- IQVIA (Tampa, FL)
- …**Essential Functions and Responsibilities:** + Responsible for **pharmacy prescription claims processing** , translating strategy into proactive plans to enable ... payees. + Identify and manage **payment data related to claims , rebill, and manage overrides.** + Audit readiness and...remote** , and works **eastern or central time zone** hours . + To be eligible for this position, you… more
- CenterWell (Tallahassee, FL)
- …+ Assist clinical pharmacists in troubleshooting prescription third party claim rejections by accessing and understanding formulary restrictions, plan limitations, ... up tasks for medication reconciliation/education. + Processing of select medication claim updates (lists) as requested by the clinical pharmacists or providers.… more
- Veterans Affairs, Veterans Health Administration (Orlando, FL)
- …ECFMG certificate, if claimed by the applicant. [If the applicant does not claim an ECFMG certificate, facility officials must still confirm that the medical school ... of fingers; both hands required; walking (up to 2 hours ); standing (up to 2 hours ); kneeling...claimed by the applicant. [If the applicant does not claim an ECFMG certificate, facility officials must still confirm… 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
- Humana (Tallahassee, FL)
- …certification from the AAPC and/or AHIMA) + Extensive knowledge of medical claims processing and familiarity with reimbursement methodologies, ICD, CPT, and HCPCS + ... field + Knowledge of internal Medical Coverage Policies and Claims Payment Policies + CAS claims processing...protect member PHI / HIPAA information **Additional Information** + Hours : Monday-Friday with a start time between the … more
- Intermountain Health (Tallahassee, FL)
- …an overall goal of account resolution. + Abel to navigate various payer claim portals and understand payer functionality. + Interacting with others by effectively ... English. **Skills** + Recognizing true overpayments from false credits + Researching claim cycle + Understanding Coordination of Benefits + Understanding EOB +… 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 ... vehicles that have not been charged for parking. Maintains claim checks and guest folio archives. Produces guest vehicle...as instructed by the Account Manager.- 10% + Collects claim checks/tickets from all guests prior to issuing keys.… more
- CVS Health (Tallahassee, FL)
- …and every day. The Senior Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with ... complex issues with sensitivity. Including but not limited to claim reviews for legal, compliance or rework projects. +...(CPC) + GED or High School diploma **Anticipated Weekly Hours ** 40 **Time Type** Full time **Pay Range** The… more
- Allied Universal (Palmetto, FL)
- …where flexibility meets opportunity. As a Part-Time Security Officer, you'll use our exclusive Claim a Shift platform to view and Pick up open shifts based on your ... Join Us:** + **Smart Tools:** Access to our exclusive technology to view and claim additional shifts to earn more. + **Career Growth:** Get paid training and access… more
- Humana (Tallahassee, FL)
- …2 ensures contract compliance and performs analysis regarding pharmacy claims . Understands department, segment, and organizational strategy and operating objectives, ... 2 ensures contract compliance and performs analysis regarding pharmacy claims . Understands department, segment, and organizational strategy and operating objectives,… more
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