- Sedgwick (Orlando, FL)
- …for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The ... advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With… more
- Cummins Inc. (Riviera Beach, FL)
- …required documentation, such as work completed documents, time sheets, warranty claims , quality documents via handwritten forms or business system input screens. ... required documentation, such as work completed documents, time sheets, warranty claims , quality documents via handwritten forms or business system input screens… more
- Devereux Advanced Behavioral Health (Orlando, FL)
- …charts, graphs and tables for data analysis. + Ensure accurate billing and claims submission for Medicaid, Managed Care, and other third-party payors + Hiring and ... outstanding receivables and pursue timely collections. + Resolve denied or rejected claims , working closely with payors to ensure proper adjudication + Validate rate… more
- Sedgwick (Jacksonville, FL)
- …for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The ... advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With… more
- Prime Therapeutics (Tallahassee, FL)
- …+ Pharmacy Benefit Management (PBM) experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data + Campaign management ... software experience (eg Adobe Campaign, Salesforce, IBM Campaign/Unica, etc.) + Proficient in Excel Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all… more
- Sedgwick (Tallahassee, FL)
- …for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The ... advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With… more
- Evolent (Tallahassee, FL)
- …accounts + Strong knowledge of health plan operations, care/utilization management, claims processing, value-based care, and the levers to optimize financial ... be leveraged to identify opportunities and actions (including EMR, clinical, authorization, claims , SDoH, etc.); understanding of how to translate data and insights… more
- Lineage Logistics (Hialeah Gardens, FL)
- …- 8:30pm Lead and train inventory control team responsible for cycle counting, claims , and other related account administration. Serve as a subject matter expert for ... concerns and send to designated facility leadership + Manage escalated customer claims and/or assign escalated issues to the Inventory Control Technician Senior +… more
- AdventHealth (Maitland, FL)
- …on volumes, dollars, and related systemic issues. Reviews daily assigned electronic claims and submission reports. Maintains a strong working relationship with HIM, ... and outstanding claim errors. Processes daily error logs, stalled reports, aging claims , and any ah-hoc reports. This facility is an equal opportunity employer… more
- CVS Health (Tallahassee, FL)
- …data, user feedback, and market research to enhance digital self-service, claims transparency, provider search, member portals, and mobile applications. + Identify ... regulated industry. + Strong knowledge of healthcare payer operations ( claims , eligibility, enrollment, prior authorization, provider networks). + Experience working… more