- MyFlorida (Hudson, FL)
- HUMAN SERVICES PROGRAM ANALYST - 64029088 Date: Sep 8, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... to client information, dates of services, and payment of claims . Assists Program Manager in compiling and reviewing program...promotion unless they are registered with the Selective Services System (SSS) before their 26th birthday, or have a… more
- Herc Rentals (Bonita Springs, FL)
- …duties such ensuring proper processing of waivers, releases, lien, and bond claims and training and mentoring teams to meet and exceed departmental objectives ... references for Herc's collections areas regarding lien & bond claim laws, lien & bond noticing and filings, executing...Candidate will collaborate with management to develop procedures and systems to ensure the most efficient processes comply and… more
- Herc Rentals (Bonita Springs, FL)
- …Submit warranty claims to multiple manufacturers through the manufacture's website warranty system in a timely basis. The claims must be monitored to ensure ... for additional assistance beyond the stated warranty period or policy. Create claims from the work orders for those failures following the manufacturers requirements… more
- AdventHealth (Maitland, FL)
- …it relates to reimbursement methodologies Applies detailed understanding of medical coding systems affecting the adjudication of claims to include ICD-9/10 CPT, ... reimbursement methodologies + Applies detailed understanding of medical coding systems affecting the adjudication of claims to...medical coding systems affecting the adjudication of claims to include ICD-9/10 CPT, CPT, HCPCS II, DRG… more
- TEKsystems (Deerfield Beach, FL)
- …(QA) Contractor is responsible for evaluating recorded customer service and mechanical claim phone calls to ensure phone agents are following established procedures ... audio and screen recordings to verify that conversations and system interactions align with our department goals. The ideal...and onscreen activities for both Customer Service and Mechanical Claims agents, 15 per day. * Assess agent performance… more
- Trinity Health (Fort Lauderdale, FL)
- …team for simple and/or complex coding; monitors charge router, charge review, and claim edit WQs; identify appropriate ICD-10, CPT, HCC, HCPCS, and modifier usage ... and HCPCS level II coding guidelines, along with CCI edits and Medicare claims processing manual contents in a multi-facility, integrated health care delivery … more
- AdventHealth (Apopka, FL)
- …access and adherence, prepares medications for pharmacist review/check, performs claim adjudication and processes customer (patient) account reconciliation. **The ... technician functions and maintains active proficiency in pharmacy specific computer systems and operational programs + Maintains operational expertise and competency… more
- AdventHealth (Maitland, FL)
- …relates to reimbursement methodologies + Applies significant understanding of medical coding systems affecting the adjudication of claims to include ICD-9/10, ... a thorough understanding of reimbursement methodologies and their impact on internal systems and other departments + Contributes to the overall completion of the… more
- Veterans Affairs, Veterans Health Administration (Orlando, FL)
- …delivery and the flow of data among the major domains of the health care system . How information systems and processes enhance or compromise the decision making ... information system concepts, including the life cycle of information systems , the constantly evolving capabilities of information technology and health care, and… more
- Prime Therapeutics (Tallahassee, FL)
- …in Microsoft Word, Excel, Project, PowerPoint, and Visio **Preferred Qualifications** + Rx Claims system proficiency + Previous PBM or healthcare experience + ... Business Consultant serves as a project manager **,** business system or business process subject matter expert with a...satisfaction + May facilitate testing for new or improved systems or processes including creation of a test plan,… more