- Walgreens (Lauderdale Lakes, FL)
- …the core of our business, and our pharmacy technicians enjoy all the tools and support - including the latest technology - to grow their careers and reach their ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
- Humana (Tallahassee, FL)
- …first** The Encounter Data Management Professional ensures data integrity for claims errors. The Encounter Data Management Professional work assignments are varied ... make an impact** **Required Qualifications** + 1 - 5 years or more of claims processing experience + Minimum of 1 year experience in conducting thorough root cause… more
- ChenMed (Greenacres, FL)
- …receipt; removing outdated drugs. + Maintains knowledge of asset protection techniques, creates claims for order errors and damaged goods. + Maintains a safe and ... as assigned by the Pharmacy Manager or Pharmacist on duty. + Process claims for 3rd party reimbursement efficiently and correctly to third-party insurance providers… more
- Humana (Tallahassee, FL)
- …problems within the encounter process between Humana and CMS using data analysis, claims research, and other resources to provide insight and ensure data integrity ... for Medicare/Medicaid claims errors. **Key Role Functions** + Develop business processes to ensure successful submission and reconciliation of encounter submissions… more
- Elevance Health (Tampa, FL)
- …week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office ... + Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and to… more
- MyFlorida (Ocoee, FL)
- …for providing support to Department attorneys representing the Department in claims and litigation against and by the Department, as assigned. Responsible for ... for providing legal representation in defense of the Department in claims of inverse condemnation, as assigned. Responsible for thoroughly researching all… more
- Molina Healthcare (Tampa, FL)
- …in the specific programs supported by the plan such as Utilization Review, Medical Claims Review, Long Term Service and Support , or other specific program ... of a formal appeal being submitted. + Independently re-evaluates medical claims and associated records by applying advanced clinical knowledge, knowledge of… more
- MetLife (Tampa, FL)
- …and areas such as Product, Business Procedures, Contracts, or Plan Master; may support the development of criteria and ensure that complex, non-routine processes and ... Disability (STD), State Plans, PFML, and concurrent Absence Management Solutions (AMS) claims to ensure we meet or exceed customer expectations. Will engage business… more
- Marriott (Longboat Key, FL)
- …and monitoring performance. * Provides personal assistance, medical attention, emotional support , or other personal care to others such as co-workers, customers, ... and statistical data. * Assists in the management of claims by ensuring proper procedures are followed and documented....Report all employee accidents and guest liability incidents to Claims Reporting Service in a timely manner. * Administer… more
- Utilities Service, LLC (Palm Bay, FL)
- …the crew. + May be delegated the authority to investigate incident reports, damage claims , etc., and to settle minor damage claims . + Maintains accurate records, ... employees. " **Benefits** We offer a competitive range of benefits to support our employees' health, well-being, and financial security. Medical, dental, and vision… more