- Intermountain Health (Tallahassee, FL)
- …of actual and budgeted contractual allowances and variances, monitoring of individual claims (logs), etc.). Interacts with HIM, PAS, and hospital finance staff as ... reimbursement methodologies. + Prepares or reviews cost reports and surveys, reviews audit adjustments and settlements, and files appeals and exception requests to… more
- Monte Nido (Miami, FL)
- …of reasonable accommodations. + Oversee workers compensation program, by filing claims and communicating with vendor as employees/managers. + Reconcile annual ... workers compensation audit **Compliance** **Guidance & Oversight** **:** + Advise on federal, state, and local labor laws, including FMLA, ADA, Workers'… more
- Kemper (Lake Mary, FL)
- …Guidelines and state-specific statutory requirements. + Monitors performance by reviewing audit results, management reports and other SIU performance dashboards on a ... knowledge of the principles of casualty insurance and the auto casualty claims adjustment process. + Bachelor's Degree and/or experience gained through law… more
- Walgreens (Deltona, FL)
- …ways to further promote productivity. + Ensures the accurate processing of insurance claims to resolve patient issues and prevent payment rejections. Follows up with ... insurance companies and medical providers and participates in 3rd-party audit . + Follow-up with medical providers' offices to clarify prescribed medications,… more
- Chewy (Plantation, FL)
- …and state-level regulations. + Establish efficient compliance frameworks and audit mechanisms that streamline regulatory tracking, risk assessments, and internal ... product sourcing, and development and go-to-market strategies, ensuring that product claims , safety measures, and supply chain due diligence align with regulatory… more
- Burns & McDonnell (Melbourne, FL)
- …information (RFI's), submittals, change management, contract closeout, documentation, and claims mitigation. + Oversee Prime Contract, subcontractor, and client ... supplier and company commissioning and startup teams as needed. + Implement, audit , and oversee project documentation. + Implement process for confirming project and… more
- Mass Markets (Tampa, FL)
- …such as quality assurance, training, IT, and recruiting. + Develop and audit quality assurance strategies to ensure the delivery of world-class service + ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more
- University of Miami (Miami, FL)
- …and testing the revised treatment matrix which will identify possible cancers from claims data. The RA1 will facilitate the process of preparing required regulatory ... as part of the plan to resolve the deficiencies identified during the audit /monitoring visit. + Assist in the collection and maintenance of credentialing information… more
- Walgreens (Ocala, FL)
- …to further promote productivity. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. Follows- up with ... companies as well as medical providers and participates in 3rd party audit . + Follows-up with medical providers' offices to clarify prescribed medications, dosages,… more
- Trinity Health (Fort Lauderdale, FL)
- …and procedures are followed at all times to minimize/eliminate workman's compensation claims and create a safe working environment for all Food & Nutrition ... Ability to develop methodologies for collecting and analyzing relevant data; to audit program processes; monitor quality; identify, problems and their root causes,… more
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