- Evolent (Tallahassee, FL)
- …to analyze source & target integrity across various databases supporting transaction processing based on the end-to-end data flow + create & maintain queries ... required to analyze system processing in detail + provide summary information to stakeholders...Knowledge of Medicare, Medicaid, Commercial Plans and understanding on claims workflow, members, providers + A minimum of 1… more
- MyFlorida (Tallahassee, FL)
- …to be considered. The Work You Will Do This position is responsible for processing food, lodging, and elevator applications, and serves as a backup for the ... Specialist role by providing customer support through escalations and TierN email processing . The position is expected to support the subject matter expert for… more
- GAP Solutions Inc (Tallahassee, FL)
- …into various personnel record systems. + Assisting with drafting SOP's. + Processing personal liability insurance reimbursement claims . + Initiating tentative ... of HR topics including but not limited to staffing, classification, processing , benefits, recruitment, compensation, SES programs, work life programs, policy and… more
- Walmart (Orlando, FL)
- …by entering and modifying pharmaceutical data on system and forms; processing and submitting paperwork; creating and maintaining documentation (for example, files, ... rotating merchandise and supplies from distribution centers and suppliers; handling claims and returns; completing, maintaining, and securing paperwork, forms, and… more
- Molina Healthcare (Jacksonville, FL)
- …applicants. * Completes data corrections in the credentialing database necessary for processing of recredentialing applications. * Reviews claims payment systems ... a "mentor" to newly hired Associate Specialists. **Job Duties** + Processing Credentialing Applications * Evaluates credentialing applications for accuracy and… more
- MyFlorida (Ocoee, FL)
- …for providing legal representation in defense of the Department in claims of inverse condemnation, as assigned. Responsible for thoroughly researching all ... for providing support to Department attorneys representing the Department in claims and litigation against and by the Department, as assigned. Responsible… more
- Datavant (Tallahassee, FL)
- …positions and perform compensation analysis for different jobs. + Assists with EEOC/DOL claims and any other claims filed against the company, including ... changes to ensure proper documentation is received and work with the HR Data Processing team to ensure changes are processed in the payroll system. + Oversee… 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
- MyFlorida (Gainesville, FL)
- …related activities. Reviews and makes recommendations on construction related claims . Provides technical assistance and related coordination activities to utility ... customer complaints related to assigned projects under construction. Reviews contract claims for time/monies and submits recommendations to the Resident Engineer… more
- MyFlorida (Bartow, FL)
- …related activities. Reviews and makes recommendations on construction related claims . Provides technical assistance and related coordination activities to utility ... customer complaints related to assigned projects under construction. Reviews contract claims for time/monies and submits recommendations to the Resident Engineer… more