- Guidehouse (Tampa, FL)
- …this position include: + Responsible for the daily resolution of assigned claims with applicable Revenue Integrity pre-bill edits and/or specific Revenue Integrity ... and associated coding modifiers. + Responsible for daily resolution of assigned claims with Revenue Integrity specific denials in the Guidehouse METRIX℠ system. +… more
- Zurich NA (Tallahassee, FL)
- …Qualifications** * Bachelors Degree and 7 or more years of experience in the Claims , Consulting, Risk Engineering or Underwriting area OR * High School Diploma or ... and 9 or more years of experience in the Claims , Consulting, Risk Engineering or Underwriting area OR *...area OR * Zurich Certified Insurance Apprentice, including an Associate Degree and 7 or more years of experience… more
- Humana (Tallahassee, FL)
- …organization focused on continuously improving consumer experiences **Preferred Qualifications** + Associate 's or Bachelor's Degree + Previous inbound call center or ... - 3 years of grievance and appeals experience + Previous experience processing medical claims + Bilingual (English and Spanish); with the ability to read, write, and… more
- University of Miami (Miami, FL)
- …and other regulatory agency reportable events and prepare submission for approval by Associate Medical Risk management Officer and the Chief Medical Risk Officer. + ... potentially compensable events to Chief Medical Risk Officer, Director of Medical Claims and Assistant General Counsel. + Conduct additional investigation and assist… more
- Zurich NA (Maitland, FL)
- …School Diploma or Equivalent and 14 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an ... Associate Degree and 5 or more years of experience...and 12 or more years of experience in the Claims or Underwriting Support area + Knowledge of Casualty… more
- Sarasota County Government (Sarasota, FL)
- …attorneys, court staff, referral sources, and the public. If you have an associate degree (or equivalent experience), strong administrative skills, and a passion for ... to encourage voluntary participation in mediation. + Facilitate small claims court proceedings and assign volunteers to mediate cases....for this role, you must have the following: + Associate 's degree from an accredited college or university with… more
- Walgreens (Deerfield Beach, FL)
- …and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), ... for non-returnable ABC overstock. Verifies posting of all pharmacy/ prescription claims . + Completes execution of all pricing activities including price changes,… more
- Allied Universal (New Port Richey, FL)
- Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and ... driving experience** **RESPONSIBILITIES:** + Conduct independent investigations of insurance claims across a range of coverage types, including workers'… more
- CVS Health (Tallahassee, FL)
- …**Provider Advocate** will work within Meritain, primarily with providers and claims . This person oversees various relationships with Meritain's high-profile groups ... reimbursements or settlements. + Attends and participates in daily dedicated Claims Touchpoint calls, specific to addressing complex provider concerns. + Works… more
- Intermountain Health (Tallahassee, FL)
- …documentation requirements, and reimbursement policies, as well as ensures claims meet medical necessity for procedures performed. **Essential Functions** + ... providers for clarification or additional information when needed. + Submits coded claims to billing department or third-party payers in a timely manner. +… more