- MyFlorida (Tallahassee, FL)
- …design and implement algorithms to effectively data-mine within various types of claims data utilizing a variety of software applications; compile research, data ... include, but not be limited to, the following: * Identify suspicious patterns in claims data and other sources by applying your knowledge of heath care coding… more
- Prime Therapeutics (Tallahassee, FL)
- …Education Level Bachelors + Experience Level 2+ years + Required Fraud Investigations and Claims experience Must be eligible to work in the United States without the ... or residency sponsorship. **Additional Qualifications** + 3+ years' fraud investigations/ claims experience. + Ability to manage workload while simultaneously working… more
- Air National Guard Units (Tyndall AFB, FL)
- …type, sequence, and extent of required training. Performs as instructor and/or examiner , evaluating and examining AOC personnel to determine preparation for the ... you must provide transcripts or other documentation to support your Educational claims . To receive credit for Education, you must provide documentation of proof… more
- Highmark Health (Tallahassee, FL)
- …**Required** + None **Preferred** (any of the following) + Certified Fraud Examiner (CFE) + Certified Professional Coder (CPC) + Certified Outpatient Coder (COC) ... (AHFI) **SKILLS** + Must have knowledge of provider facility payment methodology, claims processing systems and coding and billing proficiency + Must have… more