- Elevance Health (Tampa, FL)
- …volume of provider. + Schedules review with provider, analyzes data to select claims to be reviewed, conducts review using medical charts, medical notes, itemized ... + Verifies dollar amount on claim is correct in claims system and writes report of the findings of...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Tampa, FL)
- …in order to recover corporate and client funds paid on fraudulent claims . Health insurance experience required with understanding of health insurance policies, ... health insurance claims handling and provider network contracting. **How will you...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Tampa, FL)
- …with fraud and abuse. **How you will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities ... prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- ChenMed (Miami, FL)
- …**ESSENTIAL JOB DUTIES/RESPONSIBILITIES:** + Analyzes and interpret enrollment, revenue, and claims (utilization and unit cost) data to identify and solve business ... and execution of actions to improve those results). + Prepares ad-hoc analysis for claims and KPIs of medical costs for executive leadership + Develops a deep… more
- Community Health Systems (Naples, FL)
- …Safety Officer or collaborate with one to support quality and safety initiatives. ** Claims & Litigation Management** + Oversee legal claims processes, including ... Support resolution strategies, including mediation and settlement negotiations with CHS Claims . **Reporting & Governance** + Prepare and present monthly and… more
- ChenMed (Hollywood, FL)
- …needed to maintain workflow and meet/ complete deadlines as assigned by the Pharmacy Manager or Pharmacist on duty. + Processes claims for 3rd party ... receipt; removing outdated drugs. + Maintains knowledge of asset protection techniques, creates claims for order errors and damaged goods. + Maintains a safe and… more
- University of Miami (Miami, FL)
- …handbook and policies and procedure manuals. * Partners with the client services manager to develop department goals, objectives, and systems. * Partners with the ... manager to administer compensation changes, support recruitment efforts and...for the client. * Performs benefits administration to include claims resolution, change reporting, approving invoices for payment, and… more
- Walgreens (Bradenton, FL)
- …Supports the efficient workflow of the pharmacy and assists the pharmacy manager in identifying ways to optimize pharmacy financials, inventory management and ... interpersonal. + Participates and assists in community events as requested by Store Manager , Healthcare Supervisor, District Manager or Pharmacy Manager .… more
- Walgreens (Orlando, FL)
- …Supports the efficient workflow of the pharmacy and assists the pharmacy manager in identifying ways to optimize pharmacy financials, inventory management and ... in accordance to regulations, company policies and standards. Assists pharmacy manager with establishing procedures that promotes the efficient workflow of the… more
- Walgreens (Lynn Haven, FL)
- …Supports the efficient workflow of the pharmacy and assists the pharmacy manager in identifying ways to optimize pharmacy financials, inventory management and ... in events that reflect the unique communities we serve as requested by Store Manager , Healthcare Supervisor, District Manager or Pharmacy Manager . Operations… more