- CVS Health (Tallahassee, FL)
- …non-participating providers. Additionally, they will assist in creating bulletins, newsletters, and claim trainings to improve provider claims issues. as well as ... The ** Claim Field Analyst** works with the grievance and appeal and claims operations department to trend provider claim issues or concerns that could… more
- Oracle (Tallahassee, FL)
- …grow your career in this exciting arena. We are looking for a Senior Claims Denial Prevention and Appeals Specialist for providing clinical inputs to engineering for ... developing the Claim Denial Prevention and Appeals features of Oracle Health...validation) to lead the appeals initiative to review denied claims , create write-ups for appeals packets, identify trends/improvement opportunities… more
- Ascension Health (Jacksonville, FL)
- **Details** + **Department:** Claims Processing + **Schedule:** Full Time, Days + **Facility:** Ascension Medical Group + **Location:** Jacksonville, FL **Benefits** ... party payers in an out-patient or medical office environment. + Prepare insurance claims for submission to third party payers and/or responsible parties. + Review … more
- Capital One (Tampa, FL)
- Work From Home Bilingual (Spanish) Senior Fraud Recovery Coordinator- Complex Claims **Are you looking for a challenging role that includes the convenience of ... to solve customer concerns and provide in-the-moment feedback to ensure the associate is connected to the right resources. **_**Successful candidates will need to… more
- Humana (Tallahassee, FL)
- …type population (disabled or >65 years of age). + Current and ongoing Board Certification an approved ABMS Medical Specialty + A current and unrestricted license in ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
- Humana (Tallahassee, FL)
- …type population (disabled or >65 years of age). + Current and ongoing Board Certification an approved ABMS Medical Specialty + A current and unrestricted license in ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
- Mass Markets (Macdill AFB, FL)
- …are highly motivated and dedicated and should possess the below qualities: + Associate Degree, Certification or Equivalent Combination of Training and Experience ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more
- Towne Park (Orlando, FL)
- …+ Associate 's degree or equivalent degree preferred **Required Licensure, Certification , etc.:** + Valid driver's license and clean driving record **Work ... and may be subject to a specific plan or program terms. **SUMMARY** The Associate Manager is responsible for ensuring high levels of client, customer and … more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- **Job Summary** The Associate Director, Global Product Quality - GMP Process is responsible for enabling the optimization and harmonization of key GMP quality ... and digital tools (eg, TrackWise, Veeva). Preferred Experience: + Certification in Lean, Six Sigma, or Quality Auditing. +...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Walgreens (Lakeland, 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