- AdventHealth (Apopka, FL)
- …drug, medication directions, refills and prescriber are selected + Processes claims adjudication and copay assistance billing for new prescription orders and ... refill requests, ensuring appropriate National Drug Code (NDC) selection and shipping method are selected at the time of dispense. Verifies ship date and ship to address, if applicable + Assists patients with copay assistance program, if applicable,… more
- AdventHealth (Zephyrhills, FL)
- …develops and administers the Risk Management Program for loss prevention and claims control (according to federal, state, and local requirements) to meet the ... needs of the facility and interties of AdventHealth Zephyrhills and Dade City. **The value you'll bring to the team:** + Oversees the system for identification and analysis of loss or injury exposure. In conjunction with Risk Management team. + Maintains both… more
- AdventHealth (Altamonte Springs, FL)
- …Team of any coding or coding related issues that adversely impact the claims processing, coding accuracy, and compliance.e. Monitors the queue holds and adhere to ... all hold timelines, releasing on your own accord when appropriate.f. Consistently maintains productivity and accuracy standards as outlined by Coding leadership.g. Review and correct coding on accounts and makes changes as appropriate.1. Demonstrates attention… more
- Walmart (Miramar, FL)
- …in accordance with Company policies and procedures by properly handling claims and returns, zoning the area, arranging and organizing merchandise/supplies, ... identifying shrink and damages, and ensuring a safe work environment. Maintains merchandise presentation in the Pharmacy by stocking and rotating merchandise, removing damaged or out-of-date goods, setting up, cleaning, and organizing product displays, signing… more
- BayCare Health System (Tampa, FL)
- …correction of charges, edits, and registration/insurance issues in order to provide clean claims for large volume areas. + Requires attention to detail as well as ... the ability to function in various information system platforms. + Must discuss with provider when discrepancies present. + Appropriate utilization of CPT, ICD-10, and HCPCS codes. + May serve as back up for non-clinical team and perform other duties as… more
- Centene Corporation (New Port Richey, FL)
- …care or medical group experience, provider relations, quality improvement, claims , contracting utilization management, or clinical operations. Project management ... experience at a medical group, IPA, or health plan setting. Proficient in HEDIS/Quality measures, cost and utilization.Pay Range: $55,100.00 - $99,000.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance,… more
- AssistRx (Orlando, FL)
- …to expedite patient access + Document and initiate prior authorization process and claims appeals + Report any reimbursement trends or delays in coverage to ... management + Act as a liaison for field representatives, health care providers and patients Job Details Snapshot: + Compensation: $19-22/hr + Language Differential: In addition to your base hourly compensation, you will also receive a language skills… more
- University of Miami (Medley, FL)
- …completed batches to appropriate billing offices daily. + Follows up on claims submitted routinely to monitor payment status. + Transmits coded patient treatment ... information to payers and other recipients. + Coordinates insurance reimbursements with care providers. + Adheres to University and unit-level policies and procedures and safeguards University assets. Department Specific Functions + Reviews and releases all… more
- Insight Global (Maitland, FL)
- …expanding legal team. This remote position focuses on first-party property insurance claims , offering an opportunity to work with a reputable and growth-oriented law ... firm. The ideal candidate will have 3-5 years of experience in first-party insurance litigation and a strong ability to manage complex legal matters independently. Initial Base Salary: $12,500/month for the first 3-6 months * Commission Structure (after… more
- Bank of America (Miami, FL)
- …Self-motivated and results-oriented with excellent organizational skills **Skills:** + Claims Management + Controls Management + Monitoring, Surveillance, and ... Testing + Policies, Procedures, and Guidelines Management + Quality Assurance + Attention to Detail + Investigation Management + Problem Solving + Risk Management + Written Communications + Adaptability + Process Management + Process Mapping + Project… more