- Insight Global (Coleman, FL)
- …representation, program coordination, medical coding or billing, appointment scheduling, medical claims processing , or administrative support within a medical ... office setting -Ability to obtain & maintain security clearance * Medical terminology, symbols, abbreviations * Security clearance (any level) * State or government work * Medical credentials or certification (helpful but not required) more
- MyFlorida (Tallahassee, FL)
- …contract provisions, statutes and laws, program manuals, provider handbooks, and Medicaid claims processing procedures. This unit is seeking a candidate with ... a broad array of knowledge and experience specifically related to fraud prevention programs, compliance assessment, and investigative and audit processes. The selected candidate will assist in conducting investigations related to fraud, abuse, and waste… more
- Humana (Tallahassee, FL)
- …and processes + Solid understanding of healthcare operations, particularly around claims processing , enrollment, provider data management and clinical ... operations; Medicaid preferred + Comprehensive understanding of a Medicaid Managed Care architecture, tools, utilities and processes utilized to deliver on core competences + Delivery focused - time, scope, quality + In-depth knowledge of Medicaid regulations,… more
- Qualus (Lake Mary, FL)
- …benefits programs to a diverse employee population. + Oversee biweekly payroll processing to ensure accurate and timely payment for US and Canadian employees. ... plans and Canadian retirement programs (RRSP, etc. preferred). + Ability to analyze claims reports and develop creative preventive care initiatives based on data. +… more
- MyFlorida (Tallahassee, FL)
- …well as engage in other prevention activities, including pre-payment reviews, paid claims reversals, site visits, identifying and processing sanctions of ... providers, including fines, suspensions and terminations from participation in the Medicaid program, and imposing payment restrictions. The selected candidate may be responsible for conducting audits, writing summary reports, and making referrals to other… more
- University of Miami (Miami, FL)
- …for production and inventory control in buying, storing, handling, and processing of materials and supplies. Designs facilities, management systems, and standard ... a pivotal role in ensuring revenue integrity through: trend reporting and claims analysis, development of payor scorecards, Charge Description Master (CDM) reviews,… more
- MyFlorida (Tallahassee, FL)
- …Division of Professions, duties including but not limited to preparing agendas, processing applications, preparing final orders, and traveling to board meetings to ... Affairs has also established an email where people can electronically file claims or ask questions. The email is ###@fdva.state.fl.us. The Department of Business… more
- Army National Guard Units (FL)
- …for military customers through work within strength management, personnel services, processing of personnel actions, development of promotion packets, etc., Human ... you must provide transcripts or other documentation to support your Educational claims . To receive credit for Education, you must provide documentation of proof… more
- HUB International (Gainesville, FL)
- …the preparation and implementation of all transactions, paperwork, and internal processing for assigned accounts. + Acquires understanding of clients' insurance ... judgment to resolve. May also negotiate with underwriters and carriers. Troubleshoots claims and billing issues. + Responsible for overall retention of accounts in… more
- Air National Guard Units (Macdill AFB, FL)
- …education or training that has provided a basic knowledge of data processing functions and general management principles that enabled the applicant to understand ... You must provide transcripts or other documentation to support your Educational claims . To receive credit for Education, you must provide documentation of proof… more
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