- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- …is responsible for managing and identifying a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial ... + Manage and identify a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing...May sit or stand seven (7) to ten (10) hours per day + The employee is occasionally required… more
- Publix (Lakeland, FL)
- …wide range of liability matters including premises, fleet, pharmacy, and product claims . + Develop and refine internal litigation processes and policies for ... attorney-represented and litigated claims . + Provide strategic legal counsel to senior leadership...contribute to a culture of excellence. **Req ID:** 34130BR ** Hours of Work:** Hybrid hours ; M-F w/three… more
- Carnival Cruise Line (Miami, FL)
- …reviewing care plans, coordinating with internal stakeholders, supporting disability claims , and facilitating return-to-work planning. The Manager also escalates ... compliance with regulations and employment obligations. + Support disability claims and benefits review for crew unable to return...employees receive time off based on the number of hours they work, with a minimum of 84 … more
- ICW Group (Orlando, FL)
- …Builds strong relationship with external vendors and serves as liaison between the claims department and vendors. + Acts as a gatekeeper for referrals between ... in-house telephonic nurse case managers, claims examiners and vendors. Reviews open referrals and ensures...Paid Time Off with an accrual rate of 5.23 hours per pay period (equal to 17 days per… more
- Insight Global (Bonita Springs, FL)
- … worked in excess of 40 hours in a given work week. The Legal Claims group is part of the company's Legal Department and serves as the primary interaction point ... collection agencies and its clients, and is responsible for receiving inbound claims through an automatic intake process, processing, investigating and resolving the… more
- Humana (Tallahassee, FL)
- …looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and ... payments in our payer systems, and by ensuring correct claims payment and appropriate diagnosis related group (DRG) assignments....offices for training or meetings may be required. **WORK HOURS :** Typical business hours are Monday-Friday, 8… more
- Carnival Cruise Line (Miami, FL)
- …planning in compliance with regulations and employment obligations. + Support disability claims and benefits review for crew unable to return to duty. + ... duty per International Maritime Health guidelines. + **Crew Medical Claims Management** + Review crew cases of high risk...employees receive time off based on the number of hours they work, with a minimum of 84 … more
- CVS Health (Miami, FL)
- …in-person support across multiple worksites, handling complex benefit and claims inquiries, and providing education during open enrollment and health-related ... and Resolve:** Handle member inquiries and escalations related to benefits, claims , eligibility, and policy interpretation by identifying root causes, coordinating… more
- Walmart (Orlando, FL)
- …hiring for the following shifts:** + 1st shift - must be available to work between the hours of 8am to 6pm (rotating Saturdays from hours 9am to 7pm) + 2nd shift ... - must be available to work between the hours of 10am to 9pm (rotating Saturdays from ...merchandise and supplies from distribution centers and suppliers; handling claims and returns; completing, maintaining, and securing paperwork, forms,… more
- MyFlorida (Orlando, FL)
- …Tallahassee, FL 32303 Some travel may be required. This is a full-time position working 40 hours per week. Business hours are 8:00 am - 5:00 pm EST, Monday - ... incumbent may be required to work more than 8 hours per day. MINIMUM QUALIFICATIONS: + Must be a...is responsible for investigation, calculation and recovery of overpayment claims for public assistance programs (Temporary Cash Assistance, Food… more