- Elevance Health (FL)
- …make an impact:** + Managing incoming calls or incoming post services claims work. + Determines contract and benefit eligibility; provides authorization for ... in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance Health location at least… more
- CDM Smith (Boca Raton, FL)
- …assigned activities including critical path method (CPM), scheduling and claims administration. Interprets plans and specifications for clients, contractors, and ... a signed CDM Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or written commitments from any… more
- Convey Health Solutions (Fort Lauderdale, FL)
- …+ CMS Daily and Monthly Reconciliation queues + Daily and Monthly Pharmacy Benefit Manager (PBM) + Monthly MMR, PWR, LIS History and LEP Reconciliation + Daily ... + Minimum 2 years Health Plan Operations experience including; Enrollment (preferred), Claims processing or Customer Service. + Working knowledge of MSOffice (Word,… more
- AECOM (Jacksonville, FL)
- …+ Assist in the preparation of contract documents, change orders, and claims analysis + Contribute to continuous improvement initiatives within the department and ... Advanced MOT + CTQP Final Estimates Level II + CTQP Quality Control Manager **Additional Information** + Relocation assistance is not available for this position +… more
- National Express (Jacksonville, FL)
- …Shares concerns about suspicious or inappropriate behavior with their supervisor or manager . + Other duties as assigned Company name is: Durham School Services ... events to ensure excellence in customer service. + Ability to Investigate claims and incidents of questionable conduct, accidents etc. + Computer literacy skills… more
- Citigroup (Jacksonville, FL)
- …placing unsolicited securities trades (Series 7 & 63 required). + Ensures customer claims and complaints are handled in accordance with FINRA and firm policy. + ... + Capable of working independently within established procedures and make decisions without manager approval. + Able to perform multiple functions with a high degree… more
- HCA Healthcare (Trinity, FL)
- …members on analysis of risk assessment, historical and concurrent occurrence and claims data and national trends. .You will ensure responsibility for organizational ... licensure as a Registered Nurse preferred _**If serving as facility's primary Risk Manager , VP must have current Florida license in Healthcare Risk Management (FL… more
- Amentum (Cape Canaveral, FL)
- …manner and will serve as a strategic business partner to the Program Manager and leadership team. This position will partner with leadership to ensure optimal ... and conduct E-Verify for new hires. + Manage workers' compensation claims and coordinate follow-up documentation. + Document, process, and maintain records… more
- Citigroup (Miami, FL)
- …associate and will be treated with a closed loop process. + Ensures customer claims and complaints are handled in accordance with FINRA and firm policy. + Ensures ... + Capable of working independently within established procedures and make decisions without manager approval. + Able to perform multiple functions with a high degree… more
- Surgery Care Affiliates (Jacksonville, FL)
- …and corrected claims collaborating with the biller and/or Business Office Manager , insurance payers and/or patients on past due accounts + Primary functions are ... credit balance management, patient balance resolution and non-patient (insurance) resolution + Ensure payments by primary and secondary payers and/or self-pay patients are accurate + Responsible for thorough and timely patient account follow up to ensure… more