- MyFlorida (Tallahassee, FL)
- …Obtains necessary price quotes and enters requisitions in MyFloridaMarketplace for processing . Reviews and processes purchase orders, requisitions and invoices in ... 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
- Walmart (Brooksville, FL)
- …types programs and benefits to current and prospective members processing memberships upgrades and credit accounts encouraging membership renewals participating ... up orders are filled Oversees assigned area of responsibility by handling claims and returns zoning the area arranging and organizing merchandise identifying shrink… more
- ASR Group/Domino Sugar (West Palm Beach, FL)
- …+ Draft notices related to auto accidents, employment issues, and other claims , including releases and formal correspondence + Support garnishment processing : ... verify employment status, collect data, draft garnishment documents, and e-file upon approval + Perform administrative support functions + Collaborate with internal stakeholders and external counsel to facilitate efficient case management and litigation… more
- Baylor Scott & White Health (Tallahassee, FL)
- …environment in a work environment. + Knowledge of healthcare and health insurance claims processing domains. + Ability to write complex SQL queries against ... relational databases. + Must possess excellent documentation and communication skills. + The ability to understand, model, and interpret data. + Accuracy and attention to detail. + Must possess good social skills. + Excellent written and verbal communication… more
- SIMEDHealth (Gainesville, FL)
- …tracking resolution progress + Auditing physician schedules for potential collection issues + Processing and following up on paper claims + Referring appropriate ... accounts for patient collections + Identifying trends and recommending solutions to enhance collections Qualifications: + High school diploma or equivalent (REQUIRED) + Minimum 2 years of medical billing and collections experience (REQUIRED) + Strong… more
- Republic Finance, LLC (Melbourne, FL)
- …by explaining the loan process, answering questions regarding loan products and loan processing . + Take ownership of customer concerns and works with management to ... values, company policies, operational procedures and compliance. + Processes insurance claims , follow-ups and payments daily and maintains insurance log. + Provides… more
- Molina Healthcare (FL)
- …Medicare and Medicaid Services (CMS) standards. * Provides coordination and processing of pharmacy prior authorization requests and/or appeals. * Explains ... point-of-sale claims adjudication, state, NCQA and CMS policies/guidelines, and any other necessary information to providers, members and pharmacies. * Assists with… more
- Molina Healthcare (Jacksonville, FL)
- …health care operations (utilization management, disease management, HEDIS quality measures, claims processing , etc.) * Advanced understanding on health care ... financial terms (eg, PMPM, revenue) and different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/billing (UB04/1500 form). * Advanced understanding of key managed care concepts and provider reimbursement principles such as… more
- ICW Group (Orlando, FL)
- …job is to support the Service Center of Excellence underwriting staff by processing insurance policy submissions as they are received from policy holders. This ... and insureds and sends via fax, email, or mail. + Prepares and mails claims kits and marketing materials requested by agents and insureds. + Enters statistical data… more
- University of Miami (Miami, FL)
- …tests the revised treatment matrix to identify possible cancers from claims data. CORE JOB FUNCTIONS Analyzes regulatory requirements, identifies potential ... of federal regulations and University policies. Oversees accurate and timely processing , tracking, and filing of federally mandated submissions. Assists with the… more