- CVS Health (Coral Gables, FL)
- …regarding Medicaid policies and procedures, plan design, contract language, service, claims or compensation issues, and provider education needs. + Optimizes ... are met and that escalated issues related but not limited to, claims payment, contract interpretation or parameters, and accuracy of provider contract or… more
- AssistRx (Orlando, FL)
- …+ Submitting billing data to appropriate insurance providers + Processing claims and resolving denial instances + Achieving maximum reimbursement for services ... provided + Completing Medicare and Commercial insurance claim submission. + Documenting and reporting payment information. + Professional level skills in computer… more
- Towne Park (Miami, FL)
- …schedule for this position can include On Call shifts and/or Part time hours . **Benefits:** Employees are eligible to enroll in accident insurance, critical illness ... your job classification, length of employment and number of hours worked. Benefits are subject to change and may...rates and retrieval procedures to guests upon arrival. Issues claim checks only after receiving vehicle keys and collects… more
- Humana (Tallahassee, FL)
- …of business. The Market Finance Lead supports all Market Financial, Administrative, Product, Claims and trend analytics. This position is the team lead for all ... 3+ years of healthcare experience + Strong knowledge of claim -line level healthcare data + Preference for candidates to...for training or meetings may be required. **Scheduled Weekly Hours ** 40 **Pay Range** The compensation range below reflects… more
- Sunrise Senior Living (Coral Gables, FL)
- …internal business controls. + Process and manage unemployment and worker's compensation claims and update claim activity as necessary. + Clearly communicate ... laws/provincial labor/labour laws, and Sunrise timekeeping policies in recording/punching hours worked. + Process payroll and follow established business processes… more
- Towne Park (Lake Buena Vista, FL)
- …Eligibility requirements depend on your job classification, length of employment and number of hours worked. Benefits are subject to change and may be subject to a ... dictate, using an approved method. - 15% + Issues claim checks to guests only after receiving vehicle keys...guests only after receiving vehicle keys and collects vehicle claim checks from all guests prior to issuing keys.… more
- Veterans Affairs, Veterans Health Administration (Miami, FL)
- …appropriate for the visit. The AMSA will examine electronic health records and claim files to determine eligibility and entitlement for items and services based on ... supervisors in regard to completion of required reports or claims pertaining to state, federal, and medical center regulations,...annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the… more
- CVS Health (FL)
- …Summary** The Negotiator Analyst is responsible for negotiating out-of-network (OON) medical claims valued at $10,000 and above. This role involves learning the ... metrics **Required Qualifications** + 3-5 years of experience in a medical claim background with demonstrated ability and strong understanding of benchmarking costs… more
- MyFlorida (Fort Pierce, FL)
- …all paperwork to ensure it was submitted properly and assisting with claim resubmissions. Review patient insurance claims /billing for accuracy and completeness. ... be required to perform emergency duty before, during, and/or beyond normal work hours or days. All Florida Department of Health positions require the incumbent to… more
- Towne Park (Lake Buena Vista, FL)
- …to enroll in the company's 401k retirement savings plan. **Paid Time Off:** Employees accrue 0.0385 hours of PTO per hour worked up to a maximum of 80 hours per ... the ability to positively move the metrics for forecasting, productivity, claims , customer service, and turnover + Manages scheduling, overtime for associates… more