- Molina Healthcare (St. Petersburg, FL)
- …you keep complaint data synchronized across appeals & grievances, enrollment, claims , pharmacy, and quality functions. You surface systemic issues, steer partners ... Mastery * Track record coordinating cross-functional action plans with Enrollment, Claims , Pharmacy, Network, and Member Services * Hands-on experience maintaining… more
- Molina Healthcare (Orlando, FL)
- …and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system ... care experience + Experience in one or more of the following: Claims , Provider Services, Provider Network Operations, Hospital or Physician Billing, or similar.… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …third-party data assets, including Xponent Plantrak, DDD, HCOS, Claims Data, Specialty pharma, omnichannel data, SalesForce/Veeva (Call/Sample/Detail), etc. ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Walgreens (St. Petersburg, FL)
- …billing is completed and accurate prior to claim submission (ie, medical claims billing). + Process reimbursement checks/payment in accordance with policy. + Review ... and ensure there are corresponding SDL (submit direct link) claims . + Review, research and resolve all third party...+ Process and file all SDL (submit direct link) claims in accordance with company policy. + Processing of… more
- HCA Healthcare (Pensacola, FL)
- …to charitable organizations. Apply Today! **Job Summary and Qualifications** Processes claims electronically to insurance carriers. Mails claims to carriers ... daily/weekly basis. + This applies to all non-transmitted pending claims . + Communicates daily information needed for billing to...action notes and e-mail. + Daily transmits all electronic claims to the billing vendor to be sent directly… more
- Sysco (Auburndale, FL)
- …on injury trends, KPIs, and risk assessments. + Support the workers' compensation claims process by completing OSHA determinations, identifying gaps in claims ... other requirements related to general liability, motor vehicle, and property damage claims . + Partner and collaborate with all functional leaders to influence and… more
- LogixHealth (Dania Beach, FL)
- …Key Responsibilities: + Analyze A/R (Accounts Receivable) reports to follow up on unpaid claims + Assist with trouble shooting with pockets of A/R + Submit required ... documentation to insurance companies as requested + Research claims for information in order to process bills in...+ Correct errors and resubmit all unprocessed or returned claims to insurance companies + Assist in training of… more
- Zurich NA (Tallahassee, FL)
- …Diploma or equivalent and 10 or more years of experience in the claims or underwriting support areaOR + Zurich approved Apprenticeship program including an associate ... and 8 or more years of experience in the Claims or Underwriting Support area. + Knowledge of Microsoft...and 14 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance… more
- Prime Therapeutics (Tallahassee, FL)
- …experience in at least one of the specific areas for position (eg, claims , eligibility, product, benefits, implementations or related area) + Must be eligible to ... strong client relations + Implementation experience + Thorough understanding of pharmaceutical claims data and general understanding of medical claims data;… more
- MyFlorida (Tallahassee, FL)
- …issues and the chargeability of employer accounts for benefit payments on claims . This may be accomplished telephonically, through written correspondence, or through ... of first payments when potential issues are detected on initial or additional claims . This is accomplished through tracking the assigned claim load and utilizing the… more