- Air National Guard Units (Jacksonville, FL)
- …You must provide transcripts or other documentation to support your Educational claims . To receive credit for Education, you must provide documentation of proof ... that you meet the Education requirements for this position. Additional Information If you are a male applicant who was born after 12/31/1959 and are required to register under the Military Selective Service Act, the Defense Authorization Act of 1986 requires… more
- Publix (Lakeland, FL)
- …statements, country-of-origin labeling, distribution statement requirements and all claims (eg, natural, all-natural, clean label, dairy-free, gluten-free) + ... industry standard knowledge set forth by respected sources including, but not limited to, American Frozen Food Institute (AFFI), American Institute of Baking (AIB), Association of Food and Drug Officials (AFDO), British Retail Consortium (BRC), Consumer Brands… more
- Evolent (Tallahassee, FL)
- …as HIPAA, as well as healthcare systems and domains (FHIR/HL7, EMR/EHR, Claims , Members, Providers, Payors, etc.). + Experience with designing and implementing ... well-thought-out APIs in a service-oriented architecture. + Strong problem-solving, communication, and organizational skills. Ability to work effectively in a team-oriented environment. **To comply with HIPAA security standards (45 CFR sec. 164.308 (a) (3)),… more
- AdventHealth (Tampa, FL)
- …Physician Advisor is responsible for providing clinical review of utilization, claims management, and quality assurance related to inpatient care, outpatient ... care/observation stays and referral services. The Physician Advisor is an important contact for clinicians, external providers, contracted health insurance payors, and regulatory agencies. This individual also serves as the subject matter expert, providing… more
- Cummins Inc. (Tampa, FL)
- …required documentation, such as work completed documents, time sheets, warranty claims , quality documents via handwritten forms or business system input screens. ... + Ongoing training and additional certifications on new and existing Cummins products. + Adhere to all our relevant Health, Safety & Environmental policies, procedures and legislation and reports any issues / incidents to their supervisor. **RESPONSIBILITIES**… more
- WESCO (Groveland, FL)
- …+ Maintain return authorization and credit memo forms + File and research freight claims when appropriate + Assist with building maintenance and security + Run and ... distribute various branch reports **What's in it for You** + Wesco is not just a job, but a company where you can learn, develop, and build your career! In addition to training and development opportunities we offer educational assistance so you can pursue… more
- AdventHealth (Altamonte Springs, FL)
- …issues. + Troubleshoots plastic card related issues; including activations, fraud claims , processing errors, and new or replacement orders. + Responsible for ... performing a full range of customer service-oriented telephone, e-mail, and other electronic support activities; provides a high attention to detail. + Professionally greets customers; responds to inquiries of a specific or general nature; determines… more
- Deloitte (Tallahassee, FL)
- …by reviewing services, contracts, performance guarantees, and renewals. + Analyze claims utilization data and assess health plan performance against strategy. + ... Act as an extension of the HR team, assisting with ad hoc requests or issues. + Prepare client presentations and reports. + Build and maintain strong client relationships through exceptional service. + Serve as a project manager to train and mentor junior team… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …as well as knowledge of the interconnection between Utilization Management, claims , and regulatory requirements to respond to complex and/or escalated inquiries. ... + Identifies members who could benefit from care management and refers to the appropriate care manager. + Utilizes critical thinking skills to identify process issues and problems and recommend and/or implement solutions. + May identify workflow and systems… more
- ZOLL Medical Corporation (Miami, FL)
- …and workflows to achieve operational efficiencies. + Responsible for improved claims billing yield within a defined geography consisting of assigned accounts, ... including eligibility for potential bonus incentive opportunities based on same. + Assist with departmental projects and special tasks when assigned (eg, Pilot Teams). + Achieve and maintains acceptable performance metrics. + Comply with Standard Operating… more