• Utilization Review Clinician

    Monte Nido (Miami, FL)
    …with our client's insurance most successfully. + Communicate with billing regarding billing/ claims issues and status of single case agreements as needed. + ... to peer reviews. + Communicate emerging trends with insurance companies to Director of Utilization Management. + Maintain database of insurance company clinical care… more
    Monte Nido (08/28/25)
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  • Sr Compliance RCM & Coding Auditor

    Humana (Tallahassee, FL)
    …mitigate risks. The Senior Clinical Compliance Professional will support the Director of Compliance, by ensuring compliance with governmental requirements for ... cycle management (related to billing, coding, collections for Medicare and Medicaid claims ) + Experience with Auditing and monitoring of healthcare records + Must… more
    Humana (08/23/25)
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  • Psychologist (11 month)

    Polk County Public Schools (Bartow, FL)
    …the Superintendent of Schools or Assistant Superintendent for Instructional Services, and Director of Prevention Programs & Services. Serves as cooperative member of ... to students including, but not limited to, any insurance or Medicaid claims . **Non-Essential Functions of this Job** Performs other duties as assigned. **Knowledge,… more
    Polk County Public Schools (08/21/25)
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  • Field Reimbursement Manager Tzield

    Sanofi Group (St. Petersburg, FL)
    …customers. In this field-based position, the FRM will report to a field-based Director , Field Reimbursement, within Patient Support for T1D (Type 1 Diabetes). The ... payer policy requirements, buy & bill processes, billing and coding education, claims and adjudication by site of care, financial assistance offerings from patient… more
    Sanofi Group (08/17/25)
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  • Office Support Assistant

    Avnet (Fort Lauderdale, FL)
    …of all international invoices daily. + Provide all Drop Ship invoices to Sales Director daily as required. + Responsible to ensure all compliance related tasks are ... contacts. + Ensures that good customer relations are maintained, and customer claims and complaints are resolved fairly, effectively and in accordance with consumer… more
    Avnet (08/14/25)
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  • Manager, Risk Adjustment Coding Support

    Evolent (Tallahassee, FL)
    …coding team and operations, ensuring accurate and timely ICD-10 coding of claims via progress note clinical documentation review. + Ensure compliance and quality ... regular coding questions and issues. + Collaborate with the coding director to develop policies, procedures, and workflows to enhance department efficiency.… more
    Evolent (08/14/25)
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  • Employee Health RN Wellness Programs

    AdventHealth (Altamonte Springs, FL)
    …The Employee Health Registered Nurse also oversees Workers' Compensation claims , hospital surveillance programs, and regulatory compliance related to occupational ... Stewardship and Teamwork. + Works under standing orders from the Medical Director to perform various clinical duties. Maintains a working knowledge of various… more
    AdventHealth (08/07/25)
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  • Manager of Accounting

    Mass Markets (FL)
    …accuracy, and clear documentation across all financial records. + Support the Director of Accounting with strategic initiatives, special projects, and ad hoc ... + Bachelor's degree in Accounting, Finance, or related field; CPA or equivalent preferred . + 6+ years of progressive accounting experience, with at least 2 years… more
    Mass Markets (07/16/25)
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