- Marriott (Lake Buena Vista, FL)
- …* Oversees first aid program for guests and employees. * Oversees the claims process and protects company assets by closely monitoring the General Liability and ... Worker's Compensation cases. * Communicates the importance of safety procedures, detailing procedure codes, ensuring employee understanding of safety codes, monitoring processes and procedures related to safety. * Emphasizes teamwork, close working… more
- Mass Markets (FL)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service, ... Digital Experience Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and Technology Services, to mid-market, Federal & enterprise partners. MCI now employs 10,000+ talented individuals with 150+ diverse… more
- Convey Health Solutions (Fort Lauderdale, FL)
- …address or phone numbers. + Research premium billing discrepancies and prescription claims processed. + Educate beneficiaries on how the plan works, including ... benefits, cost sharing, and levels of coverage. + Submit mail requests for beneficiaries such as ID cards and formularies. + Look up medicines on the formulary to verify if they are covered, the tier and copay level, and if a drug is not covered, provide an… more
- Centene Corporation (Tallahassee, FL)
- …to providers that would improve utilization and health care quality. + Reviews claims involving complex, controversial, or unusual or new services in order to ... determine medical necessity and appropriate payment. + Develops alliances with the provider community through the development and implementation of the medical management programs. + As needed, may represent the business unit before various publics both… more
- Mass Markets (FL)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service, ... Digital Experience Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and Technology Services, to mid-market, Federal & enterprise partners. MCI now employs 10,000+ talented individuals with 150+ diverse… more
- United Therapeutics (Tallahassee, FL)
- …and collaborating across multiple stakeholders + 3+ years of experience in claims reimbursement including: + Coverage, coding, billing and payment; + Working with ... medical policy, managed care coverage processes and practices; + Deep knowledge and working experience with both public and private payers; + Working with Healthcare Practitioners and ancillary staff in a reimbursement role; + Knowledge of HUB services to… more
- Carrington (Jacksonville, FL)
- …high degree of accuracy, for all Bankruptcy processes including Acquisitions, Proof of Claims , Notice of Final Cures, Motions for Relief, Agreed Orders, Notices of ... Default and Closings and coordinates corrections as necessary on any Bankruptcy Chapters. + Verify/research borrower payment history and resolves payment posting discrepancies (ie Ledger Balancing) and ensure the company's system of record is updated… more
- Walgreens (Holly Hill, FL)
- …and professional growth + A problem-solver - You navigate challenges, from insurance claims to medication management, with ease **Apply Today & Build Your Future ... with Walgreens!** This is more than just a job-it's a career with purpose. See below for more details! **About Us** Founded in 1901, Walgreens (www.walgreens.com) proudly serves nearly 9 million customers and patients each day across its approximately 8,500… more
- Humana (Tallahassee, FL)
- …+ Bachelor's degree + Previous experience in prior authorization, claims , and/or utilization management in healthcare, health insurance, evaluating medical ... necessity and appropriateness of care + Health Plan experience + Previous Medicare/Medicaid Experience a plus + Bilingual is a plus **Workstyle:** Remote work at home **Location:** Must reside in a state that participates in the enhanced nurse licensure,… more
- Walgreens (Orlando, FL)
- …Quality Improvement Program. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. Follows-up with ... insurance companies as well as medical providers and conducts or participates in 3rd party audit. + Assists and supports Store Manager and Pharmacy Manager in analyzing and seeking to improve pharmacy financials, operational quality and customer service. +… more