- Humana (Tallahassee, FL)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... data requires an in-depth evaluation of variable factors. The Medical Director provides medical interpretation and decisions... Specialty + A current and unrestricted license in at least one jurisdiction and willing to obtain additional… more
- Humana (Tallahassee, FL)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... requires an in-depth evaluation of variable factors. **Description** The Medical Director actively uses their medical background,... Specialty + A current and unrestricted license in at least one jurisdiction and willing to obtain additional… more
- Molina Healthcare (Orlando, FL)
- …retrospective reviews of claims and appeals and resolves grievances related to medical quality of care. + Attends or chairs committees as required such as ... Summary** Responsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and implementation of policies and… more
- HCA Healthcare (Palm Harbor, FL)
- …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for ... health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and… more
- Cognizant (Tallahassee, FL)
- …other teams. **In this role, you will:** + Review and resolve denied or rejected medical claims due to coding errors, ensuring accurate coding and billing based ... **Cardiovascular Medical Coder** We strive to provide flexibility wherever...work-life balance though our various wellbeing programs. **Location:** Remote (Work-from- Home ) **Schedule:** Monday to Friday **Travel:** None required **About… more
- General Motors (Tallahassee, FL)
- …to one General Motors team. **Benefits Overview** From day one, we're looking out for your well-being- at work and at home -so you can focus on realizing your ... audits onsite at a dealership location and electronically from their home office. Specific responsibilities include: * Determining the compliance of these … more
- Humana (Tallahassee, FL)
- …**Use your skills to make an impact** **WORK STYLE:** 100% remote/work at home . **WORK HOURS:** Typical business hours are Monday-Friday, 8 ... of experience utilizing coding guidelines, submitting, reading and/or interpreting claims + Distinguished knowledge of American Medical ...Home /Office associates must meet the following criteria: + At minimum, a download speed of 25 Mbps and… more
- Evolent (Tallahassee, FL)
- …biology) + At least 5 years of professional experience in claims -based healthcare analytics with a payer, provider, vendor, managed care, or related healthcare ... **Technical requirements:** We require that all employees have the following technical capability at their home : High speed internet over 10 Mbps and,… more
- CVS Health (Tallahassee, FL)
- At CVS Health, we're building a world of health around...billing or collections for Home Infusion or Durable Medical Equipment ( _DME_ ) claims . + 2+ ... delivering cost effective solutions for our patients by billing Home Infusion and DME claims and invoices...and claim submission on all patient accounts subject to medical policies, escalate billing issues to leadership, and maintain… more
- CVS Health (Tallahassee, FL)
- …you will be based from your home and travel onsite to conduct claims audits at pharmacies throughout multiple states by reviewing prescription claims ... At CVS Health, we're building a world of...educating pharmacies on the findings. You will also analyze claims for fraud, waste, and abuse trends and report… more