- Walgreens (Vero Beach, FL)
- …Quality Improvement Program. + 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 conducts or participates in 3rd party audit . + Assists and supports Store Manager and Pharmacy Manager in analyzing and… more
- Devereux Advanced Behavioral Health (Orlando, FL)
- …hires, changes, and terminations. + Complete specific roster templates and conduct audit reviews for MMAs. + Coordinate with contract representatives and network ... providers to resolve claims issues. + Facilitate the credentialing process for new programs joining MMAs or insurance companies. + Re-credential existing programs… more
- Acosta Group (Jacksonville, FL)
- …efficient and quality event execution in a designated location. They are to audit , train and coach Event Specialists on proper team compliance measurements to ... to perform the essential duties. _Responsibilities With Regard to Workers' Compensation Claims :_ You are responsible for reporting any employment related injury to… more
- International Paper (Cantonment, FL)
- …results * Support 5S program for the area and drive improvement projects, audit systems, and excellent results * Provide direct support for and participation in ... company assets and interests, including legal, state and local taxes and insurance claims * Ensure long-range growth and achievement of mill and company objectives… more
- Walgreens (Lynn Haven, 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
- Cardinal Health (Tallahassee, FL)
- …notations for every interaction using the appropriate database for the inquiry * Self- audit intake activities to ensure accuracy and efficiency for the program * ... a background in healthcare (such as medical assistant, working in medical claims /billing, pharmacy technician, clinician in a doctor's office, etc) or with insurance… more
- CVS Health (Tallahassee, FL)
- …regulatory guidelines. + Owns responsibility for supporting targeted quality audit projects, reporting overall results, and making recommendations regarding training ... of problem solving and decision making skills + College degree preferred + Claims experience + DG experience **Education** + High School Diploma or equivalent GED… more
- WTW (Miami, FL)
- …with ERISA regulations and other applicable federal laws. Adhere to audit protocol to ensure accuracy of documentation. + **Document Production/Management:** Adhere ... + **Other:** Keep abreast of laws and regulations impacting employee benefits, claims procedures, and notice requirements by using our legal database subscriptions… more
- City of Boca Raton (Boca Raton, FL)
- …protocols between Benefits and the user groups. + Execute, update, and audit biweekly and payroll processing of benefit deductions, perform reconciliations and ... + Assists and advises employees on benefits matters regarding eligibility, claims resolution, coverage, and provisions. + Assist in coordinating and planning… more
- Acosta Group (Clearwater, FL)
- …all work assigned. * Assists with preparation for client visits and completes audit corrections. * Builds and maintains rapport with store personnel to effectively ... to perform the essential duties. _Responsibilities With Regard to Workers' Compensation Claims :_ You are responsible for reporting all employment related injury you… more