48 Results for

Medical Review Specialist Jobs in Sarasota, FL

Jobs

St Petersburg, FL30+ days ago

Success Factors: Success in this role is defined by: KPIs: Maintain an average Days in A/R of 35 or less, resolve credit balances monthly, manage claims effectively, review rejected claims within 5 days, and address preventable denials with appropriate edit scrubs. Your responsibilities will include reviewing rejected claims, making justified adjustments, handling appeals for denied or underpaid claims, creating monthly Accounts Receivable reports, and resolving issues with provider representatives.

St Petersburg, FL8 days ago

With a focus on meeting the needs of our patients at all access points, Physician Services is dedicated to implementing innovative, physician-driven, value-added solutions to assist physicians in providing high-quality, patient-centered care, aligning with our mission to care for and enhance human life. Supporting HCA Healthcare's 186 hospitals and 2,400+ sites of care, Physician Services plays a crucial role as the main entry point for patients looking for high-quality healthcare within the HCA Healthcare system.

New!

Sarasota, FL6 days ago

As a Medical Records Specialist, you would be responsible for assisting the HIM Director by routinely performing duties in support of the management of the Horizon Patient Folder (HPF)/McKesson Patient Folder (MPF) workflow queues, working applicable worklists within 3M 360 Encompass, the resolution of unbilled accounts, and the processing of physician suspensions. Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.

Venice, FL15 days ago

In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts.

Sarasota, FL7 days ago

Remote

$77,000–$143,000 Per Year

Novartis Compensation Summary:The salary for this position is expected to range between:Associate Territory Account Specialist: $77,000 and $143,000 per yearTerritory Account Specialist: $93,800 and $174,200 per yearSenior Territory Account Specialist: $119,700 and $222,300 per yearExecutive Territory Account Specialist: $132,300 and $245,700 per yearThe final salary offered is determined based on factors like, but not limited to, relevant skills and experience, and upon joining Novartis will be reviewed periodically. COVID-19 Vaccine Policy (customer-facing roles only): While Novartis does not require vaccination for COVID-19 or proof of a recent negative test result for COVID-19 at this time, employees working in customer-facing roles must adhere to and comply with customers' (such as hospitals, physician offices, etc.) credentialing guidelines, which may require vaccination.

Bradenton, Florida26 days ago

New!

North Port, FL3 days ago

$42,030.77–$67,249.31 Per Year

Principle duties include utilizing complex and secure law enforcement computer applications and databases to distribute law enforcement records; data input; maintenance and control of sensitive and confidential records; answering telephone calls; providing customer service and cashier duties at front counter. All employees are subject to recall around the clock for emergency response operations, which may require irregular work hours, work at locations other than the normal work location, and may include duties other than those specified in the employees official job description.

Sarasota, Florida30+ days ago

Job Summary: Provides administrative support responsible for accurate and timely posting of Surgery, Emergency Room (ECC) charges for either SMH or North Port, hospital wide observation charges, or Delivery/High Risk Antepartum/Testing/Triage charges, under the direction and supervision of the Revenue Cycle Management. Employment Screening Requirements: As part of Sarasota Memorial Health Care System’s commitment to keeping people safe, all individuals providing care to vulnerable populations are required to undergo background screening through The Florida Care Provider Background Screening Clearinghouse.

Sarasota, Florida30+ days ago

Job Summary: Provides administrative support responsible for accurate and timely posting of Surgery, Emergency Room (ECC) charges for either SMHCS or North Port, hospital wide observation charges, or Delivery/High Risk Antepartum/Testing/Triage charges, under the direction and supervision of Revenue Cycle Management. Preferred Education: Required License and Certs: Preferred License and Certs: Employment Screening Requirements: As part of Sarasota Memorial Health Care System’s commitment to keeping people safe, all individuals providing care to vulnerable populations are required to undergo background screening through The Florida Care Provider Background Screening Clearinghouse.

Sarasota, Florida30+ days ago

Job Summary: The Post-Acute Clinical Documentation Integrity Specialist is responsible for facilitating the improvement in the overall quality and completeness of clinical documentation to support coding in the post-acute inpatient setting, and will be responsible for reviewing daily new admission inpatient post-acute medical records, as well as, subsequent reviews while patient is still in-house (concurrent) until discharged. - Prefer knowledge of Prospective Payment System methodology in area of hire (Skilled Nursing Facility Prospective Payment System - Patient Driven Payment Model (PDPM); Inpatient Rehabilitation Facility – Case Mix Group (CMG); Long Term Care Hospital – MS-LTC-DRG).

New!

Bradenton, FLToday

Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries.

Venice, FL30+ days ago

This role is responsible for greeting and registering patients, verifying demographic and insurance information, collecting payments, and maintaining accurate documentation within the electronic health record (EHR). • Answers and routes phone calls, schedules or reschedules appointments, and maintains daily appointment schedules while communicating adjustments to clinical staff.

New!

St. Petersburg, FL4 days ago

$90,000–$95,000 Per Year

The anticipated annualized base amount or range for this full time position will be $90,000 to $95,000, plus variable compensation governed by the Sales Incentive Compensation Plan (which includes certain annual non-discretionary incentives based on predetermined objectives) as well as the value of core and optional benefits offered at BSC, which can be reviewed at www.bscbenefitsconnect.com. About the Role: We're looking for a driven, reliable, and experienced Clinical Specialist to assist their Area in meeting sales and patient service objectives by providing reliable technical, educational, operational and sales support.

New!

North Port, FL3 days ago

The Specialist II ensures all interactions comply with HIPAA, privacy, and organizational policies while consistently providing exceptional service to patients, families, and staff. This role is responsible for independently registering patients, verifying insurance, processing referrals, and resolving basic billing or documentation issues.

New!

SARASOTA, FLToday

All hospital partners are responsible for performing duties in a way that creates an environment in which: the patient’s needs always come first; every team member understands that they have the power to do what it takes to create an exceptional customer and patient experience; contentious issues are dealt with and resolved as they occur when possible, or as soon as is possible; exceptional teamwork and commitment to shared goals benefits the entire organization. Utilize a problem-based approach that includes developing a complete problem list for every patient examined, a complete list of differential diagnoses for each problem identified, a complete diagnostic plan, and appropriate treatments based on interpretation of diagnostic test results leading to confirmed or suspected diagnoses.

New!

Bradenton, FL2 days ago

About Troon: Founded in 1990 and headquartered in Scottsdale, AZ, Troon is the world's largest professional club management company, that specializes in services in golf, hospitality, and residential communities. Troon's Corporate office, located in Bradenton, FL, is pleased to announce an excellent career opportunity for a Billing Clerk/ Accounts Receivable Specialist (HOA)!

New!

Sarasota, FL2 days ago

$102,357–$157,629 Per Year

The Surety Claim Specialist will independently conduct due diligence, evaluate exposure, and represent Suretys interests with adverse parties and proactively respond to the most complex demands against contract and commercial surety bonds. Actively solicits facts from all stakeholders, analyze bond forms and construction contracts, reviews applicable statutes, and analyzes claim submissions involving commercial and contract surety bonds.

New!

Bradenton, FLToday

The Referral Specialist is responsible for scheduling referrals for patients and providers, as well as pre-authorizing and pre-certifying tests/procedures Scheduling of other tests with facilities at the request of providers and/or staff. One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance.

Sarasota, FL30+ days ago

Communicates with youth’s parents/guardians, Department of Juvenile Justice and/or Department of Children and Families staff, and law enforcement to ensure efficient and accurate processing of youth. Conducts interviews and follows detention screening criteria, for all youth taken into custody, to determine eligibility for release, respite care, supervised release, or secure detention.

Sarasota, FL30+ days ago

Sarasota, Florida7 days ago

Employment Screening Requirements: As part of Sarasota Memorial Health Care System’s commitment to keeping people safe, all individuals providing care to vulnerable populations are required to undergo background screening through The Florida Care Provider Background Screening Clearinghouse. Join Sarasota Memorial Health Care System’s Kolschowsky and Research Institute and play a critical role in supporting groundbreaking clinical research initiatives that improve patient care and medical innovation.

New!

Sarasota, FLToday

Three (3) years or more of experience in construction/landscape maintenance, contract-applicable construction trades, or in a field providing technical supervisory services to construction/landscape maintenance contractors. Enjoy great benefits including Health, Dental, Vision, and Life Insurance, Short-Term and Long-Term Disability, Flexible Spending Accounts, Employee Assistance Program (EAP), Florida Retirement System (FRS) and many, many more!

St. Petersburg, FL16 days ago

Full-time

EDUCATION AND EXPERIENCE REQUIREMENTSA master’s degree in social work, or Counseling, is preferred from an accredited college or university; or a bachelor’s degree in social work, Counseling, or a directly related field from an accredited college or university and two (2) years’ experience in child welfare and/or working with children with serious emotional disturbances is acceptable. Maintains a resource knowledge within the assigned outreach area that includes the regional Community Based Care organization (CBC), schools, mental health programs, social/human services agencies, sheriff’s offices and other identified agencies and maintains quality relationships with all resources through a disciplined pattern of visitation.

New!

Sarasota, FL3 days ago

In this role, you'll help support the successful delivery of new communities and amenity centers by coordinating pre-construction activities, maintaining budgets and scopes of work, tracking schedules, and collaborating with multiple departments and trade partners. May occasionally visit active construction sites, amenity areas, communities, or field locations, which may require walking on uneven surfaces and exposure to typical construction-site conditions.

Port Charlotte, FL30+ days ago

Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health.

Port Charlotte, FL30+ days ago

Bradenton, FL30+ days ago

$27,871–$40,919 Per Year

Works collaboratively with other TASC staff members to ensure smooth operation of the TASC: organizes and updates inventories and usage records, maintains and troubleshoots student use computers and printers, report equipment in need of repair, participates in selection of learning resource materials and other supplies for purchase, open and close the facility as needed. Job Summary Oversees student learning activities in the Tutoring and Academic Success Center (TASC): designs, pilots, implements, coordinates, and assesses individual and group tutoring, study coaching, supplemental instruction initiatives, workshop programs, and developmental skills labs.

New!

Bradenton, FL3 days ago

$16.30–$21.90 Per Hour

Safety Awareness: State College of Florida, Manatee-Sarasota employees are expected to work diligently to maintain safe and healthful working conditions, and to adhere to proper operating practices and procedures designed to prevent injuries. In addition to satisfactory performance on all of the essential job duties and responsibilities for this job, all State College of Florida, Manatee-Sarasota employees must fulfill the following basic performance expectations: Mission and Goals: Each State College of Florida, Manatee-Sarasota employee is expected to know the College's mission and goals.

sarasota, FL30+ days ago

Run the OSDR Report for DMG, RTV, VA, DIS, WO, CHR, PRV, USE, LF, STL, WEB and SAM monthly to ensure correct movement of merchandise was done and correct any discrepancies. Medium Work \u2013 Ability to exert 20-50 pounds of force occasionally, and/or 10-25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to lift, carry, push, pull, or otherwise move objects.

SARASOTA, Florida30+ days ago

The jobs listed are examples of the typical kinds of positions that Costco may hire for when openings exist. The listing does not mean that any positions are currently open or available at Costco.

New!

Bradenton, FL5 days ago

New!

St. Petersburg, Florida4 days ago

Through our award-winning hospitals and ERs, specialty institutes, urgent care centers, primary care practices and outpatient facilities, our 27,000+ team members serve communities that span Florida’s east to west coasts and beyond. • Perform medical record analysis across multiple service lines, multiple hospitals including, but not limited to, Emergency Department, Outpatient and Inpatient records to ensure documentation accuracy and compliance per the Medical Staff Rules & Regulations, Medical Staff Bylaws, Joint Commission, and other regulatory requirements.

Bradenton, FL30+ days ago

$28–$30

Headquartered in Bradenton, Florida, CoAdvantage has offices throughout Florida, Georgia, Alabama, Texas, Oklahoma, Colorado, California, North Carolina, New Jersey and New York, and serves more than 100,000 worksite employees in all 50 states. We’re looking for the best professionals in our markets who are interested in building a successful and rewarding career and be part of a focused, energetic team dedicated to delivering excellence to America’s small business owners.

New!

Bradenton, FL5 days ago

In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. Candidates/incumbents with one year of Medical Assistant work experience who do not possess Medical Assistant Certification must obtain Medical Assistant Certification within one year of hire date.

New!

Sarasota, FLToday

Perform Park and Athletic Field maintenance work, including, but not limited to, other assigned athletic field maintenance, hand weeding, mulching, digging, turf trimming, tree trimming, hand collection and disposal of litter, removal and installation of plant materials and trees. Safely utilize gas-powered string trimmers, stick edgers, pole saws, backpack blowers, chain saws, utility carts, and other miscellaneous small hand-operated landscape maintenance tools to perform assigned duties.

Sarasota, FL15 days ago

Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. Under the supervision of the Business Office Manager/Business Office Supervisor, you will obtain payment from third party payers and self-pay accounts to enhance cash flow and gather reimbursement based on established contracts.

Sarasota, FL9 days ago

With over 30 years of pioneering experience in the industry, our physician partners offer exceptional outpatient care to over 800,000 patients in communities across our network. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

St. Petersburg, Florida30+ days ago

The New Graduate Nurse Site Coordinator is a site-based registered professional nursing leader who oversees and manages all aspects of the comprehensive program(s) for transitioning all new graduate registered nurses (RNs) from the academic into the professional work environment, from a novice or advanced beginner to a competent professional RN. In conjunction with the system Nurse Residency Program (NRP) Coordinator and other nursing leaders, s/he is responsible for the planning, coordination, implementation, and evaluation of site-based initiatives including programmatic guidance for the post-graduate nurse, preceptor, mentor and other NRP program support team members.

St. Petersburg, Florida30+ days ago

Sarasota, FL30+ days ago

$17–$24 Per Hour

Provides member service by maintaining self-checkout area; resolving member issues and concerns; promoting Sam's Club products and services; providing guidance and support to members regarding self-service technology; processing member purchases; assisting with payments, returns, refunds, and exchanges according to company policies and procedures for different membership and payment types; assisting members with transactions utilizing self-checkout area. Assists with securing and safeguarding Sam's Club assets and property by observing and communicating potential criminal activity according to company policies and procedures; maintaining paperwork, logs, and other required documentation; executing emergency response procedures; and ensuring compliance with company security and safety practices.

Sarasota, FL11 days ago

Part-time

Develop and maintain talent pipelines and related partnerships through career fairs, college and trade-school recruiting, internship/graduate outreach, workforce programs, community partners, and industry-specific recruiting events. Monitor labor market conditions, recruiting trends, competitor activity, candidate availability, and compensation signals to help ensure talent acquisition strategies remain competitive, current, and aligned with business needs.

New!

Sarasota, FL5 days ago

Part-time

In this role, you’ll help support the successful delivery of new communities and amenity centers by coordinating pre-construction activities, maintaining budgets and scopes of work, tracking schedules, and collaborating with multiple departments and trade partners. May occasionally visit active construction sites, amenity areas, communities, or field locations, which may require walking on uneven surfaces and exposure to typical construction-site conditions.

Port Charlotte, FL16 days ago

The Advanced Clinical Pharmacist will focus on critical care and will coordinate and assist with the development, implementation and maintenance of clinical pharmacy services, including but not limited to trauma/surgical, medical, neuro, and cardiovascular surgery intensive care services lines. Strong knowledge of critical care therapeutics, excellent communication skills, ability to work under pressure, and strong interpersonal skills for team collaboration.

St. Petersburg, Florida12 days ago

Position Summary: Ensures compliance with required pharmacy inspection and documentation of emergency code carts / boxes and enter the results into Performance Improvement database as identified. Functions as back up to the Pharmacy Technology Specialist, Pharmacy Controlled Substance Specialist, and Pharmacy Buyer at some sites when required.

St. Petersburg, Florida12 days ago

SARASOTA, FL30+ days ago

$52,000–$55,000 Per Year

Assists with special services to help victims manage practical problems created by their victimization such as acting on behalf of the victim with other service providers, creditors, or employers; assisting in filing for compensation benefits; and helping with applications for public assistance; (2.5%). Uses the victim’s needs assessment, the victim’s eligibility for services/benefits, and other aspects of the individual’s situation to assist in the development of a wellness plan that ensures both short term and longer term needs of the victim are addressed effectively.

St. Petersburg, Florida11 days ago

Through our award-winning hospitals and ERs, specialty institutes, urgent care centers, primary care practices and outpatient facilities, our 27,000+ team members serve communities that span Florida’s east to west coasts and beyond. Student loan repayment, tuition reimbursement, FREE college education programs, retirement savings, paid paternity leave, fertility benefits, back up elder and childcare, pet insurance, PTO/Holidays, and more for full time and part time employees.

New!

Bradenton, FLToday

$17–$25 Per Hour

Respect the Individual: Embraces differences in people, cultures, ideas, and experiences; creates a workplace where associates feel seen, supported and connected through a culture of belonging; creates opportunities for all associates to thrive and perform; helps to attract the best talent. Serve our Customers and Members: Makes decisions based reliable information; balances short- and long-term priorities; and considers how own work impacts the team's ability to deliver on our purpose for all stakeholders.

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Medical Review Specialist Jobs in Sarasota, FL

Orthopaedic Medical Billing Specialist CHILDREN'S ORTHOPAEDIC AND SCOLIOSIS SURGERY ASSOC

Medical Office Specialist HCA Healthcare Inc

Medical Records Specialist HCA Healthcare

Medical Business Office Specialist PRN HCA Healthcare

Dermatology Territory Account Specialist - Sarasota / Clearwater Novartis AG

Inside Sales Specialist Gallagher

Police Records Specialist I City of North Port FL

Reimbursement Specialist PRN Sarasota Memorial Health Care System

Reimbursement Specialist II Sarasota Memorial Health Care System

Post-Acute Clinical Documentation Integrity Specialist Sarasota Memorial Health Care System

Referral Specialist - Full Time Universal Health Services

Patient Care Specialist I Millennium Physician Group

Clinical Specialist | Urology - Sacral Neuromodulation | St. Petersburg, FL Boston Scientific Corp

Patient Care Specialist Millennium Physician Group

Hospital Medical Leader or Associate Veterinarian Petco

Billing Clerk/ Accounts Receivable Specialist (HOA) Troon Golf LLC

Surety Claim Specialist FCCI Insurance Group

Referral Specialist - Full Time Wellington Regional Medical Center

Overnight Youth Screening Specialist Bay Area Youth Services

Youth Screening Specialist Bay Area Youth Services

Clinical Research Regulatory Specialist Sarasota Memorial Health Care System

Compliance Maintenance Specialist - Beaches GovernmentJobs.com

Family Engagement Specialist I - Central Florida Region Florida Sheriffs Youth Ranches

Pre Construction & Amenity Specialist - SimplyDwell Homes Neal Communities Inc

Area Health Information Specialist I Datavant

Health Information Specialist I Datavant

Supplemental Instruction Specialist-Science (TASC) State College of Florida Manatee Sarasota

Registration Specialist/Testing Coordinator-Collegiate School State College of Florida Manatee Sarasota

Inventory Control Specialist Floor & Decor Holdings Inc

Senior Hearing Aid Specialist Costco Wholesale Corporation

Authorization Specialist HCA Healthcare

HIM Specialist I Bayfront Health

Retirement Specialist - Implementation CoAdvantage

Medical Assistant HCA Healthcare

Athletic Fields Specialist - Englewood Sports Complex Sarasota County Government

Collections Specialist HCA Healthcare

Billing Specialist HCA Healthcare

Graduate Nurse Coordinator - Learning Specialists - Bayfront Hospital - St Petersburg Bayfront Health

Graduate Nurse Coordinator - Learning Specialists - Bayfront Hospital - St Petersburg Orlando Health

(USA) Member Specialist Walmart Inc

Talent Acquisition & Development Specialist NC Employment Group Inc

Pre Construction & Amenity Specialist - SimplyDwell Homes NC Employment Group Inc

Pharmacy Clinical Specialist Pharmacist HCA Healthcare

Pharmacy Regulatory Compliance Specialist - Pharmacy - Bayfront Hospital Orlando Health

Pharmacy Regulatory Compliance Specialist - Pharmacy - Bayfront Hospital Bayfront Health

Survivor Mentor (Lived Experience Specialist) More Too Life, Inc.

Credentialing Specialist Bayfront Health

Member Specialist Walmart

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