- Otsuka America Pharmaceutical Inc. (FL)
- …works with site research teams, data teams, and commercial stakeholders to leverage claims data for building provider referral networks and utilize EMR systems to ... EMR flags; provide recommendations on workflow improvements + Analyze claims /EMR data to identify high-potential providers and patient populations; develop… more
- Cardinal Health (Tallahassee, FL)
- …broader access to innovative therapies. + ** Claims Adjudication:** Oversee the claims adjudication process, ensuring timely and accurate processing of ATSP ... for CGT treatments. + **Compliance:** Ensure all contracting and claims activities comply with regulatory requirements and company policies. + **Documentation:**… more
- CenterWell (Tampa, FL)
- …personnel communication systems, overall management of agency supplies / mail, and processing of accounts payables. Depending on branch census you may be responsible ... computer programs as appropriate. + Complete End of Period claim workflow as part of Billing Specialist responsibilities. This...to ensure other billing requirements are satisfied to release claims timely. + Adhere to and participate in Agency's… more
- AssistRx (Maitland, FL)
- …Customer Service. + Submitting billing data to appropriate insurance providers + Processing claims and resolving denial instances + Achieving maximum ... reimbursement for services provided + Completing Medicare and Commercial insurance claim submission. + Documenting and reporting payment information. + Professional… more
- Datavant (Tallahassee, FL)
- …resolving complex coding edits efficiently and accurately to ensure timely and compliant claim processing .** **What You Will Do:** + Review medical records and ... and optimizing service outcomes in both hospitals and alternative care settings. ** Claim edit experience is required; Must be proficient in resolving claim… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …**Data Integration & Management** + Explore and analyze common pharmaceuticals data (eg, claims ) as well as novel data sets based on lab and EHR systems. ... unified view of stakeholder interactions. + Apply natural language processing (NLP) to extract insights from unstructured medical texts,...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Robert Half Technology (Clearwater, FL)
- …from team members during project execution. Requirements * Proven experience in claims processing and related systems. * Strong analytical and problem-solving ... collaborate with stakeholders to deliver effective business solutions, focusing on claims systems and processes. Your work will involve gathering requirements,… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- …is responsible for managing and identifying a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial ... + Manage and identify a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing...needs + Prepare and maintain reports and records for processing + Perform other tasks as assigned. + Follow… more
- Akumin (Tampa, FL)
- …as needed, including correction of missing/inaccurate data, and appeals of denied claims with appropriate documentation for processing and payment. Identifies ... The **Collector I** contacts payers for status of payment of outstanding claims , including commercial and government carriers, and patient liabilities in the… more
- MyFlorida (Orlando, FL)
- …of alcoholic beverage and tobacco products in Florida, including receipt and processing of license applications; collection and auditing of taxes and fees paid ... oversees the functions and regulatory activities of an office processing team for the review of applications and the...also established an email where people can electronically file claims or ask questions. The email is ###@fdva.state.fl.us. The… more