Medicare jobs in Miami, Florida - Page 4Create job alerts

Proficient in ICD-10 coding and strong knowledge of ICD-9 and CPT coding. The ACO Coding Auditor is responsible for reviewing medical records and identifying, collecting, assessing, monitoring, and documenting claims and encountering information as it pertains to Medicare Risk Adjustment. Provides g

Together, you'll help bring Humana's strategy to life: Deliver on the fundamentals, differentiate through exceptional service, and grow by expanding our reach and influence. Differentiate** : Create meaningful, face-to-face connections through grassroots marketing, community events, and in-home visi

Connie Health is a fast-growing Medicare brokerage on a mission to empower older Americans to make confident, worry-free Medicare plan decisions. We offer a tech-enabled Medicare navigation platform that combines an AI-driven technology with local Medicare experts to help people select optimal healt

Job Description The Medical Collections Representative for a Specialist Clinic is responsible for managing outstanding patient and insurance balances related to specialty services. This role focuses on resolving unpaid or denied claims, educating patients on complex insurance benefits, and ensuring timely reimbursement while maintaining excellent patient relations in a specialty care setting. Follow up on unpaid, underpaid, and denied insurance claims for specialty procedures and services. Work with commercial insurance, Medicare, Medicaid, and specialty-specific payers. Initiate appeals for denied specialty claims and provide supporting documentation. Meet collection performance and quality metrics

Job DescriptionSalary: $35,620 per year Are you motivated by helping people protect what matters most while building a long-term career? Join a growing, team-oriented insurance agency where your development is supported, your contributions are valued, and your success is a priority. Were not just offering a jobwere offering a career in the insurance industry. About the Role As a Medicare Solutions Executive, you will guide clients through insurance decisions by identifying coverage needs, explaining policy options, and recommending solutions that protect their future. Youll manage client relationships from initial consultation through ongoing service while contributing to agency growth through new business development. This role is ideal for individuals who are customer-focused, goal-driven, and eager to grow with a supportive team. A Day in This Role • Consult with clients to assess insurance needs, • Quote, explain, and recommend appropriate coverage options, • Generate new business through prospecting, referrals, and cross-selling, • Complete applications and support underwriting approvals, • Deliver policies and ensure accuracy of coverage, • Provide ongoing service, including policy reviews and follow-up, • Maintain accurate records and follow agency processes, • Active Florida Life, Health, and Variable Annuities Agent License (2-15) required. What Were Looking For • 02 years of insurance, sales, or customer service experience, • Fluent in English and Spanish (required), • Professional, dependable, and customer-focused, • Goal-oriented with strong communication and time management skills, • Detail-oriented and comfortable in a fast-paced environment, • Open to feedback, coaching, and continuous learning, • High school diploma or GED required Pay & Benefits Competitive Compensation Structure: $32,000 Base + Commission + Bonuses • First year on-target earnings: ~$60,000+, • Uncapped earning potential (top performers earn $100,000+), • Paid training and licensing support, • Dental, vision, and life insurance, • 401(k), • Paid time off and paid holidays, • Location: 3399 NW 72nd Ave #212, Miami, FL 33122, • Department: Sales, • Employment Type: Full-Time, • Core Work Hours: Monday through Friday, 9 AM 5 PM If youre motivated, bilingual, and ready to build a meaningful career helping others protect their future, we encourage you to apply today.

Job DescriptionOverview We are seeking a highly organized and experienced Case Manager & Scheduler to join our growing Pain Management and Pulmonology departments. This role is essential in coordinating patient care, managing provider schedules, and ensuring seamless communication between patients, providers, and healthcare teams. The ideal candidate will have strong experience in care coordination, scheduling, and working within a fast-paced healthcare environment in Florida, with familiarity in the Miami patient population. Responsibilities • Coordinate and manage patient scheduling for Pain Management and Pulmonology services across multiple points of care (clinic, telehealth, and facilities)., • Serve as a primary point of contact for patients, assisting with appointment scheduling, follow-ups, and care coordination., • Work closely with providers, medical assistants, and administrative teams to optimize scheduling efficiency and patient flow., • Manage referrals, authorizations, and ensure all required documentation is completed prior to patient visits., • Monitor provider schedules to minimize gaps and maximize productivity., • Communicate effectively with patients regarding appointment details, preparation instructions, and any schedule changes., • Assist with care coordination, including tracking patient progress, follow-up appointments, and continuity of care., • Maintain accurate and up-to-date records in the electronic health record (EHR) system., • Address patient concerns and escalate issues when necessary to ensure high-quality patient experience., • Collaborate with billing and credentialing teams to support timely and accurate service delivery.Qualifications, • High school diploma, • Minimum of 1 year of experience in healthcare scheduling, case management, or care coordination (Pain Management or Pulmonology experience preferred)., • Strong understanding of healthcare workflows, referrals, and insurance processes., • Experience working with electronic health record (EHR) systems., • Excellent organizational and multitasking skills in a fast-paced environment., • Strong communication and interpersonal skills., • Ability to work independently while collaborating with a multidisciplinary team.Preferred Skills, • Bilingual in English and Spanish (preferred for diverse patient populations)., • Familiarity with Medicare, Medicaid, and managed care plans in Florida., • Experience coordinating care across multiple settings (clinics, ALFs, nursing homes, or telehealth)., • Knowledge of prior authorizations and referral management.Benefits, • Competitive salary based on experience, • Health, dental, and vision insurance, • Flexible Spending Account (FSA), • Paid time off (PTO), • 401(k) plan, • Opportunities for professional growth and developmentJob Details, • Job Type: Full-time, • Pay: $18.00 – $20.00 per hour (based on experience), • Expected Hours: Minimum of 40 hours per week, • Schedule: Monday to Friday, • Work Location: In person This description indicates, in general terms, the type and level of work performed and responsibilities held by the team member(s). Duties described are not to be interpreted as being all-inclusive or specific to any individual team member. No Third Party Agencies or Submissions Will Be Accepted. Our company is committed to creating a diverse environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. 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. Any and all information may change without notice. We reserve the right to solely determine applicant suitability. By your submission you agree to all terms herein. Powered by JazzHR prBHSPogwL

Job Description ???? Join PT Now as a Physical Therapy Front Desk – Be the First Smile That Changes a Life ???? Opening: At Physical Therapy Now, we're building more than a rehabilitation network - we're creating a purpose-driven movement to transform lives through high-quality, accessible care. Our Vision is a world where every person has access to the rehabilitation they need to thrive. We're looking for a growth-minded, service-driven Physical Therapy Front Desk who wants more than a job - they want an opportunity to make a daily impact, grow their career, and live our Core Values. Duties for Front Desk Manager (including but not limited to): Be a Leader for your team Ensure quality and compliance Answer Phones and return any missed call Greeting Patients/Scan & Inputting patients info into EMR Handle schedule/check in and out patients/Make recurring appointments and provide patient with a copy of the schedule for the whole treatment (even if you have to make changes later on) Arrange patient transportation if needed Insurance Authorization/Verify Benefit/Co-Payments (NO CASH) Consistently following up with patients/confirm appointments During intake process of new patient, make sure all info is filled out correctly Ensure patients understand treatment including but not limited to their responsibilities, Plan of Care and Goals Receive/Answer Emails in a professional and timely manner Attend and enforce Meetings and Trainings Enforcing the facility Policies and Procedures. Report needed changes Protect Patients rights by maintaining confidentiality of personal and financial info Document Incident Report and inform HR Department Collect and properly route all incoming mail Guide MVA patients through the correct process, staying in touch with Attorneys an Marketing Rep Make sure PT/PTA are keeping patients notes done daily Maintain communication with referring physicians Ensure PT Evaluations get revised for corrections and signed by referring physician Keep Employee Charts private and up to date Employee write ups/yearly evaluation Scrub and submit payroll to HR Dept Receive Vacation/PTO request, authorize and submit to HR for final Approval Keep inspections up to date, such as AHCA, Medicare, Medicaid, Equipment Calibration, Fire Etc. Maintain office Supplies inventory, placing and expediting orders for supplies, verifying receipt of supplies Scheduling equipment service and repairs Know Facility Financial Goals Help your staff to maintain your facility clean and organized Ensure all staff is being punctual with time and attendance Train and guide new team members Overall management of the facility Reports to Management/HR Job Posted by ApplicantPro

Job Description Job Title: Front Desk Reports to: Office Manager PCC Medical Holding, LLC (Physician Care Centers) is a dynamic and fast-growing company of primary medical offices throughout the country. Specializing in family medicine and the Medicare population, we have grown to more than 50 clinics, 90 providers, and 500 employees spanning Florida, Georgia, South Carolina and Texas. Our goal is to guide our patients to healthy and enjoyable lives. Our culture is to be intentionally kind to one another by treating each other with respect and empathy. The most impactful leadership lessons are taught by example. In leading, teaching, and coaching our organization to demonstrate the care, tolerance, and respect we want to see, we lead by example throughout our organization. Job Summary: Front Desk associates perform administrative and clerical duties while working with patients, to help provide the optimum level of care for our patients. Front Desk associates are instrumental in helping patients feel at ease in the office as they welcome and check out each person. Duties/Responsibilities: • Welcomes patients and visitors, in-person or on the telephone, as well as answering questions and referral inquiries., • Activate patient files and move patients through a pre-determined schedule of appointments., • Optimizes patients’ satisfaction, provider time, and treatment room utilization by scheduling appointments productively., • Keeps patient appointments on schedule by notifying the provider of the patient’s arrival and reviewing service delivery compared to schedule. Reminds providers of service delays., • Ensures files are complete and up to date., • Files and retrieves patient files., • Maintains patient accounts by verifying personal, financial, and insurance information., • Protects patients’ rights by maintaining confidentiality of medical, personal, and insurance information., • Coordinate referrals for patients., • Ensure all lab and diagnostic test results are in the chart prior to appointment., • Inventory and order medical, lab, and/or office supplies., • Using computer applications., • Updating and filing patient medical records, • Schedule follow-up appointments., • Verify insurance coverage., • Excellent verbal and written communication skills., • Excellent interpersonal and customer service skills., • Excellent organizational skills and attention to detail., • Excellent time management skills with a proven ability to meet deadlines., • Strong analytical and problem-solving skills., • Ability to prioritize tasks., • Ability to function well in a high-paced and at times stressful environment., • Proficient with Microsoft Office Suite or related software, EMR software applications, applicable medical codes. High school diploma or equivalent. At least two years of related experience required. Physical Requirements: Prolonged periods of standing Frequently required to walk, sit, use hands and finger, stoop, kneel, crouch. Required to talk and hear clearly. English is required, secondary language is a plus. Must be able to lift up to 50 pounds. Vision requirements include close and distance vision, color, peripheral, depth perception, and ability to adjust your focus. Available Benefits Medical, dental, vision, GAP, short-term disability, life insurance, spouse and/or child life insurance, hospital indemnity, accident, etc. Paid holiday and PTO for all full-time employees.

Job DescriptionBenefits: • Competitive salary, • Dental insurance, • Health insurance We are looking for a candidate with an open mind and a willingness to learn. If you have a passion for helping healthcare providers navigate complex systems and enjoy being part of a supportive, team-driven environment, this role could be a perfect fit for you! Key Responsibilities: • Coordinate the processing of credentialing applications for all major health insurance providers, including Medicare, Medicaid, and Marketplace, • Prepare and submit applications to regulatory bodies, such as AHCA, and ensure compliance with state and federal requirements, • Maintain accurate records of credentialing applications and follow up to ensure timely processing and approvals, • Work closely with healthcare providers, assisting them in gathering necessary documentation and answering any questions related to the credentialing process, • Track the status of applications and ensure providers are informed of progress, delays, or required actions, • Assist with the development of internal processes and ensure efficiency in the credentialing workflow, • Collaborate with internal teams to resolve any issues that arise during the credentialing process, • Stay updated on industry regulations and best practices related to credentialing and healthcare applications Qualifications: • Prior experience in healthcare credentialing or a similar role (preferred but not required), • Knowledge of healthcare insurance systems such as Medicare, Medicaid, Marketplace, and AHCA applications, • Strong organizational skills with the ability to manage multiple tasks and prioritize effectively, • Detail-oriented with excellent follow-up skills to ensure applications are processed accurately and in a timely manner, • Enthusiastic and driven with a passion for continuous learning and growth, • Excellent communication skills, both written and verbal, with the ability to interact with healthcare providers, insurance companies, and internal teams, • Proficient in Microsoft Office Suite (Word, Excel, Outlook) and comfortable using credentialing software or databases, • Ability to work in a fast-paced environment and handle a high volume of applications while maintaining accuracy and efficiency, • Positive attitude and a strong desire to contribute to the teams success Key Traits for Success: • Organized: You will need to handle multiple applications and processes simultaneously. Your ability to stay organized will be key to your success., • Enthusiastic & Driven: This role requires someone with a passion for the work they do and a proactive approach to problem-solving., • Open-Minded & Eager to Learn: The healthcare credentialing process is always evolving, and we need someone willing to embrace new learning opportunities and adapt to changes in the industry. If you're ready to take on a challenging and rewarding role that allows you to make a difference in the healthcare industry, we want to hear from you! Join our dynamic team and be part of a growing organization that values professional development and teamwork.

Job DescriptionPalm is a physician-led primary care medical group with a growing presence across Florida and North Texas. Our model is centered on delivering high-quality, value-based care with a strong emphasis on patient outcomes, provider satisfaction, and operational excellence. As a group operating across Medicare Advantage, Medicaid, ACA, and commercial populations under both risk-based and fee-for-service contracts, we are focused on building a scalable, high-performing platform that aligns clinical quality, patient experience, and financial performance. Position Overview The Population Health Officer (the “PHO”) reports to the CEO and serves as the senior executive leader responsible for total cost of care performance, utilization management, and population health strategy across Palm’s markets. This role defines what care should happen at a system level—establishing priorities, care models, and intervention strategies to improve outcomes, reduce avoidable utilization, and optimize value-based performance. Success in this role requires the ability to translate data and financial performance into actionable care strategies executed across clinical and operational teams. Interaction with the provider team is critical and will require frequent local travel between clinics. Unlike the COO (who executes care delivery) and the CMO (who defines clinical standards), the PHO defines population-level care priorities and medical cost strategy. Key Responsibilities Population Health Strategy & Total Cost of Care • Own enterprise performance for total cost of care (TCOC) across all markets and payer arrangements, • Define and execute population health strategies to improve outcomes while reducing avoidable utilization, • Develop multi-level intervention strategies targeting high-risk, rising-risk, and general populations, • Monitor in-year performance (PMPM) and implement corrective actions to address cost and utilization trends Utilization Management & Medical Cost Control, • Establish utilization management standards, escalation thresholds, and decision frameworks, • Own medical management programs, including prior authorization strategy and referral optimization, • Identify drivers of avoidable utilization (ED, inpatient, post-acute) and implement targeted interventions, • Partner with clinical leadership to ensure utilization strategies are clinically appropriate and effective Care Management & Transitions of Care, • Responsible for care management programs, including case management, disease management, and care coordination, • Design and implement transitions of care strategies to reduce readmissions and improve post-acute outcomes, • Ensure appropriate deployment of care managers, social workers, and support resources, • Drive measurable improvements in patient outcomes through longitudinal care programs Risk Stratification & Cohort Management, • Define risk stratification methodologies and cohort prioritization frameworks, • Identify high-impact patient segments and align resources accordingly, • Establish proactive outreach and intervention models for high-risk populations, • Continuously refine targeting strategies using analytics and performance data Value-Based Performance & Payor Outcomes, • Drive performance across value-based contracts, including cost, quality, and utilization metrics, • Partner with Finance and Managed Care to align medical cost strategies with financial performance goals, • Support payor performance initiatives (excluding contract negotiation and reconciliation ownership), • Ensure readiness for delegation and performance accountability in risk-based arrangements Cross-Functional Leadership & Alignment, • Partner with the Chief Medical Officer to ensure care models and utilization strategies are clinically sound, • Collaborate with the COO to align population health priorities with operational execution in clinics, • Work closely with analytics, finance, and managed care teams to monitor performance and refine strategies, • Defines what care should happen and where to prioritize resources, • Owns population health strategy and intervention design, • Accountable for total cost of care performancePrimary Accountability, • Management of Total cost of care (TCOC), • Accountable for medical cost performance under risk-based contracts, • Utilization management, • Care management and transitions of care, • Risk stratification and cohort prioritizationExplicitly Does NOT Own, • Clinic staffing, scheduling, or operations, • Facility or infrastructure decisions, • Direct management of clinic staff (outside care management), • Payor contract negotiationAuthority / Assistance, • Defines care models required for risk success, • Sets utilization standards and targets, • Determines care priorities and intervention focus areasKey Performance Indicators (KPIs), • Financial: Total cost of care (TCOC), PMPM performance, medical cost trends, • Utilization: ED visits, inpatient admissions, readmissions, post-acute utilization, • Clinical: Quality outcomes, care gap closure, chronic disease management, • Population Health: Risk stratification effectiveness, intervention impact, cohort performance, • Utilization Management leadership, • Care Management teams, • Population Health analytics resourcesKey Partnerships, • CEO, COO, CFO, • Chief Medical Officer and market leadership, • Managed Care Officer, • Clinic operations team, • MD, DO, RN, or advanced clinical/healthcare degree strongly preferred; Master’s in Public Health, Healthcare Administration, or related field preferred, • 10+ years of experience in population health, medical management, or value-based care leadership, • Deep understanding of Medicare Advantage and risk-based care models, • Experience managing total cost of care and utilization performance in capitated or shared-risk environments, • Strong analytical and data-driven decision-making skills, • Proven ability to design and implement population health strategies at scale, • Demonstrated success working cross-functionally with clinical and operational leaders, • Establish credibility with executive leadership, clinical leaders, and operational teams, • Develop a clear baseline view of total cost of care and utilization performance across markets, • Identify key drivers of avoidable utilization and define initial intervention priorities, • Implement or refine risk stratification and cohort targeting strategies, • Align care management and utilization programs with defined population health priorities, • Establish performance dashboards and operating cadence for population health metrics, • Begin driving measurable improvements in utilization trends and in-year cost performanceWhy Join Us, • Executive leadership role with direct impact on clinical outcomes and financial performance, • Opportunity to shape and scale a high-performing population health platform, • Physician-led, mission-driven organization focused on value-based care, • Collaborative executive team with strong growth trajectory Palm is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws. This policy applies to all employment practices within our organization, including hiring, recruiting, promotion, termination, layoff, recall, leave of absence, compensation, benefits, training, and apprenticeship. Palm makes hiring decisions based solely on qualifications, merit, and business needs at the time. Powered by JazzHR yCs4kCxSR3

Job DescriptionBenefits: • 401(k), • Dental insurance Position Overview Key Responsibilities • Install, maintain, and repair electrical wiring, equipment, and fixtures, • Read and interpret electrical drawings, blueprints, and specifications, • Install conduit systems, panels, switchgear, lighting, and power distribution, • Perform troubleshooting and electrical testing, • Ensure installations meet NEC and local code requirements, • Follow company safety procedures and jobsite safety policies, • Coordinate with foremen, supervisors, and other trades, • Journeyman electrician license or equivalent experience, • 5+ years of electrical installation experience, • Strong knowledge of commercial and industrial electrical systems, • Ability to read electrical drawings and schematics, • Familiarity with NEC and electrical safety standards, • Ability to work in active construction environments, • Experience with municipal or wastewater treatment plant projects, • Experience with medium-voltage systems, • Company-paid healthcare, • Company-paid Medicare taxes, • Dental and vision coverage, • 401(k) retirement plan, • Professional and stable work environment

Job DescriptionBenefits: • 401(k), • Competitive salary Position Overview Key Responsibilities • Manage electrical construction projects from pre-construction through completion, • Review project plans, specifications, and contract documents, • Develop and maintain project schedules and budgets, • Coordinate with engineers, general contractors, architects, and inspectors, • Oversee procurement of materials and equipment, • Manage subcontractors, field supervisors, and installation crews, • Monitor project costs, change orders, and job profitability, • Ensure compliance with NEC, NFPA, and applicable codes, • Maintain accurate project documentation and reporting, • Conduct project meetings and provide updates to company leadershipEnsure jobsite safety standards and company safety policies are followed Qualifications • 5+ years of electrical construction project management experience, • Strong knowledge of commercial electrical systems, • Ability to read and interpret electrical drawings, specifications, and blueprints, • Experience managing multiple projects simultaneously, • Strong communication, leadership, and organizational skills, • Proficiency with construction management and scheduling software, • Experience with Bluebeam or similar construction document management software, • Experience working on municipal infrastructure or a wastewater treatment plant, • projects, • Experience in commercial, institutional, or industrial electrical construction, • Knowledge of medium-voltage systems and low-voltage systems, • Company-paid healthcare, • Company-paid Medicare taxes, • Dental and vision coverage, • 401(k) retirement plan, • Gas and travel reimbursement, • Professional and stable work environment

Job DescriptionAbout Dade Electric ServiceFounded in 1980, Dade Electric Service, Inc. is a full-service electrical contractor serving South Florida’s commercial, institutional, industrial, and municipal sectors. With more than 40 years of experience and thousands of completed projects, we have built a reputation for technical excellence, safety, and reliability. Our capabilities span the entire electrical spectrum—from medium voltage distribution systems to low-voltage controls and specialized systems—allowing us to support complex projects across healthcare facilities, universities, and municipal infrastructure, commercial developments, and industrial operations. We are proud to maintain over 40 years with zero major accidents, reflecting our commitment to safety, quality, and professionalism. Position Overview Dade Electric Service is seeking a Senior Accountant to support the financial operations of our growing electrical contracting business. This role will oversee core accounting functions, including financial reporting, job costing, and construction-related financial management. The Senior Accountant will work closely with company leadership, project managers, and operations teams to ensure accurate financial reporting and support sound business decisions. Key Responsibilities • Prepare monthly, quarterly, and annual financial statements, • Maintain and reconcile the general ledger, • Perform month-end and year-end close processes, • Monitor job costing and project profitability, • Assist with work-in-progress (WIP) reporting, • Support progress billing and retainage tracking, • Oversee accounts payable and receivable processes, • Ensure compliance with GAAP accounting standards, • Assist with annual audits and tax preparation, • Support financial reporting and internal control improvementsQualifications, • Bachelor’s degree in Accounting, Finance, or related field, • 5+ years of accounting experience, • Experience with construction or contractor accounting preferred, • Knowledge of job costing and project-based accounting, • Strong Excel and accounting software proficiency, • Company-paid healthcare, • Company-paid Medicare taxes, • Dental and vision coverage, • 401(k) retirement plan, • Gas and travel reimbursement, • Professional and stable work environment

Job Description We are seeking a Medical Sales Agent to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations. About the Role: As a Medicare Sales Agent, you will play a critical role in guiding eligible individuals through the complex landscape of Medicare insurance options to help them make informed decisions that best suit their healthcare needs. Your primary objective will be to educate clients on various Medicare plans, including Part A, Part B, Part C, and Part D, ensuring they understand coverage details, benefits, and costs. You will build and maintain strong relationships with clients by providing personalized service and ongoing support throughout the enrollment process and beyond. This role requires a deep understanding of Medicare regulations and the ability to stay current with policy changes to provide accurate and compliant advice. Ultimately, your efforts will contribute to improving clients' access to essential healthcare coverage while driving sales growth for your organization. Minimum Qualifications: • Valid health insurance license as required by the state of residence., • Demonstrated knowledge of Medicare products and regulations., • Proven experience in sales, preferably in the insurance or healthcare industry., • Strong communication and interpersonal capabilities., • Experience working with senior populations or Medicare beneficiaries., • Familiarity with CRM software and sales tracking tools., • Certification in Medicare sales or related continuing education courses., • Bilingual abilities, especially in Spanish, to better serve diverse client populations., • Conduct detailed consultations with prospective clients to assess their Medicare insurance needs and preferences., • Explain the features, benefits, and costs of various Medicare plans, including Original Medicare, Medicare Advantage, and Prescription Drug Plans., • Assist clients with the enrollment process, ensuring all paperwork is completed accurately and submitted on time., • Maintain up-to-date knowledge of Medicare policies, regulations, and plan offerings to provide compliant and accurate information., • Develop and implement sales strategies to meet or exceed individual and team sales targets., • Build and nurture long-term relationships with clients through regular follow-ups and exceptional customer service., • Collaborate with internal teams and external partners to resolve client issues and improve service delivery., • Document all client interactions and maintain accurate records in compliance with company and regulatory standards.

Job DescriptionBenefits: • 401(k), • Dental insurance Position Overview Dade Electric Service is seeking a skilled Journeyman Electrician to install, maintain, and repair electrical systems on commercial, institutional, and infrastructure projects throughout South Florida. This role works closely with project managers, foremen, and field crews to ensure electrical systems are installed safely, efficiently, and in compliance with applicable codes. Key Responsibilities • Install and terminate low-voltage cabling systems, • Install and service fire alarm, security, access control, and communication systems, • Install structured cabling and network infrastructure, • Test and troubleshoot low-voltage systems, • Read and interpret system diagrams and installation drawings, • Coordinate with project managers and other trades, • Ensure installations meet code requirements and manufacturer standards, • 3+ years of low-voltage installation experience, • Experience with fire alarm, security, access control, or data systems, • Ability to read system diagrams and technical documentation, • Strong troubleshooting and problem-solving skills, • Familiarity with low-voltage codes and installation standards, • Experience with commercial or institutional projects, • Manufacturer certifications (fire alarm, security, networking) are a plus, • OSHA certification preferred, • Company-paid healthcare, • Company-paid Medicare taxes, • Dental and vision coverage, • 401(k) retirement plan, • Professional and stable work environment

Job Description POSITION PURPOSE: The purpose of the Customer Service Representative is to be responsible for successfully managing large amounts of inbound and outbound calls. This will include following communication scripts, handling different topics, and acting as a liaison between our company and our patients. In addition, you will be responsible for evaluating all documents to ensure that appropriate information has been obtained for billing purposes. POSITION REQUIREMENTS / QUALIFICATIONS: Education/Experience: High School Diploma or GED preferred. 2 years minimum of experience in customer service preferred. Licensure / Certification: Maintain current CPR certification from the American Heart Association. Skills / Ability: Ability to work as a team member. Must have clerical skills, ability to type 20 - 30 wpm. Must have knowledge of math, operation of calculator; telephone etiquette, human relation skills and organizational skills. Proficient in Microsoft Office. Ability to demonstrate effective oral and written communication skills. POSITION RESPONSIBILITIES (THIS IS A NON-EXEMPT POSITION) Receives requests by mail, telephone, or in person regarding Medical Records, Pharmacy, Managed Care and Medical Services (Primary Care, Dental, Behavioral Health). Responds to inquiries from patients, providers and/or others for information and assistance. Performs research to respond and resolve patient inquiries. Independently responds to inquiries, grievances, complaints ranging from routine to moderate complexity. May seek assistance with complex customer services issues. Handling patients, referral sources, and administrative department inquires. Developing the knowledge of customer needs and trends to improve customer satisfaction and loyalty. Researches files for previous enrollment in CHI computer system before creating a new medical record number. Re-new or update existing client’s profiles as per guidelines issued by Community Health of South Florida. Complete statistical data and submit daily. Completes tasks in Intergy, Solutions Reach, Patient Portal in a timely fashion Reviews Quality Care Guidelines/Patient Reminder print-out to identify overdue items e.g. Advance Directives, Learning Needs Assessment, Depression Screening, etc. Verifies Medicare, Medicaid and all other insurance carriers. Schedules transportation appointments for patients in transportation software Schedules patient appointments in Intergy, Dentrix and Credible accurately Schedules patient appointments in Intergy, Dentrix and Credible accurately Documents patient’s information in EHR systems accurately and in accordance with HIPPA regulations Use appropriate and correct telephone etiquette at all times. Participates in Continuing Educational In-services and Performance Improvement Activities. Reports to work on time and ready to work with minimal absenteeism. Adheres to the Confidentiality Policies and Procedures / HIPAA Regulations. Performs other duties as assigned, including variable shifts if needed. WE ARE AN EQUAL OPPORTUNITY EMPLOYER.

Job DescriptionMember Service Representative Job Description About us: Solis Health Plans is a new kind of Medicare Advantage Company. We provide solutions that are more transparent, connected, and effective for both our members and providers. Solis was born out of a desire to provide a more personal experience throughout all levels of the healthcare journey. Our team consists of expert individuals that take pride in delivering quality service. We believe in a culture that collaborates and supports one another, and where success is interlinked, and each employee is valued. Please check out our company website at to learn more about us! Office Hours: 11:30 am - 8 pm. Position is FULLY ON SITE Monday-Friday. Location: 9250 NW 36th St, Miami, FL 33178. Full benefits package offered on the first on the month following date of hire including: Medical, Dental, Vision, 401K plan with a 100% company match! Our company has doubled size and we have experienced exponential growth in membership from 2,000 members to over 10,000 members! Join our winning Solis Team! Position Summary: Solis Health Plans is looking for a Member Services Representative primarily responsible for providing quality, professional service to all customers when calls are received through the Member Services Department via telephone, written or in-person in accordance with Plan guidelines. Essential Duties and Responsibilities: • Handles telephone, written and in-person inquiries in a courteous, professional, thorough, and timely manner to assure member satisfaction., • Assists callers on inquiries regarding coverage decisions, grievances, appeals, benefit interpretation, eligibility verification, medical group/PCP, explanation of how the plan works and how to utilize services, assists with information regarding referrals or authorizations, member complaints, identification card requests., • Must Report to the Doral HQ., • Responsible for maintaining customer service levels (abandonment rate, speed of answer and service level) within established parameters., • Is knowledgeable on plans benefit, CMS and Plans policies and procedure., • Applies high level of subject matter knowledge to solve a variety of common business issues., • Provides quality services effectively to increase the overall level of customer service and satisfaction as measured by CMS., • Identifies the differences between a Grievance, Appeal or Coverage Decision and process the request through the appropriate channels., • Identify, handle, document and/or route Utilization Management inquiries appropriately, • Identify and document Coverage Determinations., • Documents all inquiries and complaints., • Interacts with other departments about member issues or concerns., • Approaches work in a meticulous and thorough manner, pays attention to detail and follows company scripts., • Manages time effectively and prioritizes tasks to meet deadlines., • Assists customers, family members and others with concern and empathy; respect their confidentiality and privacy and communicate with them in a courteous and respectful manner., • Complies with company policies and procedures and maintains confidentiality of customer medical records in accordance with state and federal laws., • Ensures compliance with all HIPAA, OSHA, and other federal, state and local regulations., • Participates in meetings, trainings and in-service education, as required., • Highly regulated environment., • Time frames to handle issues are in accordance with CMS time frames., • Minimum of High School diploma or equivalent., • Minimum of 1year healthcare experience is required, with a preference for plan experience., • Working knowledge of the Privacy and Security Health Insurance Portability and Accountability Act (HIPAA) regulations., • Excellent communication skills, attention to detail, ability to set priorities appropriately and meet strict deadlines and the ability to manage multiple tasks simultaneously is required., • Excellent listening, interpersonal, verbal and written communication skills with individuals at all levels of the organization., • Excellent computer knowledge is required, including proficient knowledge of Microsoft Office, • Familiarity with healthcare laws, regulations and standards., • Ability to compute basic arithmetic and work with numbers., • Must be patient in dealing with an elderly population and sympathetic to hearing or vision deficiencies., • Ability to work effectively independently, work with very little supervision and in a team environment., • Ability to read, analyze, and interpret technical procedures or governmental regulations., • Ability to effectively present information and respond to questions from groups of managers, clients, customers and the general public., • Ability to define problems, collect data, establish facts, and draw valid conclusions., • Strong decision-making, analytical skills., • Must be self-motivated, organized and have excellent prioritization skills., • Must be able to work well under stressful conditions., • Must be able to work in a fast paced environment., • Fluency in English and Creole. What set us apart: Join Solis Health Plans as a Member Services Representative (Bilingual in Spanish) and become a catalyst for positive change in the lives of our members. At Solis, you will be part of a locally rooted organization deeply committed to understanding and serving our communities. If you are eager to embark on a purpose-driven career that promises growth and the chance to make a significant impact, we encourage you to explore the opportunities available at Solis Health Plans. Join us and be the difference!

Job Description Job description Nursing Home Hospice RN Team Director Moments Hospice Full-Time | Nurses looking for autonomy and variety should consider practicing in Hospice Care. As a Nursing Home Hospice RN Team Director at Moments Hospice, you will join a team that is dedicated to making our patients' final days, weeks, and months as comfortable as possible. Support from our Team: • Employer contributions towards medical insurance plans, • Employer-paid dental, vision, short- and long-term disability, and life insurance options, • Opportunities for growth within the Moments Hospice Organization, • Experienced team of Regional Director of Clinical Operators available as resources and mentors, • 120 hours of PTO, 6 paid holidays, and 2 additional floating holidays, • Mileage and company cell phone Position Responsibilities • Directly supervises the interdisciplinary team. Responsibilities include interviewing, hiring, training and terminating (with administrative approval) all interdisciplinary team members; planning, assigning, and directing work; appraising performance; rewarding and disciplining colleagues; addressing complaints and resolving problems., • Reads and incorporates into practice the requirements of the Hospice Conditions of Participation for Medicare, applicable accreditation standards, and state or other rules and regulations as applicable to the program., • Oversees the consultative process between the Medical Director and the members of the Interdisciplinary Team (IDT), assists in requesting appropriate care orders and attendance to identified patient needs if patient's attending physician is not available., • Attends/Leads Interdisciplinary Team (IDT) meetings, ensuring:, • Patient care needs are identified and discussed with the full complement of the IDT., • All required members of the core team are present and engaged in the IDT meeting., • Required documentation is completed during and at the conclusion of the IDT meeting to capture the discussion and outcomes of the meeting., • Patient re-certifications are discussed and completed in a timely manner., • Documentation of the patient-centered plan of care and the implementation of interventions for patient care including changes in level of care, medication changes, changes to visit frequency, or need for emergency transportation., • Participates in the development and update of patient care policies and emergency procedures., • Ensures hospice services are available 24/7., • Follows state regulatory requirements for supervision of nursing services., • Manages all members of the IDT including aspects of scheduling, productivity, mentoring, pay practices, time keeping, performance reviews, and colleague support., • Models desired behaviors including timeliness, punctuality, attendance, collaboration, open communication, and equitable treatment., • Actively collaborates regarding QAPI activities and provides feedback and input into Performance Improvement., • Participates in performance improvement programs., • Promotes hospice philosophy., • Upholds a personal philosophy of integrity and commitment; communicates proactively when schedule changes are needed., • Analyzes and reports on quality metrics including Hospice Item Set, CAHPS, and symptom management outcomes., • Establishes departmental goals consistent with Moments Hospice goals and objectives., • Supervises patient and family care as specified by the plan of care, assessing appropriateness, continuity, service, and quality of care., • Models and facilitates communication between colleagues including medical records, business office, intake, clinical team, and leadership., • Participates in care delivery for patients as needed including conducting admissions, recertification visits, routine visits, and discharge visits., • Manages the care for a caseload of patients if needed to support ebb and flow of census changes., • Participates in after-hours shifts as needed including primary and back-up on-call., • Serves as the administrator on call when scheduled., • Make and/or delegate post-admissions calls., • Directs responsibility for the management of Pharmacy, Medical Supplies, Durable Medical Equipment, Mileage and Labor for program to meet budget expectations., • May be designated the administrator or alternate administrator for the licensure of the program based on state requirements., • Ensures maximum utilization of resources., • Promotes a positive and collaborative culture., • Performs other duties as assigned. Education and/or Experience Registered Nurse with minimum of three years in Healthcare required, preferably in Nursing Facility, Home Health or Hospice setting. Bachelor's degree strongly preferred. Experience in leadership or management strongly preferred. Summary About Moments Hospice Moments Hospice is a leading hospice organization determined to change the hospice experience for patients, families, and team members. Our promise to our patients is, "We personalize our care and treat you like family." We are dedicated to making our patients' final days, weeks, and months as comfortable as possible. The promise to treat everyone like family also flows through the daily work environment, where all employees are part of the Moments family. We offer a workplace that employees are proud to be a part of. Moments Hospice has grown to over 19 offices in 6 states.

Job Description Job Title: Medical Assistant Reports to: Office Manager PCC Medical Holding, LLC (Physician Care Centers) is a dynamic and fast-growing company of primary medical offices throughout the country. Specializing in family medicine and the Medicare population, we have grown to more than 50 clinics, 90 providers, and 500 employees spanning Florida, Georgia, South Carolina and Texas. Our goal is to guide our patients to healthy and enjoyable lives. Our culture is to be intentionally kind to one another by treating each other with respect and empathy. The most impactful leadership lessons are taught by example. In leading, teaching, and coaching our organization to demonstrate the care, tolerance, and respect we want to see, we lead by example throughout our organization. Job Summary: Medical Assistants perform administrative and clerical duties while working with providers, to help provide the optimum level of care for our patients. Medical Assistants are instrumental in helping patients feel at ease in the office and often explain the providers’ instructions. Duties/Responsibilities: • Escorting patients to exam rooms and notifying provider when the patient is ready., • Ensure all lab and diagnostic test results are in the chart prior to appointment., • Ensure all exam rooms are appropriately stocked and clean., • Initial conduct with patient includes reason for visit/symptoms, obtain vital signs, weight, height, blood pressure, temperature, etc., • Verify all current medications, contact information, and medical allergies., • Preparing patients for examinations., • Assisting the provider during examinations., • Collecting and preparing laboratory specimens., • Instructing patients about medications and special diets., • Preparing and administering medications including intramuscular, intradermal, and subcutaneous injections – including vaccinations/immunizations – as directed by the physician or other licensed provider (nurse practitioner, physician assistant)., • Administer EKG, nebulizer treatments, assisting provider with other procedures/tasks., • Transmitting prescription refills as directed., • Phlebotomy, • Inventory and order medical, lab, and/or office supplies., • Follow-up on diagnostics, medications, blood results, etc., • Wound care., • Using computer applications., • Updating and filing patient medical records Required Skills/Abilities: • Excellent verbal and written communication skills., • Excellent interpersonal and customer service skills., • Excellent organizational skills and attention to detail., • Excellent time management skills with a proven ability to meet deadlines., • Strong analytical and problem-solving skills., • Ability to prioritize tasks., • Ability to function well in a high-paced and at times stressful environment., • Proficient with Microsoft Office Suite or related software, EMR software applications, applicable medical codes, • Follow directions given verbally, written, or listed for periodic adherence., • Knowledge of HEDIS. Education and Experience: High school diploma or equivalent. At least three years of clinical experience. Medical Assistant certification or higher (EMT, RN, LPN) CPR/First Aid certification required. Physical Requirements: Prolonged periods of standing Frequently required to walk, sit, use hands and finger, stoop, kneel, crouch. Required to talk and hear clearly. English is required, secondary language is a plus. Must be able to lift up to 50 pounds. Vision requirements include close and distance vision, color, peripheral, depth perception, and ability to adjust your focus. Available Benefits Medical, dental, vision, GAP, short-term disability, life insurance, spouse and/or child life insurance, hospital indemnity, accident, etc. Paid holiday and PTO for all full-time employees.

Job Description Clinical Liaison RN Location: Miami Position: Clinical Liasion Remote/Virtual Position: ON SITE Coverage Area: Central Miami Salary: $47,000-$80,000 Schedule: M-F Responsibilities Reimagine Your Career in Hospice Caring for others is more than what you do — it’s who you are. At AccentCare, you’ll join a purpose-driven, collaborative culture that sets the standard for excellence and gives you the trust and tools to do your best work. You’ll belong to a team that cares deeply for patients and each other; a team committed to consistently providing exceptional care. We’re proud to be named one of America’s Greatest Workplaces 2025 by Newsweek — a reflection of our shared commitment to excellence, integrity and compassion as we shape the future of aging in place. When you thrive, so does the community of care we’re building together. Be the Best Clinical Liaison RN You Can Be If you meet these qualifications, we would love to meet you: • One (1) year of RN experience in local market with a strong knowledge of governmental home health regulations, Medicare requirements, and care plan development techniques, • Previous medical sales experience preferred, • Licensed RN currently licensed as a registered nurse in the state of agency operation, • Must be a licensed driver with an automobile that is insured and in accordance with state and/or organization requirements and in good working order Responsibilities: As a Clinical Liaison RN, you will: • Provide community and provider in-service education in assigned territory., • Maintain daily communication with Admissions Department and Team Directors., • Work with the Hospice Care Consultants to develop and implement individualized marketing plan., • Provide consultation on hospice and palliative care. Our benefits include: • Medical, dental and vision coverage, • Paid time off and paid holidays, • Professional development opportunities, • Company-matching 401(k), • Flexible spending and health savings accounts, • Wellness offerings such as an employee assistance program, pet insurance and access to Calm, a meditation, sleep and relaxation app, • Programs to celebrate achievements, milestones and fellow employees, • Company store credit for your first AccentCare-branded scrubs for patient-facing employees, • And more! Qualifications Come As You Are • At AccentCare, you’re part of a community that cares — for patients and each other. You can rest assured we offer equal employment opportunities regardless of race, ethnicity, sex, sexual orientation, gender identity, religion, national origin, age or disability.

Job Description Job Title: Provider Enrollment & Credentialing Specialist Company: Pinnacle Wound Management Location: Gainesville, GA Employment Type: Full-Time About Us: At Pinnacle Wound Management, we are dedicated to improving the lives of patients through high-quality wound care delivered by expert physicians, nurse practitioners, and physician assistants. As a growing leader in this specialized healthcare field, we’re looking for a detail-oriented and proactive Provider Enrollment & Credentialing Specialist to support our expanding clinical team. Position Overview: The Provider Enrollment & Credentialing Specialist will be responsible for the full-cycle credentialing and enrollment of our healthcare providers, including physicians and mid-level practitioners. This role is vital to ensuring that our clinical staff are enrolled with payers, credentialed with facilities, and compliant with all regulatory and operational standards. Key Responsibilities: * Manage the credentialing and re-credentialing processes for physicians, nurse practitioners, and physician assistants. * Enroll new providers with Medicare, Medicaid, and commercial insurance plans. * Maintain accurate and up-to-date provider information in internal databases and with payer systems. * Track expirables (e.g., licenses, certifications, malpractice insurance) and ensure timely renewals. * Communicate with providers and internal departments to gather necessary documentation and resolve enrollment or credentialing issues. * Monitor and respond to payer requests and follow up to ensure timely processing. * Stay current on enrollment and credentialing regulations and payer requirements. * Support facility privileging processes when applicable. Qualifications: * 2+ years of experience in healthcare credentialing and/or provider enrollment. * Familiarity with CAQH, PECOS, NPPES, and commercial insurance enrollment processes. * Strong organizational skills and attention to detail. * Ability to work independently and manage multiple tasks and deadlines. * Excellent communication skills, both written and verbal. * Experience in wound care or with mobile healthcare providers is a plus. Preferred Skills: * Knowledge of credentialing software and platforms. * Experience working with a geographically distributed provider team. * Understanding of state licensing requirements and compliance standards. Why Join Us? * Opportunity to be part of a mission-driven team making a direct impact on patient care. * Supportive and collaborative work environment. * Competitive salary and benefits package.

Job DescriptionAbout us: Solis Health Plans is a new kind of Medicare Advantage Company. We provide solutions that are more transparent, connected, and effective for both our members and providers. Solis was born out of a desire to provide a more personal experience throughout all levels of the healthcare journey. Our team consists of expert individuals that take pride in delivering quality service. We believe in a culture that collaborates and supports one another, and where success is interlinked, and each employee is valued. Please check out our company website at to learn more about us! Position is FULLY ON SITE Monday-Friday. Location: 9250 NW 36th St, Miami, FL 33178. Full benefits package offered on the first on the month following date of hire including: Medical, Dental, Vision, 401K plan with a 100% company match! Our company has doubled size and we have experienced exponential growth in membership from 2,000 members to over 10,000 members! Join our winning Solis Team! Position Summary: Solis Health Plans is looking for a Member Services Representative primarily responsible for providing quality, professional service to all customers when calls are received through the Member Services Department via telephone, written or in-person in accordance with Plan guidelines. Essential Duties and Responsibilities: • Handles telephone, written and in-person inquiries in a courteous, professional, thorough, and timely manner to assure member satisfaction., • Assists callers on inquiries regarding coverage decisions, grievances, appeals, benefit interpretation, eligibility verification, medical group/PCP, explanation of how the plan works and how to utilize services, assists with information regarding referrals or authorizations, member complaints, identification card requests., • Must Report to the Doral HQ., • Responsible for maintaining customer service levels (abandonment rate, speed of answer and service level) within established parameters., • Is knowledgeable on plans benefit, CMS and Plans policies and procedure., • Applies high level of subject matter knowledge to solve a variety of common business issues., • Provides quality services effectively to increase the overall level of customer service and satisfaction as measured by CMS., • Identifies the differences between a Grievance, Appeal or Coverage Decision and process the request through the appropriate channels., • Identify, handle, document and/or route Utilization Management inquiries appropriately, • Identify and document Coverage Determinations., • Documents all inquiries and complaints., • Interacts with other departments about member issues or concerns., • Approaches work in a meticulous and thorough manner, pays attention to detail and follows company scripts., • Manages time effectively and prioritizes tasks to meet deadlines., • Assists customers, family members and others with concern and empathy; respect their confidentiality and privacy and communicate with them in a courteous and respectful manner., • Complies with company policies and procedures and maintains confidentiality of customer medical records in accordance with state and federal laws., • Ensures compliance with all HIPAA, OSHA, and other federal, state and local regulations., • Participates in meetings, trainings and in-service education, as required., • Highly regulated environment., • Time frames to handle issues are in accordance with CMS time frames., • Minimum of High School diploma or equivalent., • Minimum of 1year healthcare experience is required, with a preference for plan experience., • Working knowledge of the Privacy and Security Health Insurance Portability and Accountability Act (HIPAA) regulations., • Excellent communication skills, attention to detail, ability to set priorities appropriately and meet strict deadlines and the ability to manage multiple tasks simultaneously is required., • Excellent listening, interpersonal, verbal and written communication skills with individuals at all levels of the organization., • Excellent computer knowledge is required, including proficient knowledge of Microsoft Office, • Familiarity with healthcare laws, regulations and standards., • Ability to compute basic arithmetic and work with numbers., • Must be patient in dealing with an elderly population and sympathetic to hearing or vision deficiencies., • Ability to work effectively independently, work with very little supervision and in a team environment., • Ability to read, analyze, and interpret technical procedures or governmental regulations., • Ability to effectively present information and respond to questions from groups of managers, clients, customers and the general public., • Ability to define problems, collect data, establish facts, and draw valid conclusions., • Strong decision-making, analytical skills., • Must be self-motivated, organized and have excellent prioritization skills., • Must be able to work well under stressful conditions., • Must be able to work in a fast paced environment., • Fluency in English and Spanish. What set us apart: Join Solis Health Plans as a Member Services Representative (Bilingual in Spanish) and become a catalyst for positive change in the lives of our members. At Solis, you will be part of a locally rooted organization deeply committed to understanding and serving our communities. If you are eager to embark on a purpose-driven career that promises growth and the chance to make a significant impact, we encourage you to explore the opportunities available at Solis Health Plans. Join us and be the difference!

Job DescriptionPosition Overview: We are seeking a motivated Sales Representative / Community Marketer to expand our agencys reach, strengthen referral relationships, and support business growth. This role combines healthcare industry engagement with entrepreneurial sales drive. The ideal candidate will have experience in healthcare marketing, business development, or community outreach, with a passion for helping patients and families access the care they need. Key Responsibilities: • Identify and build relationships with referral sources including physicians, hospitals, rehabilitation centers, case managers, and community organizations., • Develop and maintain a strong referral pipeline in assigned territories (Miami-Dade & Monroe counties)., • Conduct educational presentations to healthcare providers, families, and community groups regarding Physical 4 U, Inc.s services., • Represent the agency at networking events, conferences, and community functions., • Maintain activity tracking (CRM/lead management) and submit weekly reports to management., • Collaborate with internal clinical and administrative teams to ensure smooth referral intake and excellent customer service., • Achieve weekly outreach goals and contribute to agency census growth. Qualifications: • Bachelors degree in marketing, business, social work, or healthcare field preferred., • Experience in healthcare marketing, sales, or community outreach strongly preferred., • Familiarity with home health, Medicaid, Medicare, or managed care plans a plus., • Strong presentation, networking, and interpersonal communication skills., • Self-motivated, organized, and results-driven with an entrepreneurial spirit., • Bilingual (English/Spanish) preferred, but not required., • Valid drivers license and reliable transportation required.

Job Description Job Summary We are seeking a Customer Service Representative (CSR) with experience in Durable Medical Equipment (DME/HME) to join our team. The CSR is responsible for answering calls, processing orders, verifying insurance, and providing outstanding service to patients, caregivers, healthcare providers, insurance companies, and vendors. This role requires strong communication skills, attention to detail, and the ability to coordinate across departments to ensure timely and accurate delivery of equipment and services. Key Responsibilities Customer Interaction & Support • Handle inbound/outbound calls from patients, providers, and insurance companies, • Provide information on DME/HME products, order status, and insurance coverage, • Process incoming and outgoing orders accurately and efficiently., • Verify insurance eligibility, benefits, and patient qualifications for equipment., • Document all patient interactions, order activity, and communications in Brightree or other order management systems., • Maintain compliance with HIPAA and company policies regarding patient records., • Work closely with intake, billing, warehouse, and clinical teams to ensure seamless patient service., • Reschedule patient appointments and notify patients as required., • Stay informed of changes in insurance guidelines, Medicare/Medicaid policies, and company procedures., • Maintain a knowledge base of products, services, and regulatory requirements., • Provide suggestions for improving workflows, patient satisfaction, and service efficiency. Required Skills & Qualifications • Previous DME/HME customer service experience preferred., • Familiarity with Insurance verification processes is a plus., • Excellent verbal and written communication skills., • Ability to multitask, prioritize, and work in a fast-paced environment., • Strong problem-solving skills and ability to build rapport with patients and providers., • Professional demeanor with a positive, team-oriented attitude., • Bilingual skills preferred. Physical Requirements • Prolonged periods sitting at a desk and working on a computer. Benefits: • 401(k), • Dental insurance, • Health insurance, • Paid time off

Job Description Job description Hospice General Inpatient Care RN Team Director Moments Hospice Full-Time | Nurses looking for autonomy and variety should consider practicing in Hospice Care. As a Hospice General Inpatient Care RN Team Director at Moments Hospice, you will join a team that is dedicated to making our patients' final days, weeks, and months as comfortable as possible. Support from our Team: • Employer contributions towards medical insurance plans, • Employer-paid dental, vision, short- and long-term disability, and life insurance options, • Opportunities for growth within the Moments Hospice Organization, • Experienced team of Regional Director of Clinical Operators available as resources and mentors, • 120 hours of PTO, 6 paid holidays, and 2 additional floating holidays, • Mileage and company cell phone Position Responsibilities • Directly supervises the interdisciplinary team. Responsibilities include interviewing, hiring, training and terminating (with administrative approval) all interdisciplinary team members; planning, assigning, and directing work; appraising performance; rewarding and disciplining colleagues; addressing complaints and resolving problems., • Reads and incorporates into practice the requirements of the Hospice Conditions of Participation for Medicare, applicable accreditation standards, and state or other rules and regulations as applicable to the program., • Oversees the consultative process between the Medical Director and the members of the Interdisciplinary Team (IDT), assists in requesting appropriate care orders and attendance to identified patient needs if patient's attending physician is not available., • Attends/Leads Interdisciplinary Team (IDT) meetings, ensuring:, • Patient care needs are identified and discussed with the full complement of the IDT., • All required members of the core team are present and engaged in the IDT meeting., • Required documentation is completed during and at the conclusion of the IDT meeting to capture the discussion and outcomes of the meeting., • Patient re-certifications are discussed and completed in a timely manner., • Documentation of the patient-centered plan of care and the implementation of interventions for patient care including changes in level of care, medication changes, changes to visit frequency, or need for emergency transportation., • Participates in the development and update of patient care policies and emergency procedures., • Ensures hospice services are available 24/7., • Follows state regulatory requirements for supervision of nursing services., • Manages all members of the IDT including aspects of scheduling, productivity, mentoring, pay practices, time keeping, performance reviews, and colleague support., • Models desired behaviors including timeliness, punctuality, attendance, collaboration, open communication, and equitable treatment., • Actively collaborates regarding QAPI activities and provides feedback and input into Performance Improvement., • Participates in performance improvement programs., • Promotes hospice philosophy., • Upholds a personal philosophy of integrity and commitment; communicates proactively when schedule changes are needed., • Analyzes and reports on quality metrics including Hospice Item Set, CAHPS, and symptom management outcomes., • Establishes departmental goals consistent with Moments Hospice goals and objectives., • Supervises patient and family care as specified by the plan of care, assessing appropriateness, continuity, service, and quality of care., • Models and facilitates communication between colleagues including medical records, business office, intake, clinical team, and leadership., • Participates in care delivery for patients as needed including conducting admissions, recertification visits, routine visits, and discharge visits., • Manages the care for a caseload of patients if needed to support ebb and flow of census changes., • Participates in after-hours shifts as needed including primary and back-up on-call., • Serves as the administrator on call when scheduled., • Make and/or delegate post-admissions calls., • Directs responsibility for the management of Pharmacy, Medical Supplies, Durable Medical Equipment, Mileage and Labor for program to meet budget expectations., • May be designated the administrator or alternate administrator for the licensure of the program based on state requirements., • Ensures maximum utilization of resources., • Promotes a positive and collaborative culture., • Performs other duties as assigned. Education and/or Experience Registered Nurse with minimum of three years in Healthcare required, preferably in Nursing Facility, Home Health or Hospice setting. Bachelor's degree strongly preferred. Experience in leadership or management strongly preferred. Summary About Moments Hospice Moments Hospice is a leading hospice organization determined to change the hospice experience for patients, families, and team members. Our promise to our patients is, "We personalize our care and treat you like family." We are dedicated to making our patients' final days, weeks, and months as comfortable as possible. The promise to treat everyone like family also flows through the daily work environment, where all employees are part of the Moments family. We offer a workplace that employees are proud to be a part of. Moments Hospice has grown to over 19 offices in 6 state

Job DescriptionJob Title: CASE MANAGEMENT NURSEAbout us: Solis Health Plans is a new kind of Medicare Advantage Company. We provide solutions that are more transparent, connected, and effective for both our members and providers. Solis was born out of a desire to provide a more personal experience throughout all levels of the healthcare journey. Our team consists of expert individuals that take pride in delivering quality service. We believe in a culture that collaborates and supports one another, and where success is interlinked, and each employee is valued. Please check out our company website at to learn more about us! POSITION IS FULLY ONSITE Monday-Friday. Location: 9250 NW 36th St, Miami, FL 33178. English and Spanish are required* Full benefits package offered on the first of the month following date of hire including: Medical, Dental, Vision 401k plan with a 100% company match! Our company has doubled in size, and we have experienced exponential growth in membership from 2,000 members to over 8,000 members in the last year! Join our winning Solis Team! Position Summary: Solis Health Plans is looking for a Case Management Nurse (RN) who works for a health plan, assisting patients with complex medical needs to navigate the healthcare system and access appropriate care. The Case Management Nurse is responsible for coordinating and integrating care across different providers and settings, including hospitals, primary care offices, specialty clinics, and home care agencies. Essential Duties and Responsibilities: • Conducts comprehensive assessments of patients with complex medical needs to identify their physical, psychological, social, and environmental needs., • Develops individualized care plans that address the patient's health goals, preferences, and priorities, and aligns with evidence-based clinical guidelines and best practices., • Coordinates care across the healthcare continuum, including transitions of care between different settings and providers, and communicates with the patient, family, caregivers, and healthcare team members to ensure continuity and quality of care., • Provides patient education on self-management of chronic conditions, medication management, preventive care, and healthcare navigation., • Participates in quality improvement initiatives, evaluates the effectiveness of the care., • Coordination and integration program and implements changes to improve outcomes and patient satisfaction., • Maintains accurate and timely documentation of patient assessments, care plans, interventions, and outcomes, using electronic health record systems., • Engages in ongoing professional development activities, such as continuing education, certification, and participation in professional organizations, to maintain and enhance. knowledge and skills related to care coordination and integration., • Collaborates with other members of the healthcare team, such as physicians, social workers, pharmacists, and case managers, to ensure that patients receive coordinated and integrated care that meets their needs and preferences. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. • Nursing Degree from an accredited nursing program and be licensed as a registered nurse (RN) in the state of Florida. A clear and active license is required., • 3 years of clinical experience as an RN is preferred., • Certification in care coordination and transition management, Certified in Case Management (Preferred)., • Strong interpersonal and communication skills to effectively interact with patients, families, and healthcare team members. They must also have strong critical thinking, problem-solving, and decision-making skills to assess patient needs, develop care plans, and coordinate care across different settings and providers. Join Solis Health Plans as a Case Management Nurse and become a catalyst for positive change in the lives of our members. At Solis, you will be part of a locally rooted organization deeply committed to understanding and serving our communities. If you are eager to embark on a purpose-driven career that promises growth and the chance to make a significant impact, we encourage you to explore the opportunities available at Solis Health Plans. Join us and be the difference!

Accounts Receivable Specialist - Medicare. The Accounts Receivable Specialist - Medicare is responsible for the timely follow-up and resolution of insurance claims. Familiarity with Medicare, Medicaid, and managed care preferred.

We are growing our team in Miami, FL and have multiple Bilingual (English/Spanish) Medicare Sales Agent openings available now.

Our internal Medicare Advisor team handles post-sale customer support. Experienced: 1-3 years of Medicare sales experience. Connie Health Medicare Agent Opportunity.

This role is ideal for candidates who are energetic, empathetic, and looking to become part of a growing business segment, selling our competitive portfolio of Medicare products. Prior Medicare sales experience.

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. Deliver: Build trust and educate individuals on Humana's Medicare Advantage plans and additional offerings like Life

We are growing our team in Miami, FL and have multiple Medicare Sales Agent openings available now.

We are growing our team in Miami, FL and have multiple Medicare Sales Agent openings available now.

Medicare Advantage and Medicare Supplement Plans. In Health Solutions, we offer Medicare Advantage and Medicare Supplement plans, as well as final expense policies. Employees in Health Solutions acquire and apply advanced knowledge of complex health insurance and Medicare solutions, dental and visio

We are growing our team in Miami, FL and have multiple Medicare Sales Agent openings available now.

This role is ideal for candidates who are energetic, empathetic, and looking to become part of a growing business segment, selling our competitive portfolio of Medicare products. Prior Medicare sales experience.

We are growing our team in Miami, FL and have multiple Bilingual (English/Spanish) Medicare Sales Agent openings available now.

This role is ideal for candidates who are energetic, empathetic, and looking to become part of a growing business segment, selling our competitive portfolio of Medicare products. Prior Medicare sales experience.

We are growing our team in Miami, FL and have multiple Bilingual (English/Spanish) Medicare Sales Agent openings available now.

This role is ideal for candidates who are energetic, empathetic, and looking to become part of a growing business segment, selling our competitive portfolio of Medicare products. Prior Medicare sales experience.

We are growing our team in Miami, FL and have multiple Medicare Sales Agent openings available now.

We are growing our team in Miami, FL and have multiple Medicare Sales Agent openings available now.

Deliver: Build trust and educate individuals on Humana's Medicare Advantage plans and additional offerings like Life, Dental, Vision, and Prescription coverage. Background in selling Medicare products. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families

We are growing our team in Miami, FL and have multiple Medicare Sales Agent openings available now.

We are growing our team in Miami, FL and have multiple Bilingual (English/Spanish) Medicare Sales Agent openings available now.