- Arvato Bertelsmann (Miami, FL)
- The Employee Relations Manager will play a crucial role in fostering a positive workplace environment by managing relationships between employees and the ... Collaborate with the legal department to address and respond to legal claims Develop and implement employee relations programs and policies to promote a… more
- Sumitomo Pharma (Tallahassee, FL)
- …. **Job Overview** We are seeking a strategic and detail-oriented ** Manager , Field** **Reporting** to lead the development, delivery, and optimization of ... + Solid understanding of pharmaceutical commercial data (eg, sales, demand, claims , CRM). **Education and Experience** + Bachelor's Degree in Computer… more
- Elevance Health (Tampa, FL)
- …with provider management team by presenting preliminary review results. + Verifies dollar amount on claim is correct in claims system and writes report of ... itemized bills and providers contracts to ensure that a claim is paid in accordance with the contract, provider...+ Schedules review with provider, analyzes data to select claims to be reviewed, conducts review using medical charts,… more
- Elevance Health (Tampa, FL)
- … adjustments. **How you will make an impact:** + Audits paid claims for overpayments using various techniques including systems -based queries, specialized ... SPECIALIST II** is responsible for the discovery, validation, recovery, and adjustments of claims overpayments. May do all or some of the following in relation to… more
- Elevance Health (Tampa, FL)
- …data mining, entity review, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims . ... in order to recover corporate and client funds paid on fraudulent claims . Health insurance experience required with understanding of health insurance policies,… more
- Cleveland Clinic (Stuart, FL)
- …clinical risk management metrics. **Responsibilities:** + Safety Event Reporting System (SERS) Event Management: Identifies, codes, and manages event reports ... experienced CRMs. + Identifies cases that may be potential claims and provides an early notification to other departments...In some locations, ability to travel throughout the hospital system . + In some locations ability to move up… more
- Walmart (Lakeland, FL)
- …Manage processing of shipload purchase orders inboundoutbound containerstrailers and claims my monitoring all activities conducting problems research and ensuring ... sortation/transportation software), Logistics-based computer applications experience (eg - Sort systems , Visual Dispatch Systems , Warehouse/Transportation Systems… more
- Molina Healthcare (St. Petersburg, FL)
- …Verify enrollment status, make changes to records, research and resolve enrollment system rejections. Address a variety of enrollment questions or concerns received ... via claims , call tracking, or e-mail. Maintain records in the...enrollment State, Federal, and business regulatory requirements and strong system knowledge of QNXT and other state specific applications… more
- Mass Markets (FL)
- …(GAAP/IFRS), and audit requirements. + Monitor and improve accounting processes and systems to increase accuracy and efficiency. + Support internal and external ... financial reporting standards, and internal controls. + Proficiency in ERP systems (eg, SAP, Oracle, NetSuite) and Microsoft Excel. + Excellent organizational… more
- HCA Healthcare (Palm Harbor, FL)
- …acquisitions as needed. + Manage and approve all Provider Enrollment Claims , on Hold write-offs, and administrative adjustments regularly. + Create outstanding ... for follow up. + Collaborate with Parallon's Division Account Manager and practice leadership to improve Division A/R Days...practice leadership to improve Division A/R Days (charge Lag, claims on hold, insurance denial issues, and training). +… more