- Highmark Health (Tallahassee, FL)
- …for non-payment, Completing write-offs as appropriate, Coordinating AR issues affecting claims or inquiry processing with Membership and Billing personnel.Lead or ... processes, Coordination of annual audits (such as PWC Revenue Audit and Support Senior Vice President of Operations in Monthly/Annual budget and expense analysis for… more
- Molina Healthcare (St. Petersburg, FL)
- …Help translate CMS audit requirements into data tasks under the guidance of senior analysts. + Document data sourcing steps, methodologies, and business rules to ... programming language + Basic familiarity with healthcare data types such as claims , encounters, or eligibility data + Comfortable working with data in spreadsheets… more
- Kubicki Draper (Miami, FL)
- …injury experience is required. Trial experience is highly desired. If you are a senior associate or junior partner looking for a great opportunity to grow, this ... in Insurance Defense litigation is required. + Personal injury and bodily injury claims experience is required. + Licensed member of the Florida Bar and in… more
- Cognizant (Sarasota, FL)
- …and is expected to work in a team setting, providing guidance to less senior team members, providing expertise in Duck Creek Policy configuration, and keeping the ... Delivery Assurance Audit, AMIs etc. * Experience with the Billing and Claims configuration knowledge, Data Insight, producer, policy holder will be added advantage.… more
- Bowman (Tallahassee, FL)
- …complex assignments, tasks, and execution. Work is frequently reviewed by more senior staff to ensure application of sound techniques and principles. Review work ... and resolve any issues that may arise as it relates to disputes, or claims + Act as liaison between operations and many corporate accounting functions including but… more
- Cushman & Wakefield (Palm Beach Gardens, FL)
- …that tenants and vendors comply with insurance requirements and coordinate all claims , as required + Ensuring adherence to regulatory standards and client compliance ... for benchmarking performance across sites, driving consistency, and reporting KPIs to senior leadership. + Travel averages 50%, including traveling by plane and… more
- Ally (Tallahassee, FL)
- …presence and effectively communicate fraud-related insights and recommendations to senior leadership. * Maintain a positive consultative approach when working ... * Familiarity with Reg E and Mastercard's dispute rules to support accurate claims management and loss recovery. * Strong analytical skills including SQL, Python, or… more
- Molina Healthcare (St. Petersburg, FL)
- …rejections. Address a variety of enrollment questions or concerns received via claims , call tracking, or e-mail. Maintain records in the enrollment database. ... findings + Identifies, defines and communicates opportunities for improvement to senior leadership + Strong knowledge of enrollment State, Federal, and business… more
- The Hartford (Lake Mary, FL)
- …theirs, too. Join our team as we help shape the future. As a Senior Specialist, Product Delivery Analyst, for the Shared Services PEG Implementation Team, you will ... preferred.* 2 years of Employee Benefits business experience in operations, claims , product, or underwriting.* Intellectually curious and have an ardent desire… more
- Centene Corporation (Spring Hill, FL)
- …State and Federal standards for HEDIS. + Under general guidance form Senior Quality Practice Advisors and management, educates community physician and small provider ... improve provider performance in areas of Quality, Risk Adjustment and Operations ( claims and encounters). + Assists in delivering provider specific metrics and… more