- CVS Health (Tallahassee, FL)
- …members and self-funded clients. + Monitors performance of high dollar specialty claims . + Research and outreach on appropriate interchanges of medications from the ... medical to pharmacy benefit. + Help triage escalated, high-touch member claims issues and service concerns. + Performs outbound communication, and proactive outreach… more
- The Walt Disney Company (Celebration, FL)
- …core functional areas: + Shipment Management + Freight Audit, Allocation, Claims & Payment + OLIVER System Help Desk **Responsibilities:** _Shipment Management:_ ... service expectations. + Manage disposition instructions and oversee the execution of claims filing and collections with supply chain partners, ensuring timely and… more
- Walgreens (Winter Park, 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
- Centene Corporation (Pembroke Pines, FL)
- …data collection, validation and outcome measurement. + May include: + Financial, pharmacy, claims , provider, and member data. + IRS, CMS, HHSC, HEDIS reporting. + ... and gathering insights is highly preferred. Healthcare experience with provider and claims data analysis is preferred. Pay Range: $55,100.00 - $99,000.00 per year… more
- Humana (Tallahassee, FL)
- …client services, client administration, customer service, enrollment and eligibility, claims processing, and call center operations. This individual investigates and ... settles claims and customer service issues. Decisions typically focus on methods, tactics and processes for completing administrative tasks/projects. This individual… more
- City of Jacksonville (Jacksonville, FL)
- …real property litigation, eviction, foreclosure, garnishment, eminent domain, and constitutional claims . The attorney will also be expected to mentor less seasoned ... legal principles and precedents in resolving complex legal issues. + Investigates claims and complaints by or against the Consolidated Government and recommends… more
- ChenMed (Miami, FL)
- …receipt; removing outdated drugs. + Maintains knowledge of asset protection techniques, creates claims for order errors and damaged goods. + Maintains a safe and ... assigned by the Pharmacy Manager or Pharmacist on duty. + Processes claims for 3rd party reimbursement efficiently and correctly to third-party insurance providers… 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
- Walgreens (Bradenton, FL)
- …the pharmacist, including those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- University of Miami (Miami, FL)
- …Hospital Billing Administration along with proficiency in Charging, Contracts, and Claims /Remittance + Configure, build, and maintain Epic HB applications to support ... Hospital Billing Expected Reimbursement Contracts Administration, Resolute Hospital Billing Claims , and Electronic Remittance Administration) preferred. + Strong understanding… more