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The Maercks Institute is a unique plastic surgery practice in Miami, FL, founded by Dr. Rian A. Maercks M.D., known for his innovative and individualized approach to plastic surgery.. Dr. Maercks practices a novel art, crafting interventions based on the needs and desires of each patient rather than offering standard options.. The institute emphasizes balance and harmony over traditional augmentation, with a focus on aesthetic facial balancing, MAERCKS facelifts, facelift revision and Cold-Subfascial Breast Augmentation™.. This is a full-time on-site role for a Patient Care Coordinator at The Maercks Institute in Miami, FL. The Patient Care Coordinator will be responsible for appointment scheduling, phone etiquette, care coordination, medical terminology, and patient care on a day-to-day basis.. Certification or training in healthcare administration is a plus
Sylvester Comprehensive Cancer Center, part of the University of Miami Health System and the University of Miami Miller School of Medicine is initiating a search for a Staff Medical Oncologist.. Reports all Quality Assurance (QA) incidences, including mediation errors, to responsible physician using department guidelines.. Incumbent will have a focus in the treatment of malignant cancers, to include research protocols, leading to peer-reviewed publications and funded clinical trials.. UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by groundbreaking research and medical education at the Miller School of Medicine.. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean.
We are looking to hire a dynamic MDS nurse to work at our medical care facility. Your duties will include facilitating the MDS process and assisting patients with Medicaid or health insurance particulars. To ensure success as an MDS nurse, you should be able to rapidly assess situations to make critical decisions about patient care. Ultimately, a top-notch MDS nurse should be able to work with a high volume of data and intricate medical reports. Making recommendations for patient support and healthcare facility operations to ensure that patient care procedures are integrated in accordance with medical law.
Join to apply for the MDS Coordinator role at Outfield Healthcare Partners.. We have several new facilities in New Mexico that require an experienced MDS Coordinator.. Your Job Summary: The MDS Coordinator will be responsible for timely and accurate completion of the RAI process and care management from admission to discharge, in accordance with company policies, federal, state, and certification guidelines.. Guide staff in the RAI process, PPS Medicare, Medicaid, and related systems.. Strong knowledge of Case-Mix, Medicare PPS, and Medicaid reimbursement.
Specialty areas of research across our sites include Psychiatry, Acute Post Op Pain, Asian Bridging, Dermatology, GI, and Neurology.. This is a position within the setting of clinical research for individuals with psychiatric diagnosis who are participating in clinical trials.. The Patient Care Technician I advocates for clients, ensuring that the clients psychosocial needs are being addressed while participating in clinical trials and assists with retention of clients in research.. Coordinating transportation for discharge, appointments off unit (visit to SSI office, interview for housing), doctor appointments and ensuring all calendars are updated with necessary information.. Assisting clients with other miscellaneous needs while on the unit (paying rent, paying bills, checking in with probation officers, purchasing items to maintain ADLs, obtaining clothes from shelters etc.)
Summary:Ambulance Medical Billing Specialist is responsible for billing and collection processes for National Health Transport's ambulance trips.. Ambulance Medical Billing Specialist answers inquiries from insurance companies, patients, and processes claims accordingly.. Identify and separate denials by code and payer Follow through with payers correspondence in a timely manner.. Directs patient complaints to the Billing Operations Supervisor for completion and filing.. DFWP Opportunities posted here do not create any implied or express employment contract between you and our company / our clients and can be changed at our discretion and / or the discretion of our clients.
The EMR Analyst plays a crucial role in supporting the implementation, maintenance, and optimization of Electronic Medical Records (EMR) systems.. Proven experience (2-5 years) as an EMR Analyst or in a related IT/healthcare role.. Experience with EMR/EHR systems (e.g., eCW, Epic, Cerner, Meditech, Allscripts, Medisoft) is highly preferred.. Bachelor's degree in Healthcare Administration, Information Technology, Health Information Management, or a related field (or equivalent experience).. eClinicalWorks: 2 years
Ensures safety and injury prevention for patients at high risk for falls, elopement, and other at risk behaviors including disruption of treatment through continual visual surveillance via remote monitoring system.. Knowledgeable and supportive of patient and Memorial Healthcare System (MHS) confidentiality along with related safety policies and procedures.. We encourage candidates to talk to their Memorial Healthcare System recruiter to discuss actual pay rates, during the hiring process.. Memorial Healthcare System is proud to be an equal opportunity employer committed to workplace diversity.. Memorial Healthcare System recruits, hires and promotes qualified candidates for employment opportunities without regard to race, color, age, religion, gender, gender identity or expression, sexual orientation, national origin, veteran status, disability, genetic information, or any factor prohibited by law.
Identify trends in high-cost, catastrophic, and unapproved claims to help streamline the claims review process and prevent future claim denials.. Bachelor’s degree in nursing, Healthcare Administration, Medical Billing & Coding, or a related field.. Certification in Case Management (CCM, ACM), or related claims certifications (e.g., CPC, CPMA) plus.. Experience working with LATAM or International Private Medical Insurance (IPMI Industry). Minimum of 3 years of experience in case management and claims processing within the health insurance industry, with a focus on high-cost, catastrophic, or complex claims.
With over 30 years of experience, we are the trusted market leader in Home Health, Durable Medical Equipment, and Home Infusion Services.. The Senior Director will manage audit processes, training programs, quality improvement initiatives, and grievance resolution, while also supporting fraud, waste, and abuse investigations.. 6-8 years of experience in Healthcare (Health Plan operation, Managed Healthcare) Strong understanding of NCQA and CMS accreditation requirements.. Strong knowledge of home health, home infusion, and DME areas.. Experience in utilization management, denials, and appeals Management.
Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About CarePlus Health Plans: CarePlus Health Plans is a recognized leader in healthcare delivery that has been offering Medicare Advantage health plans in Florida over 23 years. CarePlus strives to help people with Medicare, or both Medicare and Medicaid, achieve their best possible health and wellness through plans with benefits and services they care about. About Humana: Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers, and our company. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
Benefits: Competitive salary Dental insurance Free uniforms Health insurance Paid time off Training & development Vision insurance About Us: Florida Doctors Group is a leading MSO committed to improving health outcomes, ensuring compliance, and supporting our providers through hands-on collaboration.. We’re currently seeking a dedicated HEDIS Coordinator to join our Quality team and help drive performance across our provider network.. Job Summary: We are looking for an experienced and proactive HEDIS Coordinator with a solid understanding of Medicare and Medicaid to support our quality improvement initiatives.. Work with internal teams (credentialing, provider relations, IT) to streamline workflows and ensure data accuracy.. Familiarity with NCQA standards and HEDIS metrics.
Life Time provides non-medical management services for MIORA. MIORA’s professionals focus on whole health, with a mission to help their patients—whether Life Time members or guests—optimize their health with MIORA’s personalized medicine.. Position SummaryThe Patient Care Coordinator at MIORA MN is a vital member of our healthcare team, responsible for ensuring a seamless and positive experience for patients.. The Patient Care Coordinator will serve as a primary liaison between patients and healthcare providers, helping to facilitate comprehensive and coordinated care.. Administrative Duties:Maintain accurate and up-to-date patient records in the clinic’s electronic health record (EHR) system.. Education:Registered Nurse (RN), Certification as a Medical Assistant (CMA) or Patient Care Technician (PCT)Years of Experience:Previous experience in a healthcare setting, particularly in patient care coordination or a similar role, is highly desirable.
The Sylvester Comprehensive Cancer Center has an exciting opportunity for a Full-Time Clinical Research Coordinator 2 to work in the UHealth Campus.. The Clinical Research Coordinator 2 serves as a mid-level clinical research professional that assists in the planning, coordinating, implementing, monitoring, and evaluating of specific clinical research studies.. UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine.. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean.. As a result, during the Influenza ("the flu") season (September through April), the University Of Miami Miller School Of Medicine requires all employees who provide ongoing services to patients, work in a location (all Hospitals and clinics) where patient care is provided, or work in patient care or clinical care areas, to have an annual influenza vaccination.
They are currently looking to add a Regulatory Affairs Specialist to their team.. Salary/Hourly Rate: $70k – $85k DOE Position Overview: The Regulatory Affairs Specialist position entails managing diverse regulatory information and legal documentation requests from both internal and external stakeholders.. These stakeholders include but are not limited to sample labs/shipping, production/logistics, customer service, perfumers, evaluators, and sales invites applications for a full-time Regulatory Affairs Specialist.. Responsibilities of the Regulatory Affairs Specialist: Complete compliance evaluations based on applicable regulations, legislative requirements, and customer guidelines for internal and external customers, leveraging skills and knowledge obtained through education or industry experience.. Utilize Product Lifecycle Management (PLM) software to generate standard regulatory documents such as Safety Data Sheets, Technical Data Sheets, Certificate of Analysis, EU Allergen Statement, IFRA Certificates (International Fragrance Association), and compliance statements.
José Milton Memorial Hospital at Jackson West adds richness and diversity to west Miami-Dade, thanks to a generous donation by the Milton Family Foundation.. For the first time, residents in this area have easy access to a hospital that features adult and pediatric emergency rooms, advanced surgical and imaging suites, and 100 private inpatient suites which include 24 Bed Emergency Department.. ED staffed with double coverage at all times and include swing and APRN coverage.. Follows established departmental policies, procedures, and objectives, continuous quality improvement objectives, and safety, environmental, and/or infection control standards.. Collaborates with Radiology, Pathology, Surgery, Medical Oncology, and Nursing in the clinical management of patients.
HarmonyCares is a family of companies all dedicated to providing high-quality, coordinated health care in the home.. Day Time Hours (no holidays/weekends). The Patient Care Coordinator provides clinical support to HarmonyCares Medical Group patients primarily through phone encounters.. The Patient Care Coordinator is a member of the patient’s care team, assisting with necessary care coordination efforts and proactively monitoring patients upon instruction.. Proficiency in using electronic health records (EHR) system, call center technology, and Microsoft Office Suite
Ambulance Medical Billing Specialist is responsible for billing and collection processes for National Health Transport's ambulance trips.. Ambulance Medical Billing Specialist answers inquiries from insurance companies, patients, and processes claims accordingly.. Directs patient complaints to the Billing Operations Supervisor for completion and filing.. Certified Ambulance Coder helpful. Opportunities posted here do not create any implied or express employment contract between you and our company / our clients and can be changed at our discretion and / or the discretion of our clients.
Moderate computer knowledge: MS Word and MS Excel, internet, document with Electronic Health Records and/or authorization system with minimal typing/spelling errors, send e-faxes and email.. Review medical records to identify if appropriate ICD-10 coding based on CMS/HCC categories is correct for billing purposes. Assist Practice Administrator in updating practice or Doctor’s license(s)including but not limited to county, city and CLIA as well as distributing HEDIS/MRA reports to multiple providers. Posting payments via ERA and manual posting of all Medicare, Medicaid and Third-Party Payers. Review accounts for possible assignment and make recommendations to the practice administrator
The Senior Director, Behavioral Health Operations Oversight ensures behavioral health program integrity and compliance with state and federal regulatory standards and accreditation standards. Requires experience in California Compliance, HIPAA/Privacy, FWA and/or Regulatory Affairs operations preferred, including 6 years of management experience.. Certificate of Healthcare Compliance (CHC) preferred.. Expert knowledge of state behavioral health regulatory requirements under the Centers for Medicare & Medicaid Services, Department of Managed Health Care and Department of Health Care Services.. Strong interpersonal skills with the ability to establish and maintain effective working relationships with individuals at all levels both inside and outside the Health Plan