- Molina Healthcare (Miami, FL)
- …credentialing database necessary for processing of recredentialing applications. * Reviews claims payment systems to determine provider status, as necessary. * ... Completes follow-up for provider files on 'watch' status, as necessary, following department guidelines and production goals. * Reviews and processes daily alerts for federal/state and license sanctions and exclusions reports to determine if providers have… more
- Walmart (Brandon, FL)
- …merchandising; and completing required documentation. Tracks and processes claims by returning damaged goods; handling liquidation merchandise; maintaining ... and cleaning the clearance area; and utilizing technology to capture required reporting and documentation. Maintains safety of facility by following all safety standards, procedures, and guidelines; conducting safety sweeps; following proper forklift spotting… more
- Defense Commissary Agency (Key West, FL)
- …You MUST provide transcripts and/or other documentation to support your educational claims . Transcripts. REQUIRED when using education to meet qualifications or when ... education is required. Foreign education may be qualifying if a private organization specializing in interpreting foreign education programs has deemed the foreign education equivalent to that gained in an accredited US education program or a US accredited… more
- Walmart (Gainesville, FL)
- …area in accordance with Company policies and procedures by properly handling claims and returns; zoning the area; receiving and stocking merchandise; setting up, ... cleaning, and organizing product displays; removing damaged goods; signing and pricing merchandise appropriately; completing required audits, paperwork, logs, and other required documentation; and securing fragile and high-shrink merchandise. Provides Member… more
- Travelers Insurance Company (Tallahassee, FL)
- …key decisions. You will be working with the Pricing, Product, Underwriting, and Claims teams to both learn the business and communicate your findings and ... B&SI reserving team embraces innovative methods, such as advanced claim level models, you'll play a key role in...the Financial Institutions business unit. + Work with the Claims department to ensure best estimates are appropriately reserved… more
- Percepta (Melbourne, FL)
- …request * Provide real-time technical assistance to reduce the total number of claims requiring technical escalation and reduce the total number of contacts per ... claim * Provide real-time technical subject matter expertise to...outbound calls to dealerships regarding the status of submitted claims within client-specified timeframes * Communicate with dealers and… more
- AdventHealth (Altamonte Springs, FL)
- …to appropriately reconcile patient accounts. Resolves and resubmits rejected claims appropriately as necessary. Processes daily and special reports, unlisted ... invoices and letters, error logs, stalled reports, and aging claim reports. Reviews previous account documentation, determining appropriate action(s) necessary to… more
- Banner Health (FL)
- …coding expertise to resolve issues and support appropriate reimbursement. Proficiency in claims software to address coding edits and claim denials utilizing ... focuses (Facility vs Profee)._ In this **Inpatient Facility-based HIMS Coding Quality Associate ** position, you bring your **5 years of acute care inpatient coding… more
- CVS Health (Tallahassee, FL)
- …monthly invoices in accounting system. + Enter and process monthly fee claims for ancillary product offerings via claim system. **Required Qualifications** ... Customer service skills. + Oral and written communication skills. **Education** + Associate 's degree in Accounting or Finance, or equivalent experience (high school… more
- TEKsystems (Coral Gables, FL)
- …Responsibilities * Receives inbound calls and responds to customer requests, inquiries, claims processing inquires, billing or claim disputes. * Handle ... and problem solving to enable their success. As an Associate Account Specialist with the FPLES team, you will...you will be responsible for assisting customer with filing claims , providing detailed explanations of services or products, listening… more
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