- MyFlorida (Tallahassee, FL)
- …established an email where people can electronically file claims or ask questions. The email is ###@fdva.state.fl.us. ... (file://bprtlfpvs03/ddcusers/Janetta.Sampson/Office%20Manager/!!HR%20Liasion/Job%20Requisitions/Pharmaceutical%20Program%20Manager/###@fdva.state.fl.us.%20) The Department of Business and Professional Regulation will only hire US citizens and lawfully… more
- Walgreens (Fort Myers, FL)
- …Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages ... (merchandise billed, but not received), order errors or damaged goods involving Rx drugs. + Assists with exterior and interior maintenance by ensuring the Pharmacy Department is stocked with adequate supplies, clean, neat and orderly in condition and… more
- Cushman & Wakefield (Coral Springs, FL)
- …that tenants and vendors comply with insurance requirements and coordinate all claims , as required KEY COMPETENCIES 1. Communication Proficiency (oral and written) ... 2. Technical Proficiency 3. Problem Solving/Analysis 4. Leadership 5. Teamwork Orientation 6. Relationship Management 7. Financial Management IMPORTANT EDUCATION * Bachelors degree in Facilities Management, Corporate Real Estate, Project Management, or… more
- Veterans Affairs, Veterans Health Administration (Orlando, FL)
- …and Ambulance. Conducts clinical legal relatedness review for Regional Counsel TORT Claims , No Fault, and Worker's Compensation cases to validate related care for ... reimbursement. Conducts clinical appeals as required by the third-party payers to overturn denials and increase reimbursement. Responds to customer service issues regarding SC/SA care and treatment to validate billing appropriateness. Educates VA medical… more
- 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