- Air National Guard Units (Tyndall AFB, FL)
- …You must provide transcripts or other documentation to support your Educational claims . To receive credit for Education, you must provide documentation of proof ... that you meet the Education requirements for this position. Additional Information If you are a male applicant who was born after 12/31/1959 and are required to register under the Military Selective Service Act, the Defense Authorization Act of 1986 requires… more
- Elevance Health (Miami, FL)
- …of reimbursement, as applicable. + Assists in problem solving with providers, claims or service issues. + Assists with development of utilization/care management ... policies and procedures. **Minimum requirements:** + Requires BA/BS in a health related field and minimum of 5 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. + Current, unrestricted… more
- Humana (Tallahassee, FL)
- …working within the healthcare field + Previous experience with medical claims + Project management experience **Additional Information** This role is considered ... "remote/work at home" and can be based anywhere in the United States. **Work at Home Information** To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet… more
- Elevance Health (Tampa, FL)
- …rates of reimbursement, as applicable. Assists in problem solving with providers, claims or service issues **Minimum Requirements:** + Requires BA/BS in a health ... related field and minimum of 3 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. + Current, unrestricted RN license in applicable state(s) required. + Multi-state licensure is required… more
- Molina Healthcare (Tampa, FL)
- …medical management, network contracting and provider relations, member services, claims management, payment integrity, pharmacy, quality and risk adjustment. * ... Acts as a critical segment clinical leader for external providers, regulatory (local, state and federal) and accrediting agencies. * Identifies potential areas of non-compliance by overseeing audits and provides advice and guidance to operational areas… more
- Terumo Medical Corporation (Orlando, FL)
- …(QA), and by ensuring all promotional messaging (ie branding strategies, product claims , etc.) and materials (ie literature) discussed or presented to customers are ... clinically accurate and adhere to AdvaMed guidelines and Terumo's policy on Interactions with Healthcare Professionals. + Maintain strong knowledge of and adherence to regulations regarding promotional material content and control. Follow procedures for good… more
- WTW (Miami, FL)
- …**Other:** Keep abreast of laws and regulations impacting employee benefits, claims procedures, and notice requirements by using our legal database subscriptions ... to research, analyze and understand changes in the law and/or regulations. **Filing** : File documents with government agencies as needed **Client Communication** : Communicate effectively with clients, client counsel, providing updates and gathering… more
- Leidos (Tampa, FL)
- …(GTCC) program as an Assistant APC. + Process 450 to 2,800 travel claims per month, ensuring timely and accurate settlement from initiation to finalization. **Basic ... Qualifications** + **Active DoD Secret Security Clearance** . + High School Diploma with 5+ years of relevant experience. A degree (Associates, Bachelors, or Masters) may be substituted for some years of experience. + 5+ years' experience with Marine Corps… more
- Select Medical (Gainesville, FL)
- …coordinates any necessary investigations + Processes and maintains all worker's compensation claims in a timely manner and according with the company's Return to ... Work program + Processes all unemployment requests, FMLA and Leave of Absences in an accurate and timely manner + Ensures confidentiality and professionalism is maintained when dealing with sensitive and confidential information. **Qualifications** **Minimum… more
- HSBC (Miami, FL)
- …proposals for clients and ensures the proper handling of any subsequent claims + Required to be client-service orientated and proactively look for ways ... to increase revenues, improve customer service, and add value to our internal Group partners + Track carrier and product performance against benchmark standards. Recommends shifts in providers and /or product offerings on an as needed basis + Develop strategic… more