- J&J Family of Companies (Jacksonville, FL)
- …on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local ... payers, government payers, etc.) for core and launch products. + Collaborate with field support team members such as sales representatives and key account managers and serve as reimbursement expert for the local team. + Act with a sense of urgency to address… more
- Walmart (Panama City, FL)
- …merchandising; and completing required documentation. Tracks and processes claims by returning damaged goods; handling liquidation merchandise; maintaining ... and cleaning the clearance area; and utilizing technology to capture required reporting and documentation. Maintains safety of facility by following all safety standards, procedures, and guidelines; conducting safety sweeps; following proper forklift spotting… more
- Kemper (Doral, FL)
- …English/Spanish is a plus. + Knowledge of insurance operations: underwriting, claims , marketing, and product. + Required to possess effective communication skills ... + Must be flexible in nature and a highly motivated self-starter. + Ability to manipulate, segment and interpret report data through spreadsheets. + Highly skilled and effective at time management. + Should possess and demonstrate critical thinking skills and… more
- Walmart (Panama City, FL)
- …in accordance with company policies and procedures by properly handling claims and returns; zoning the area; stocking, arranging and organizing merchandise; ... setting up, cleaning, and organizing product displays; removing damaged goods; signing and pricing merchandise according to company policies and procedures; identifying shrink and damages; and securing fragile and high-shrink merchandise. Monitors food and… more
- CVS Health (Tallahassee, FL)
- …abuse. + Conduct Investigations to prevent payment of suspect or fraudulent claims submitted by insured's, providers, claimants and customers. + Researches and ... prepares cases for clinical and legal review. + Documents all appropriate case activity in case tracking system. + Prepare written case summaries and make referrals to State and Federal Agencies within the timeframes required by Law. + Facilitates the recovery… more
- Walmart (Braden River, FL)
- …equipment in accordance with company guidelines handling customer and merchandise claims and returns zoning the area ordering arranging and organizing merchandise99 ... supplies and monitoring the Auto Care Center and automotive area for environmental disposal for example batteries tires oil and OSHA compliance and ensuring customer safety and satisfaction Coordinates completes and oversees jobrelated activities and… more
- Molina Healthcare (Orlando, FL)
- …+ SQL expertise + Excel expertise + Medicare, Medicaid, Marketplace claims expertise **PHYSICAL DEMANDS:** Working environment is generally favorable and lighting ... and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods. Reasonable accommodations may be made… more
- Centene Corporation (Tallahassee, FL)
- …scale initiatives required required Operations experience preferred **Experience leading a claims payable function at a large scale highly preferred** **Experience ... managing vendor relationships highly preferred** **Detailed understanding of the 835 process highly preferred** **Experience leading provider payments highly preferred** **Finance experience highly preferred** Pay Range: $145,100.00 - $268,800.00 per year… more
- MyFlorida (Tallahassee, FL)
- …for Florida. + The duties consist of the responding to the claims of the prisoners asserting federal constitutional rights violations. This necessitates review ... of all the state proceedings resulting in the conviction questioned, the supervision and preparation of the necessary pleadings and responses needed to set forth the contentions and position of the State of Florida (including the supervision and preparation of… more
- Air National Guard Units (Tyndall AFB, FL)
- …you must provide transcripts or other documentation to support your Educational claims . To receive credit for Education, you must provide documentation of proof ... that you meet the Education requirements for this position. Additional Information If you are a male applicant who was born after 12/31/1959 and are required to register under the Military Selective Service Act, the Defense Authorization Act of 1986 requires… more