- HCA Healthcare (Miami, FL)
- …preferred banking partnerships + Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time ... necessary (eg, combining the codes for outpatient and inpatient claims subject to the payment window) + Assist the...and or CCS **required** OR in process of receiving certification + 1-year acute care inpatient coding experience **required**… more
- NASCO (Tallahassee, FL)
- …with US Healthcare payer analytics use cases (eg, risk stratification, claims analytics, provider network optimization) + Certifications in cloud technologies (AWS ... 3 years of financial budget management and forecasting **Required Training, Certification and Education:** + Bachelor's degree in computer science, information… more
- City of Boca Raton (Boca Raton, FL)
- …+ Assists and advises employees on benefits matters regarding eligibility, claims resolution, coverage, and provisions. + Assist in coordinating and planning ... the bachelor's degree, and additional two (2) years in lieu of an associate degree. POST OFFER PRE-EMPLOYMENT SCREENING REQUIREMENTS: Final offer and employment are… more
- Molina Healthcare (Jacksonville, FL)
- …pharmacy prior authorization requests and/or appeals. + Explains Point of Sale claims adjudication, state, NCQA, and CMS policy/guidelines, and any other necessary ... years of call center or customer service experience **Preferred Education** Associate degree **Preferred Experience** + 3-5 years; healthcare industry experience… more
- Deloitte (Tallahassee, FL)
- …by reviewing services, contracts, performance guarantees, and renewals. + Analyze claims utilization data and assess health plan performance against strategy. + ... a minimum of 20 hours of formal training or certification in Total Rewards. + Successfully passed at least...(SOA) or Casualty Actuarial Society (CAS) exams, or achieved Associate -level status (ASA/ACAS) or higher. The wage range for… more
- HD Supply (Jacksonville, FL)
- …of accounts receivable calculations and records, including cash receipts, claims , overdue invoices, interest charges, refunds, and related items. Maintains ... and Experience** + HS Diploma or GED strongly preferred. Specialized skills training/ certification may be required. Generally 2-5 years of experience in area of… more
- MyFlorida (Bradenton, FL)
- …or required. + Maintains Continuing Education Units, Certified Food Manager Certification , FDA standardization and Florida driver's license. + Maintains state issued ... + Preference will be given to applicants with an Associate or higher degree in culinary or hospitality management....also established an email where people can electronically file claims or ask questions. The email is ###@fdva.state.fl.us. The… more
- CVS Health (Tallahassee, FL)
- …in a prepayment environment - Investigates to prevent payment of fraudulent claims committed by insured's, providers, claimants, etc. - Researches and prepares cases ... audits required or equivalent investigations experience. Credentials such as a certification from the Association of Certified Fraud Examiners (CFE), an… more
- Point32Health (FL)
- …as assigned. **Qualifications** **- what you need to perform the job** ** Certification and Licensure** **Education** + Required (minimum): Associate 's Degree or ... regulatory requirements + Manage the collection of documents and records (medical, claims , administrative) needed to fully research the appeal or complaint request… more
- AdventHealth (Altamonte Springs, FL)
- …The Employee Health Registered Nurse also oversees Workers' Compensation claims , hospital surveillance programs, and regulatory compliance related to occupational ... and experience you'll need to succeed:** **EDUCATION AND EXPERIENCE REQUIRED:** + Associate 's of Nursing + Comprehensive knowledge of general nursing theory and… more