- Molina Healthcare (Tampa, FL)
- …resolution within 30 days of error issuance. * Evaluates the adjudication of claims using standard principles and state specific policies and regulations in ... clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it pertains… more
- CVS Health (Tallahassee, FL)
- …with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. We are an equal opportunity and ... is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. **Position Summary** Review and adjust SF… more
- Walmart (La Belle, FL)
- …stores and providing feedback TourtoTeach communicating and collaborating with all levels of associates regarding store operations utilizing technology business ... and mentoring of associates assigning duties settingclear expectations providing associate recognition communicating expectations consistently and effectively ensuring awareness… more
- Publix (Lakeland, FL)
- …into a retail powerhouse with over 1,400 stores and more than 260,000 associates, all of whom have a vested interest in the company's success. This unique ownership ... wide range of liability matters including premises, fleet, pharmacy, and product claims . + Develop and refine internal litigation processes and policies for… more
- Cognizant (Tallahassee, FL)
- **Healthcare Accounts Receivables - Claims Denials (remote)** Cognizant is one of the world's leading professional services companies, we help our clients modernize ... productivity standards. + **Billing Guidelines** : Demonstrate knowledge of state /federal billing guidelines, reimbursement methodologies, and payer policies. +… more
- CVS Health (Miami, FL)
- …with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. We are an equal opportunity and ... is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. **Position Summary** At CVS Health, you will… more
- Cognizant (Tallahassee, FL)
- …productivity standards. + **Billing Guidelines** : Demonstrate knowledge of state /federal billing guidelines, reimbursement methodologies, and payer policies. + ... denials and underpayments to identify improvement initiatives. + **Communication** : Ensure all actions are documented, appeal letters are effective, and root causes… more
- Prime Therapeutics (Tallahassee, FL)
- …clinical knowledge pertaining to a set list of managed medications across all health plans, with additional training for each medication and therapeutic class. ... information and checks appropriateness using clinical criteria. Makes approval recommendations on all services that meet clinical review criteria. Refers all … more
- Intermountain Health (Tallahassee, FL)
- **Job Description:** **_Hybrid position, associate must be able to commute to the office to support clerical team when needed._** Scope In the role of Cash ... **Essential Functions** + Oversees the day-to-day revenue cycle functions including claims processing, denials, payments, customer service, and follow up on… more
- Elevance Health (Tampa, FL)
- …be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an ... with arrest or conviction records will be considered for employment in accordance with all federal, state , and local laws, including, but not limited to, the… more