- ZOLL Medical Corporation (Leesburg, FL)
- …to intake and reimbursement to ensure appropriate and timely filing of billing claims + Maintain credentialing/access to all assigned accounts at all times Required/ ... Preferred Education and Experience + Bachelor's Degree From four-year...of 1 year OR have successfully performed within a Associate Territory Manager role. Physical Demands + This position… more
- NASCO (Tallahassee, FL)
- …Effective change management skills + Effective financial management skills ** Preferred Knowledge, Skills, and Abilities:** + Experience developing multi-customer, ... with US Healthcare payer analytics use cases (eg, risk stratification, claims analytics, provider network optimization) + Certifications in cloud technologies (AWS… more
- Humana (Tallahassee, FL)
- …first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... health or post acute services such as inpatient rehabilitation. ** Preferred Qualifications** + **Internal Medicine, Family Practice, Geriatrics, Hospitalist,… more
- ChenMed (Miami, FL)
- …the depositions of employees for litigation matters as well as non-party claims and reviews subpoenas for accuracy. + Manages the Legal Department's administrative ... modified at manager's discretion. EDUCATION / SPECIALIZED KNOWLEDGE REQUIREMENTS: + Associate 's degree is required; Bachelor's degree in relevant field preferred… more
- Humana (Tallahassee, FL)
- …to an organization focused on growing and developing best practices ** Preferred Qualifications** + Knowledge of Medicaid regulations, programs, and state plan ... either the state agency or payer perspective + Detailed understanding of healthcare claims Travel: While this is a remote position, occasional travel to Humana's… more
- Humana (Tallahassee, FL)
- …on beneficiary needs; assists with beneficiary related issues which may include claims inquiries, enrollment issues, travel attestations, access to care, wait lists, ... 8-hour shift Mon-Fri between the hours of 8 am to 7 pm EST. ** Preferred Qualifications** + Masters' degree in social work, psychology, or related health discipline… more
- Deloitte (Tallahassee, FL)
- …by reviewing services, contracts, performance guarantees, and renewals. + Analyze claims utilization data and assess health plan performance against strategy. + ... industries/sectors you serve. + Limited immigration sponsorship may be available. Preferred Qualifications: + Master's degree in mathematics, statistics, or a… more
- Humana (Tallahassee, FL)
- …The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director works on problems of ... to an organization focused on continuously improving consumer experiences ** Preferred Qualifications** + Medical utilization management experience, + working with… more
- HD Supply (Jacksonville, FL)
- …of accounts receivable calculations and records, including cash receipts, claims , overdue invoices, interest charges, refunds, and related items. Maintains ... required. **Education and Experience** + HS Diploma or GED strongly preferred . Specialized skills training/certification may be required. Generally 2-5 years of… more
- Humana (Tallahassee, FL)
- …cycle management (related to billing, coding, collections for Medicare and Medicaid claims ) + Experience with Auditing and monitoring of healthcare records + Must ... and regulations governed by the Department of Insurance and CMS ** Preferred Qualifications** + Compliance regulations knowledge and compliance auditing experience +… more