- Sedgwick (Tallahassee, FL)
- …directly with auto repair facilities to determinate supplemental repair processing and provides a supplemental estimate. **ADDITIONAL FUNCTIONS and ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… more
- Humana (Tallahassee, FL)
- …Certifications, CPC, CCS, CFE, AHFI) + Understanding of healthcare industry, claims processing and internal investigative process development + Experience ... it takes to Succeed** + Bachelor's Degree + Minimum of 3 yrs health insurance claims or Medicare experience + Minimum 3 years of experience with Fraud, Waste, and… more
- Cognizant (Tallahassee, FL)
- …in RCM sales selling solutions such as Practice Management, EMR, clearinghouse, or claims processing to physician practices or healthcare organizations. + Proven ... emphasis on RCM solutions tailored to medical providers, including clearinghouse, claims management, and payment optimization tools. 2. Develop and grow… more
- Zelis (St. Petersburg, FL)
- …for configuring the Zelis system to ensure the successful composition and processing of various services, including the delivery of Explanation of Benefits, letters, ... Industry experience + Previous Customer Service experience + Knowledge of healthcare claims communication process, as well as printing aspects of claims … more
- Lowe's (Pompano Beach, FL)
- …(RTM) program, ensuring accurate documentation, vendor communication, and credit processing * Process and disposition damaged, discontinued, defective, special ... with third-party logistics (3PL) partners to address and resolve delivery claims * Maintain strong, professional relationships with vendors, liquidation partners,… more
- UIC Government Services and the Bowhead Family of Companies (Avon Park, FL)
- …knowledge of computer systems including USAF databases, computer graphics, and word processing applications, in order to perform assigned duties. + High school ... and other protected characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq., and federal contractual… more
- UIC Government Services and the Bowhead Family of Companies (Avon Park, FL)
- …knowledge of computer systems including USAF databases, computer graphics, and word processing applications, in order to perform assigned duties. + Ability to ... and other protected characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq., and federal contractual… more
- Molina Healthcare (Jacksonville, FL)
- …encounter processes, provider and contract configuration, provider information management, claims processing and other related functions. **Preferred Education** ... Experience working in a Medicare environment is highly preferred. + Claims adjudication experience is highly preferred. **Job Qualifications** **Required Education**… more
- UIC Government Services and the Bowhead Family of Companies (Miami, FL)
- …required. + Extensive computer/PC knowledge required including; spreadsheet software, word processing software and knowledge of MS Office Suite. + Must be ... and other protected characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq., and federal contractual… more
- Norstella (Tallahassee, FL)
- …to extract meaningful insights from **real-world data (RWD)** sources, including ** claims , laboratory results, billing codes, and electronic health records (EHRs)** ... teams to develop and refine database queries, data pipelines, and processing workflows, incorporating AI/ML methodologies for advanced analytics. + Partner with… more