1692 Risk Adjustment Coding Supervisor jobs in Miami,FL

Proficient in Spanish and English.
High School Diploma or equivalent.
Minimum of 6 months of customer service experience.
Must be 18 years of age or older.
Ability to type at least 25 words per minute.
Comfortable with desktop computer systems and have general knowledge of Windows-based systems.

SmartExplore AI is experimental.

Apply Directly

Investigator, Special Investigative Unit

Molina Healthcare

Miami, FL 33135

$21.82-$42.55/hr

Onsite

At least 2 years of investigative experience in the health care industry, or equivalent combination of relevant education and experience.
Valid and unrestricted driver's license.
Proven investigatory skills including ability to organize, analyze, and effectively determine risk with corresponding solutions, and remain objective and separate facts from opinions.
Knowledge of investigative and law enforcement procedures with emphasis on fraud investigations.
Knowledge of managed care and Medicaid, Medicare, and Marketplace programs.
Understanding of claim billing codes, medical terminology, anatomy, and health care delivery systems.
Understanding of datamining and use of data analytics to detect FWA.
Ability to research and interpret regulatory requirements.
Effective interpersonal skills and customer service focus; ability to interact with individuals at all levels.
Strong presentation skills with ability to create and deliver training, informational and other types of programs.
Strong logical, analytical, critical-thinking and problem-solving skills.
Strong sense of initiative, excellent follow-through, and persistence in locating and securing needed information.
Fundamental understanding of audits and corrective actions.
Ability to multi-task and operate effectively across geographic and functional boundaries.
Detail-oriented, self-motivated, and able to meet tight deadlines.
Ability to develop realistic, motivating goals and objectives, track progress and adapt to changing priorities.
Energetic and forward-thinking with high ethical standards and a professional image.
Collaborative and team-oriented.
Effective verbal and written communication skills.
Microsoft Office suite and applicable software program(s) proficiency.

SmartExplore AI is experimental.

New, Posted 19 hours ago

Apply Directly

Brand Advocate

ActionLink

Miami, FL 33130

$32-$34/hr

OnsiteHealth InsurancePaid Time OffRetirement Benefit

Travel regularly within assigned market; valid driver's license required
Able to stand, walk, and engage customers in retail environments for extended periods
Lift up to 25–50 lbs as needed for merchandising and displays
Participate in local and out-of-market events, which may require occasional overnight travel

SmartExplore AI is experimental.

New, Posted 1 day ago

Scholar Recruiter

Success Academy Charter Schools

Miami, FL 33152

OnsiteBilingual Preferred

English/Spanish or English/Creole speakers required.
Ability to spend extended periods of time standing, walking, and working outdoors in varying weather conditions.
Must have flexibility, ability to prioritize, and manage differing time constraints.

SmartExplore AI is experimental.

New, Posted 1 day ago