- CDM Smith (Boca Raton, FL)
- …assigned activities including critical path method (CPM), scheduling and claims administration. Interprets plans and specifications for clients, contractors, and ... the position, which may vary depending on workload and project demands. ** Preferred Qualifications:** Preferred candidates will have experience in overseeing… more
- Convey Health Solutions (Fort Lauderdale, FL)
- …preferred + Minimum 2 years Health Plan Operations experience including; Enrollment ( preferred ), Claims processing or Customer Service. + Working knowledge of ... + CMS Daily and Monthly Reconciliation queues + Daily and Monthly Pharmacy Benefit Manager (PBM) + Monthly MMR, PWR, LIS History and LEP Reconciliation + Daily… 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 ... **Qualifications** + High School diploma or equivalent. Some college preferred . + 3 years as a Trainer in school...ensure excellence in customer service. + Ability to Investigate claims and incidents of questionable conduct, accidents etc. +… more
- Option Care Health (Tallahassee, FL)
- …assistance program). + Supports the ongoing activities needed to ensure clean claims on hold and denial management (follow-up on paperwork where missing). + ... Assist Patient Registration Supervisor and Manager with special assignments as needed. **Supervisory Responsibilities** Does this position have supervisory… more
- ChenMed (Miami, FL)
- …the depositions of employees for litigation matters as well as non-party claims and reviews subpoenas for accuracy. + Manages the Legal Department's administrative ... detailed messages. + Performs other duties as assigned and modified at manager 's discretion. EDUCATION / SPECIALIZED KNOWLEDGE REQUIREMENTS: + Associate's degree is… more
- MyFlorida (Bradenton, FL)
- …necessary or required. + Maintains Continuing Education Units, Certified Food Manager Certification, FDA standardization and Florida driver's license. + Maintains ... to stand for long periods; bend, lift, climb, stoop, and carry work equipment. Preferred Qualifications + Preference will be given to applicants with two or more… more
- CVS Health (Tallahassee, FL)
- …with heart, each and every day. **Position Summary** The Product Implementation Manager role is responsible for product/plan approval and auditing, in additional to ... specifically Medicare Advantage products such as product development, clinical, claims , operations requirements, implementation, and plan sponsor structure development.… more
- CenterWell (Tallahassee, FL)
- …systems. + Maintain Standard Operations Procedures for RCM functions: claims management, accounts receivable follow-up, internal collections, collection agencies, ... experience + This is a Remote position, travel less than >10% ** Preferred Qualifications** + Thourough comprehension of third-party contracting terms with respect to… 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 ... with this position a valid US citizenship is required ** Preferred Requirements:** + FDOT Advanced MOT + CTQP Final...CTQP Final Estimates Level II + CTQP Quality Control Manager **Additional Information** + Relocation assistance is not available… 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 ... be considered + Knowledge of MS Office including Excel and Word Preferred Qualifications + High school diploma, GED, related certificate/diploma of related training… more