- Walgreens (Palm Springs, FL)
- …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- Humana (Tallahassee, FL)
- …closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid ... with Optum WebStrat or PSI applications + Experience reviewing facility claims + Prior professional experience utilizing Microsoft Excel (eg performing basic… more
- Walgreens (Jacksonville Beach, FL)
- …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- Sedgwick (Tallahassee, FL)
- …for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The ... advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With… more
- GE Vernova (Clearwater, FL)
- …and implement project specific contractual procedures, particularly regarding claims , insurance, variation orders, correspondence and notifications. + Support ... support and guidance to project team on general contractual issues and claims . Clarify contractual/legal enquiries, if necessary referring to Legal. + Provide… more
- Insight Global (Miami, FL)
- …verifying medical eligibility. Conducts necessary research to ensure proper reimbursement of claims . We are a company committed to creating diverse and inclusive ... in medical collections and billing (CPT, ICD-10, HCPCS) - Experience with insurance claims and insurance denials Experience in payor portals and EHR systems -… more
- Cognizant (Tallahassee, FL)
- …firms * Strong background in Healthcare industry, including health plans, claims , and provider operations * Project management and people management experience ... of payer functions and Medicaid plan implementations, including enrollment, billing, claims , care management, member portal, shopper tools, etc. **These will help… more
- Walgreens (Palm Beach Gardens, FL)
- …and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), ... for non-returnable ABC overstock. Verifies posting of all pharmacy/ prescription claims . + Completes execution of all pricing activities including price changes,… more
- Adecco US, Inc. (Sarasota, FL)
- …correctly. + Maintain an organized RGA shelf for returned items pending vendor claims or location assignment. + Locate and store special customer orders and newly ... prompt put-away and location assignment of all received products. + Process vendor claims weekly and scrap inventory as directed. + Inspect returned parts to ensure… more
- Molina Healthcare (St. Petersburg, FL)
- …Experience working in a Medicare environment is highly preferred. + Claims adjudication experience is highly preferred. **Job Qualifications** **Required Education** ... encounter processes, provider and contract configuration, provider information management, claims processing and other related functions. **Preferred Education** Bachelor's… more