- 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
- Molina Healthcare (Tampa, FL)
- …advanced SQL queries to extract, validate, and analyze healthcare data, including claims , authorization, pharmacy, and lab datasets. * Build and maintain efficient ... technical decisions. **JOB QUALIFICATIONS** **Required Education** * Bachelor's or Associate 's degree in Data Science, Computer Science, Analytics, Information… more
- MyFlorida (Bradenton, FL)
- …to stand for long periods; bend, lift, climb, stoop, and carry work equipment. Preferred Qualifications + Preference will be given to applicants with two or more ... + 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 ... to travel and participate in legal proceedings, arbitrations, depositions, etc. ** Preferred Qualifications** 1-3 years experience working on health care fraud,… more
- Sysco (Plant City, FL)
- …core Human Resource (HR) processes (eg coordinate and conduct new associate orientation, unemployment claims processes, onboarding and exit interviews, ... High school diploma. + College degree or Certificate in Human Resources preferred . **Experience** + 2-3 years of Human Resources Generalist, Recruitment or Employee… more
- MyFlorida (Tampa, FL)
- …service. + Independently prepares correspondence, prepares and/or audits travel claims , maintains all administrative records, and other documents as directed. ... to three years of secretarial or clerical work experience. PREFERRED QUALIFICATIONS: Preference will be given to candidates with:...Preference will be given to candidates with: + An associate 's degree from an accredited college or university. +… more
- Humana (Tallahassee, FL)
- …The Corporate Medical Director (CMD) relies on medical background to review 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
- 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