- Bank of America (Jacksonville, FL)
- …the life cycle of a Class Action Event, from mailing files, Notifications, Claim Processing , Distributions, Reporting , Client Service and Reconciliations. Risk ... more activities within the lifecycle of a trade, including trade processing , trade settlement, accounting and reconciliation, lifecycle events, and collateral… more
- Actalent (Orlando, FL)
- …all health plans and types of medications, ensuring efficient processing and resolution. Responsibilities + Process prescription exceptions, including resolving ... claim rejects and conducting member and physician outreach. +...Enter member demographics and prescription information into the data processing system. + Research and resolve rejected insurance billing… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …being asked to pay or offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed, this is not Otsuka. These ... claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …being asked to pay or offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed, this is not Otsuka. These ... claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Humana (Tallahassee, FL)
- …to make an impact** **Required Qualifications** **5+ years of medical claims processing /auditing or encounter data management experience** **Demonstrated deep ... to assignments. The Senior Encounter Data Management professional ensures data integrity for claims errors that result from the data exchange between Humana and its… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …being asked to pay or offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed, this is not Otsuka. These ... claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Elevance Health (Tampa, FL)
- …associated with fraud and abuse. **How you will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies ... prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses...document determinations and continue to next step in the claims lifecycle. + Researches new healthcare related questions as… more
- Prime Therapeutics (Tallahassee, FL)
- …analysis to include 3 years of experience in Pharmacy Benefit Management (PBM), claims processing , healthcare, and/or related field + Previous experience using ... Recommend new and revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other relevant data of… more
- MyFlorida (Jacksonville, FL)
- …all billing errors found in course of billing reviews of clinics + Resubmits claims when needed, manually completes claims when necessary + Works with billing ... HUB to address all discrepancy of claims + Attends in-service education, staff meetings and health...administrative and clerical procedures and system such as word processing managing files and records, stenography, and transcription, designing… more
- Elevance Health (Tampa, FL)
- …associated with fraud and abuse. **How you will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies ... prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses...document determinations and continue to next step in the claims lifecycle. + Researches new healthcare related questions as… more