294 Birth Unit Technician Specialist jobs in Miami,FL

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.

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Remote Benefits Specialist

Hire Standard Staffing

Miami, FL

$120,000/yr

RemoteHealth Insurance

Must be a U.S. or Canadian citizen

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In-Home Sales & Tech Support (Part Time)

ASURION INSURANCE SERVICES

Miami Gardens, FL 33056

~ 26 min OnsiteUrgently Hiring

A valid driver's license and satisfactory driving record with at least 1 year driving experience
A personal vehicle (excluding motorcycles).
Ability to provide proof of valid car insurance (excluded: Manhattan)
A personal cellphone

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Care Facilitator

ChenMed

Fort Lauderdale, FL 33317

~ 36 min Onsite

High school diploma or equivalent education required
Spoken and written fluency in English
A minimum of 1 year of work experience in a medical clinic or similar environment required
Working knowledge of medical insurance and/or knowledge of electronic medical record EMR systems
Knowledge of ChenMed Medical products, services, standards, policies and procedures
Skilled in operating phones, personal computers, software and other basic IT systems
Proficient in Microsoft Office Suite products including Excel, Word and Outlook
Ability and willingness to travel locally and regionally up to 10% of the time

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Investigator, Special Investigative Unit Coding

Molina Healthcare

Miami, FL 33135

$21.82-$42.55/hr

Onsite

At least 2 years CPT coding experience in a surgical, hospital and/or clinic setting, or equivalent combination of relevant education and experience.
Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Professional Medical Auditor (CPMA), or American Academy of Professional Coders (AAPC) certified
Microsoft Office suite (including Excel), and applicable software program(s) proficiency.
In some states, 5 years of experience working in a fraud, waste and abuse (FWA)/special investigations unit (SIU)/fraud investigations role may be required (dependent on state/contractual requirements).
Knowledge of investigative and law enforcement procedures with emphasis on fraud investigations.
Knowledge of Managed Care and the Medicaid, Medicare, and Marketplace programs.
Understanding of claim billing codes, medical terminology, anatomy, and health care delivery systems.
Ability to research and interpret regulatory requirements.
Critical-thinking, problem-solving and analytical skills.
Ability to prioritize and manage multiple tasks.
Ability to work in a team setting.
Strong verbal/written communication skills, and presentation skills.

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Mobile HVAC / Maintenance Technician

JLL

Fort Lauderdale, FL 33334

~ 36 min OnsiteHealth InsurancePaid Time OffRetirement Benefit

High school diploma or GED
Minimum 4 years of technical experience in commercial building engineering with strong background in HVAC, electrical, and plumbing systems
Universal EPA/CFC certification (required)
Valid state driver's license with clean driving record
Knowledge of overall MEP/HVAC system design and applications
Ability to lift up to 80 lbs and work in various environmental conditions
Frequent climbing, bending, lifting, kneeling, and overhead work
Ability to work from heights up to 30 feet using proper safety equipment
Comfortable working in extreme temperatures and adverse conditions
Extended periods of driving between locations
Capability to climb ladders while carrying tools (up to 20 lbs tool bag)

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