- Walgreens (Deland, FL)
- …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- The Robison Group (Fort Myers, FL)
- …the position will be expected to perform investigations of workers compensation claims , liability investigations, multi-line insurance claims , criminal and civil ... background checks, and other investigative tasks. The majority of cases worked in this position require stationary and mobile surveillance. PRINCIPAL RESPONSIBILITIES FOR SURVEILLANCE: + Thoroughly complete assigned cases. + Testify to the collected facts… more
- Molina Healthcare (Orlando, FL)
- …software and medical record vendors, and other Molina departments, such as Claims , Enrollment, IT etc,. to get appropriate responses and manage contracts and ... + Maximizes use of information from multiple sources, including claims /encounters, pharmacy, utilization management, clinical indicators, industry benchmark, and/or… more
- Compass Group, North America (Orlando, FL)
- …Home Office Risk Management team in responding to or managing any safety and claims issues * Working with operations and culinary teams to ensure the timely ... monitoring, and settling of team members, foodborne illness, liquor liability and guest claims * Work with local OSHA, sanitation or Everclean inspectors to support… more
- TEKsystems (Tampa, FL)
- …calls and answering emails from health care providers or clients regarding claims , as well as, communicating directly with billing and finance departments for ... and average handling times * Review, comprehend and communicate details regarding claims status * Document/update information in cases with high degree of accuracy… more
- Walgreens (Doral, FL)
- …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- Elevance Health (Tampa, FL)
- …expertise, as well as single point of service support (eg, calls and claims ) to key client contacts (HR, Benefit Administrators, client key decision makers, etc.) ... a HS diploma or equivalent and a minimum of 5 years related claims /customer service experience; or any combination of education and experience which would provide… more
- CVS Health (Tallahassee, FL)
- …work with a collaborative, close-knit team on pharmacy and member specific claims data including, but not limited to, financial and operational information ... Linux OS, GCP/ AWS/ Azure * Experience working with medical and/or pharmacy claims data * Experience in healthcare industry, including health insurance, PBM or… more
- Walgreens (Tallahassee, FL)
- …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- Elevance Health (Miami, FL)
- …analysis; and reporting of statistical results. + Analyze health care data, including claims , clinical data, national survey data, and other large datasets using R ... preferred. + Experience with health plan administrative databases (pharmacy and medical claims ) and/or other big datasets is preferred. For candidates working in… more