- BrightSpring Health Services (Gainesville, FL)
- …Inform operations of worker's compensation claims process. Assist as needed with claim processing . Keep supervisors and management team informed of open ... areas of employee recruitment, hiring, retention, and evaluation + Processing , verifying, and maintaining documentation relating to personnel activities...claims and return-to-work status + Conduct workplace investigations, as… more
- CVS Health (Tallahassee, FL)
- …with key payers to discuss reimbursement issues and payer publication notices affecting claims processing changes + Ensure daily reconciliation of electronic ... At CVS Health, we're building a world of...are responsible for contacting payers to collect on unpaid claims in a timely and accurate manner, researching and… more
- Kemper (West Palm Beach, FL)
- …investigates customer reported damages. This position will also assist in the processing of Total Loss claim documentation. Position Responsibilities: + Receive ... territory.** You can work independently and remotely from your home ! We will provide a company car, laptop computer,...with customers and shops. + Issue payments on appropriate claims as well as document claims system… more
- Evolent (Tallahassee, FL)
- …with Group Health track **(Preferred)** + Familiarity with healthcare claim processing **(Preferred)** + 5+ years experience at payer or management ... clean and consistent tracking of Evolent's covered membership and claims + Synthesize complex analyses into succinct presentations for...require that all employees have the following technical capability at their home : High speed internet over… more
- Humana (Tallahassee, FL)
- …certification from the AAPC and/or AHIMA) + Extensive knowledge of medical claims processing and familiarity with reimbursement methodologies, ICD, CPT, and ... Policies and Claims Payment Policies + CAS claims processing experience + Experience in data...experience + Experience in data analysis and trend monitoring **Work- At - Home Requirements** To ensure Home … more
- Humana (Tallahassee, FL)
- …Operations encompasses critical functions including care coordination, quality measurement, billing, claims processing , and customer service, each essential to ... knowledge of core functional areas (care coordination, quality, billing, claims , and customer service). + Collaborate with each Insurance...Home /Office employees must meet the following criteria: + At minimum, a download speed of 25 Mbps and… more
- Genesis Healthcare (FL)
- …we help older adults stay active and thrive while providing essential therapy for children at home and in school. With over 38 years of trusted service, our ... with the security of a full-time role. + **Perks at Powerback:** Enjoy exclusive discounts on Wireless/TV, Home...Processes all correspondence (mail, etc). * Follows up on claim statuses, decisions, etc. * Performs other duties as… more
- CenterWell (Tallahassee, FL)
- …scheduling, pre-appointment preparation, follow up tasks for medication reconciliation/education. + Processing of select medication claim updates (lists) as ... + Assist clinical pharmacists in troubleshooting prescription third party claim rejections by accessing and understanding formulary restrictions, plan...pay for full time (40 hours per week) employment at the time of posting. The pay range may… more
- Sunrise Senior Living (Boca Raton, FL)
- …regulations. **Risk Management** + Partner with the department coordinators in the processing of light duty and worker's compensation claims in order ... Sunrise quality service standards. Key areas of responsibility include processing payroll, daily time and attendance and human resource...to expedite return to full duty, close the claims , promote positive team member relations, and to reduce… more
- Mass Markets (FL)
- …Wireless connections, including encrypted ones, are not allowed for accessing the client's Work at Home systems. + You must provide your own headset. Specific ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer… more
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