- 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
- Humana (Tallahassee, FL)
- …by addressing conditions identified during IHWA visits. + Analyze performance and claims data to monitor and inform strategic decisions. + Generate innovative ideas ... systems, or risk adjustment. + Proven ability to compare, read, and report on claims data. + Proven ability to conduct causal analysis and apply findings for program… more
- Humana (Tallahassee, FL)
- …and auditing experience * Knowledge of healthcare payment methodologies, claims , submissions, and payments * Strong organizational, interpersonal, and communication ... AHFI) * Experience testifying in court * Understanding of healthcare industry, claims processing, and investigative process development * Experience in a corporate… more
- Robert Half Accountemps (Boca Raton, FL)
- …communicate updates to relevant teams. * Assist with corrections and resubmissions of claims to ensure proper follow-up and maximize reimbursements. * Serve as a ... * Proficiency in E/M coding and auditing principles. * Familiarity with Medicare claims , payer denials, and CPT codes. * Strong analytical skills and attention to… more
- University of Miami (Miami, FL)
- …full-time Epic Analyst- Hospital Billing. The Epic Analyst- Hospital Billing assists Associate Epic Analysts on the team and collaborates with key stakeholders, ... Hospital Billing Administration along with proficiency in Charging, Contracts, and Claims /Remittance + Configure, build, and maintain Epic HB applications to support… more
- Zurich NA (Tallahassee, FL)
- …to improve operational efficiencies, quality and/or timeliness. At Zurich North America Claims , we understand the importance of flexibility and work-life balance in ... Analyze operational data, identify trends, and collaborate with the Claims and Admin Support teams to optimize vendor performance...in line with key governance controls. Basic Qualifications: + Associate degree and 3 or more years of experience… more
- Community Health Systems (Naples, FL)
- …support revenue cycle efficiency. **Essential Functions** + Submits and processes claims accurately and efficiently, ensuring compliance with payer requirements and ... duties as assigned. + Complies with all policies and standards. **Qualifications** + Associate Degree in a healthcare related field preferred or + Technical School… more
- Elevance Health (FL)
- …+ Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and to ... fraud and abuse prevention and control. + Review and conducts analysis of claims and medical records prior to payment. Researches new healthcare-related questions as… more
- Compass Group, North America (St. Petersburg, FL)
- …Home Office Risk Management team in responding to or managing any safety and claims issues + Working with operations and culinary teams to ensure the timely ... of team members, foodborne illness, liquor liability and guest claims + Work with local OSHA, sanitation or Everclean...Time Off (varies by site/state) + Personal Leave + Associate Shopping Program + Health and Wellness Programs +… more