- 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
- MyFlorida (Miami, FL)
- …(MER) is needed. All required information must be reviewed in the appropriate systems (ie, Social Security Administration (SSA) system (DCPS), PCOMM and eView) ... - 64858466 Date: Sep 5, 2025 The State Personnel System is an E-Verify employer. For more information click...assist us with the processing of Social Security disability claims . This position requires the incumbent have good oral… 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
- CVS Health (Tallahassee, FL)
- …supports the international network, medical cost management, and overall claim /customer service experience. The candidate will provide concierge-level service to ... in ensuring service level adherence (GOP TAT, eligibility processing, claim TAT, reconciliation TAT, fee invoicing etc) + Ensure...networks are timely reviewed and uploaded on internal Aetna systems . + Ensure TPA guides, country guides and other… more
- ManTech (Jacksonville, FL)
- …Follow-up with FedEx as necessary while packages go missing or are not scanned into their system + Ensure a claim is put in where needed to track these ... and tracking using FedEx. + Experience in filing FedEx claims for missing packages + Experience with entering data...for a position with ManTech through its online applicant system , please email us at ###@mantech.com and provide your… more
- Carrington (Jacksonville, FL)
- …$95,000.00 **What you'll do:** + Open and maintain matters in case management system , including handling incoming mail and service of process. + Assist in reviewing ... internal departments, in-house attorneys, and other stakeholders. + Conduct pre- claim title review including reviewing title records, organizing documents, creating… more
- University of Miami (Medley, FL)
- …receipts, and refers accounts to collection agencies. + Processes third-party insurance claims , requests and submits claim forms, and processes insurance ... medical, dental, tuition remission and more. UHealth-University of Miami Health System , South Florida's only university-based health system , provides… more
- LogixHealth (Dania Beach, FL)
- …benefits (EOB) statement + Analyze A/R (Accounts Receivable) reports to follow up on unpaid claims + Send out appeals on claims that require an appeal + Submit ... required documentation to insurance companies as requested + Research claims for information in order to process bills in...and denial reasons + Proficiency in EHR and billing systems and clearinghouse portals + Prior word processing, spreadsheet,… more
- Wounded Warrior Project (Jacksonville, FL)
- …veterans' benefits or advocacy. + Three years of experience utilizing VA claims technologies (eg, Veterans Benefits Management System , Caseflow, Direct Upload) ... resource allocation and improve service delivery for warrior referrals and claims . + Establish and maintain standardized policies, processes, and procedures across… more
- Allied Universal (Tampa, FL)
- …where flexibility meets opportunity. As a Part-Time Security Officer, you'll use our exclusive Claim a Shift platform to view and Pick up open shifts based on your ... AM - 06:00 PM **What You'll Do:** + Use our proprietary scheduling platform to claim open shifts at client sites + Support operations across a range of environments… more