- US Tech Solutions (Orlando, FL)
- …in the dispensing process by performing data entry, prescription preparation, claims processing, labeling, packaging, packing and delivery of medications and related ... the patients profile and the dispense process + Adjudicating pharmacy claims , reviewing and resolving claim rejections; contacting insurance plans for assistance… more
- University of Miami (Miami, FL)
- …training sessions for the client.* Performs benefits administration to include claims resolution, change reporting, approving invoices for payment, and communicating ... benefit information to employees.* Performs benefits administration to include claims resolution, change reporting, approving invoices for payment, and communicating… more
- CDM Smith (Sarasota, FL)
- …expertise may be needed throughout the program delivery process. * Supports the claims process by reviewing and validating damage details, scopes of work, and costs ... in regular FEMA meetings by providing updates on work status and may evaluate claims and make recommendations to FEMA as to whether the claim is eligible. Assists… more
- L3Harris (Melbourne, FL)
- …risk assessment and oversight of personal injury, property damage and WC claims ; + Coordinate with Risk Management and other stakeholders to maximize recovery ... of legal fees, costs and judgments for covered claims . + As needed, lead or support internal and investigations across the enterprise in coordination with Ethics &… more
- Mass Markets (Tampa, FL)
- …to complete account management tasks + Accurately document and process customer claims in appropriate systems + Follow all required scripts, policies, and procedures ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more
- Evolent (Tallahassee, FL)
- …+ Lead in-depth analyses of healthcare data - including authorizations, claims , membership, and clinical outcomes to identify cost drivers, utilization patterns, ... Codes, RVUs, bundled payments, etc. + Working knowledge of healthcare claims ; specifically, differences between institutional vs professional billing and various… more
- Centene Corporation (Orlando, FL)
- …+ Educate providers regarding policies and procedures related to referrals and claims submission, web site usage, EDI solicitation and related topics + Perform ... care or medical group experience, provider relations, quality improvement, claims , contracting utilization management, or clinical operations. Project management… more
- Sedgwick (Tampa, 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)
- …public health, biology) + At least 5 years of professional experience in claims -based healthcare analytics with a payer, provider, vendor, managed care, or related ... healthcare consulting entity + Extensive knowledge of healthcare claims ; specifically, differences between institutional vs professional billing and various sites of… more
- Walgreens (Jupiter, 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