- Mass Markets (Tampa, FL)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... support inbound customer service, help desk, technical support, and back-office processing representatives for commercial and public sector support positions. In… more
- ICW Group (Orlando, FL)
- …injured workers. + Communicates with insureds to obtain information necessary for processing claims . + Contacts and/or interviews injured workers, doctors, ... and employers to get additional information. + Communicates claim activity and processing with the injured worker and insured. + Maintains professional client… more
- Prime Therapeutics (Tallahassee, FL)
- …compelling communications + Knowledge and understanding of pharmacy and medical claims processing environment **Preferred Qualifications** + Certified Fraud ... and/or prescriber fraud, waste and abuse (FWA). This position conducts claims data mining, fraud analysis and auditing/monitoring activities and proactively… more
- CVS Health (Tallahassee, FL)
- …+ 3+ years of experience in medical billing and coding, specifically related to claims processing and root cause analysis. + 3+ years of experience with ... assist in creating bulletins, newsletters, and claim trainings to improve provider claims issues. as well as billing practices, while collaborating with internal… more
- Molina Healthcare (Tampa, FL)
- …of healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing , etc.) + Knowledge of healthcare financial terms ... executive decision-making + Mine and manage information from large data sources. + Analyze claims and other data sources to identify early signs of trends or other… more
- Humana (Tallahassee, FL)
- …Operations encompasses critical functions including care coordination, quality measurement, billing, claims processing , and customer service, each essential to ... operational knowledge of core functional areas (care coordination, quality, billing, claims , and customer service). + Collaborate with each Insurance Operations… more
- Sedgwick (Tampa, FL)
- …college or university preferred. **Experience** Four (4) years of experience in claims processing or related business experience, or equivalent combination of ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… more
- MyFlorida (Tallahassee, FL)
- …computing with emphasis in data processing , financial accounting, draw games, claims processing and prize payment, and website. + Knowledge of concepts, ... on bids. + Assists in the establishment of information processing standards for the Florida Lottery. + Assists in...the latest technology, trends, and developments in the data processing industry as they relate to the Florida Lottery's… more
- Cognizant (Tallahassee, FL)
- …policies. **Basic qualifications:** 2 years of Appeals and Grievance 1 Year of medical claims processing experience (Must be with a healthcare plan, not on ... of provider or provider's office) Medicaid & Medicare insurance customer service or claims processing 2 Years of medical health insurance (Must be with a managed… more
- Community Health Systems (Crestview, FL)
- …standards. **Qualifications** + 0-2 years of experience in medical billing, insurance claims processing , or revenue cycle management required **Knowledge, Skills ... Summary** The Billing Specialist I is responsible for performing insurance claim processing , billing, and follow-up to ensure timely and accurate reimbursement. This… more