- RTX Corporation (Largo, FL)
- …customer communications and building a robust customer relationship + Supplier Claims /Request for Economical Adjustments (REA's) and mediation management + Conduct ... pre award Supplier Assessment (RESA) Establish Logistics strategy and capacity plan Reporting, tracking, and managing of an integrated product team and/or program responsible for the delivery of procured material from suppliers, through external testing, and… more
- CHS (Clearwater, FL)
- …+ High school graduate or equivalent. + Knowledge of medical terminology, billing, claims and the health insurance industry is strongly preferred but not required. + ... A minimum of at least one year working in an inbound Customer Service Center focused on health insurance or provider billing. + Strong organizational, interpersonal and motivational skills. + Excellent listening, written and verbal communication skills. +… more
- CDR Maguire (West Palm Beach, FL)
- …conform to the contract documents. + Prepare contractors' periodic progress payment claims and recommends payment. + Ensure compliance with the contract documents by ... the contractor and the contractor's health and safety plan. + Check contractor's layout and verify accuracy. + Ability to bend, stretch, kneel, sit, and stand; ability to lift and carry up to 50 lbs. + Infrequently perform manual labor and work in adverse… more
- AssistRx (Orlando, FL)
- …to expedite patient access + Document and initiate prior authorization process and claims appeals + Report any reimbursement trends or delays in coverage to ... management + Act as a liaison for field representatives, health care providers and patients About AssistRx: Voted Top Work Places in Orlando 3 years in a row, AssistRx understands that the key to success is our fantastic team members. AssistRx has engineered… more
- Molina Healthcare (Miami, FL)
- …SQL, PowerBI, databricks. + Experience on ETL , healthcare specifically claims is highly preferred. **JOB QUALIFICATIONS** **Required Education** Associate degree or ... equivalent combination of education and experience **Required Experience** 3-5 years **Preferred Education** Bachelor's Degree or equivalent combination of education and experience **Preferred Experience** 5-7 years To all current Molina employees: If you are… more
- Molina Healthcare (Miami, FL)
- …of pharmacy prior authorization requests and/or appeals. * Explains point-of-sale claims adjudication, state, NCQA and CMS policies/guidelines, and any other ... necessary information to providers, members and pharmacies. * Assists with clerical tasks and other day-to-day pharmacy call center operations as delegated. * Effectively communicates plan benefit information, including but not limited to: formulary… more
- Insight Global (Tallahassee, FL)
- …insurance regulations and agency standards. Process policy changes, endorsements, and claims support. Educate clients on coverage options, deductibles, and risk ... mitigation. Collaborate with underwriters and carriers to secure competitive quotes. Maintain accurate records in the agency management system. Participate in team meetings and contribute to agency growth initiatives. We are a company committed to creating… more
- LogixHealth (Dania Beach, FL)
- …services, offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting dashboards for clients ... in 40 states. Since our first day, we have had a clear vision of a better healthcare system and have continually evolved to get there. In addition to providing expert revenue cycle services, we utilize proprietary software to provide valuable financial,… more
- Zodiac Pool Systems (Jacksonville, FL)
- …and Fluidra sales managers + Instruct dealers on Fluidra's warranty guidelines and claims processing procedures + Represent Fluidra at local and national trade shows ... and seminars, in conjunction with Fluidra sales and marketing personnel + Work closely with Fluidra sales managers to help promote Fluidra products and services + Ability to read and interpret documents such as safety rules, operating and maintenance… more
- Deloitte (Tallahassee, FL)
- …5 + years of related Epic Professional billing and/or Professional Billing Claims experience + Current Epic Certification in Resolute Professional Billing + ... Experience in Epic implementation or enhancement processes + Experience in application design, workflows, build, troubleshooting, testing, and support. + Build and maintain clinical documentation templates and optimize user workflows based on clinician needs.… more