- Cognizant (Sarasota, FL)
- …review, estimate review, Delivery Assurance Audit, AMIs etc.** Experience with the Billing and Claims configuration knowledge, Data Insight, producer, policy ... holder will be added advantage.** **Salary and Other Compensation:** The annual salary for this position is between $80,000K - $155,000K depending on experience and other qualifications of the successful candidate. Benefits: Cognizant offers the following… more
- Elevance Health (Tampa, FL)
- …associated with fraud and abuse. **How you will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies ... prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses...investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + Collaborates… more
- Elevance Health (Tampa, FL)
- …associated with fraud and abuse. **How you will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies ... prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses...investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + Collaborates… more
- Robert Half Accountemps (Miami, FL)
- …with vendor partners, suppliers, and internal teams. * Familiarity with billing , invoicing, and claims processing procedures. * Excellent communication ... partners and internal teams to resolve customer concerns effectively. * Process claims , invoices, and enrollment requests with accuracy and efficiency. * Ensure… more
- AdventHealth (Apopka, FL)
- …patient, drug, medication directions, refills and prescriber are selected + Processes claims adjudication and copay assistance billing for new prescription ... duties of preparing and dispensing of medications, inventory management, pharmacy billing and customer service, and regulatory compliance. Performs duties necessary… more
- Elevance Health (Tampa, FL)
- …+ Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and ... 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
- Sanofi Group (St. Petersburg, FL)
- …procurement as it relates to medical payer policy requirements, buy & bill processes, billing and coding education, claims and adjudication by site of care, ... matter expert relating to product procurement, buy & bill processes, billing and coding, financial assistance offerings, patient support, access, payer medical… more
- Highmark Health (Tallahassee, FL)
- …for non-payment, Completing write-offs as appropriate, Coordinating AR issues affecting claims or inquiry processing with Membership and Billing personnel.Lead ... bank receipts, checks, invoices, amounts, group numbers, etc., using the Billing system, Maintenance of bank lockbox accounts, Developmentand analysis of aging… more
- CVS Health (Tallahassee, FL)
- …benefit business environment. + Respond to customer benefits questions, and clarifications on billing , eligibility, and claims processes. + Retain and grow the ... client relationship and effectively position our products with an emphasis on expanding our book of business. **Required Qualifications** + 2-5 years industry experience, with experience in Self- funded customers preferred. + Customer service experience,… more
- University of Miami (Miami, FL)
- …program participants, returns, and proper disposal of excess product + Audit patient claims for appropriate and accurate billing for Patient Assistance Program ... administered medications + Must be a self-starter with ability to prioritize tasks and manage time to meet priorities in a timely manner + Provide routine reports to pharmacy management team on project progress + Assist in projects and cost savings initiatives… more