well as on-going compliance with the Drug-Free Workplace Policy.

For more details: jobs-search. org/information-technology_tavares-c427593/ft-rn-on-call-runner-nights-cornerstone-hospice-tavares_i1949950592

1
Part-time med surg nights registered nurse tavares fl
Apopka
Dec 05, 2023

to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. Advent Health is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team.

All while understanding that together we are even better. Schedule: Full-time Shift : Night Shifts (6:45pm to 7:15am). Every other weekend is required. The community you'll be caring for: Advent Health Waterman: 1000 Waterman Way, Tavares, FL 32778 The role you'll contribute: The Registered Nurse promotes and restores patients' health by completing

the nursing process; collaborating with physicians and multidisciplinary team members; providing physical and psychological support to patients, friends, and families; and supervising assigned team members.

The value you'll bring to the team: Performs nursing backssments and data collection for patients focusing on the physiological, cultural, psychological, spiritual and cognitive status of the patient. Develops and implements a plan of care that is individualized and goal directed based on patient needs and standards of care. Evaluates and revises the plan of care as defined by policy. Demonstrates effective problem resolution skills. Advocates and supports patients and families to

receive the care and treatment needed as identified in the plan of care.

Records care, patient condition and interventions taken in the medical record in an accurate and timely manner. Completes initial and annual clinical competencies backssments. Qualifications The expertise and experiences you'll need to succeed : Minimum qualifications : Graduate of a School of Nursing, Associates Degree or Diploma. Active Florida RN license required. Preferred qualifications: Bachelors (BSN) degree Prior hospital/acute care nursing experience This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

Category: Nursing Organization: Advent Health Waterman Schedule: Part-time Shift: 3 - Night Req ID: 23036352 We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, interaction, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment. For more details: jobs-search. org/part_tavares-c427593/part-time-med-surg-nights-registered-nurse-tavares-fl-tavares_i1949642120

1
Dental hygienist
Apopka
Dec 14, 2023

need, deserve and desire. With best-in-class support through our robust Hygiene mentor program and unparalleled educational offerings to enhance your clinical skills – you’ll be 100% supported as you provide exceptional lifetime care to your patients! What You’ll Gain Competitive benefits including health insurance and retirement savings plans, six paid holidays and PTO (paid time off)Continuing education to provide you opportunity to develop your full potential and enhance your clinical skills to provide education and care to your patients.

Access to an expansive network of mentors with 1:1 hygiene mentorship support and networking opportunities available at your fingertips. Unparalleled

business support and the highest quality supplies and labs to deliver exceptional patient care. Opportunity to be a part of a secure company with 20+ years of industry leading experience that provides a stable career with unlimited growth potential Minimum Qualifications Current dental hygienist license in FL and an Associate’s or Bachelor’s degree in dental hygiene (where required)Excellent working knowledge of dentistry, dental hygiene procedures, dental patient screening and medical history documentation CPR Certification Preferred Experience Experience using Velscope, Diagnodent, digital scanner, digital x-rays and electronic medical record systems Desire to continue learning and grow clinical

skills to meet needs of patients and provide preventative care and overall maintenance of patients’ dental health Clinical needs as required by office Experience preferred Physical Requirements Ability to perform essential duties as deemed necessary by the Office/ Doctor/ Heartland Dental with or without reasonable accommodation.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties of the position Prolonged periods sitting and standing Must be able to lift and carry up to 45 pounds at times Availability to attend virtual training sessions (or in-person) periodically throughout the year Who is Heartland Dental?

As the largest and one of the fastest growing Dental Support Organizations, Heartland Dental provides exceptional service to its more than 2,300 supported doctors in 38 states and over 1,400 supported offices. Each Heartland Dental supported office is unique to the community and the patients they serve. Supported Doctors are the leaders of their practice and set forth their own clinical care philosophies. With the largest network of doctors, we are founded by a doctor for doctors with a mission to support dentists and their teams as they deliver the highest quality dental care and experiences to the communities they serve while providing exceptional careers and creating value for our stakeholders.

At Heartland Dental, we’re committed to living our core values which promote diversity and inclusion. We provide all employees and applicants for employment the protections of federal, state, and local laws affording equal opportunity in employment. COVID-19: The Company and supported offices comply with all local, state and federal regulations. Employment is contingent upon an individual's continued compliance with regulations and Company policy, including COVID-19 vaccination or testing.

For more details: jobs-search. org/dental-hygienist_winter-garden-c427666/dental-hygienist-winter-garden_i1960778104

1
Dental hygienist
Apopka
Dec 14, 2023

desire. With best-in-class support through our robust Hygiene mentor program and unparalleled educational offerings to enhance your clinical skills – you’ll be 100% supported as you provide exceptional lifetime care to your patients! What You’ll Gain Competitive benefits including health insurance and retirement savings plans, six paid holidays and PTO (paid time off)Continuing education to provide you opportunity to develop your full potential and enhance your clinical skills to provide education and care to your patients.

Access to an expansive network of mentors with 1:1 hygiene mentorship support and networking opportunities available at your fingertips. Unparalleled business support

and the highest quality supplies and labs to deliver exceptional patient care. Opportunity to be a part of a secure company with 20+ years of industry leading experience that provides a stable career with unlimited growth potential Minimum Qualifications Current dental hygienist license in FL and an Associate’s or Bachelor’s degree in dental hygiene (where required)Excellent working knowledge of dentistry, dental hygiene procedures, dental patient screening and medical history documentation CPR Certification Preferred Experience Experience using Velscope, Diagnodent, digital scanner, digital x-rays and electronic medical record systems Desire to continue learning and grow clinical skills to meet

needs of patients and provide preventative care and overall maintenance of patients’ dental health Clinical needs as required by office New Grads welcome to apply Physical Requirements Ability to perform essential duties as deemed necessary by the Office/ Doctor/ Heartland Dental with or without reasonable accommodation.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties of the position Prolonged periods sitting and standing Must be able to lift and carry up to 45 pounds at times Availability to attend virtual training sessions (or in-person) periodically throughout the year Who is Heartland Dental?

As the largest and one of the fastest growing Dental Support Organizations, Heartland Dental provides exceptional service to its more than 2,300 supported doctors in 38 states and over 1,400 supported offices. Each Heartland Dental supported office is unique to the community and the patients they serve. Supported Doctors are the leaders of their practice and set forth their own clinical care philosophies. With the largest network of doctors, we are founded by a doctor for doctors with a mission to support dentists and their teams as they deliver the highest quality dental care and experiences to the communities they serve while providing exceptional careers and creating value for our stakeholders.

At Heartland Dental, we’re committed to living our core values which promote diversity and inclusion. We provide all employees and applicants for employment the protections of federal, state, and local laws affording equal opportunity in employment. COVID-19: The Company and supported offices comply with all local, state and federal regulations. Employment is contingent upon an individual's continued compliance with regulations and Company policy, including COVID-19 vaccination or testing.

For more details: jobs-search. org/dental-hygienist_windermere-c427421/dental-hygienist-windermere_i1960779148

1
Helpdesk Technician
Apopka
Dec 04, 2023