- Community Health Systems (Sarasota, FL)
- …secure payment. This role requires effective communication, thorough research of claims , and collaboration with financial service units to resolve discrepancies and ... including medical insurance, dental insurance, vision insurance, PTO, 401K, sick time , holidays, and bonus where eligible. **Essential Functions** + Reviews denied… more
- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Fraud and Waste Professional 2 is responsible for conducting comprehensive ... fraud involving Florida's Medicaid Program. The Fraud and Waste Professional 2 coordinates investigation with law enforcement authorities. Assembles evidence… more
- Highmark Health (Tallahassee, FL)
- …BE A US CITIZEN This position serves as a key liaison between Claims Operations, Customer Service, Regulatory Affairs, IT, Legal and other departments, proactively ... rules. Traces business requirements through to test plans and cases, reducing time to fix issues and identify anomalies. The incumbent interfaces with positions… more
- Mass Markets (FL)
- …and retention. + Respond to customer inquiries regarding coverage, benefits, claims , and other insurance-related questions. + Maintain accurate and up-to-date ... and policy management. + Participate in ongoing training and professional development to maintain licensure and improve skills. CANDIDATE...to be competitive and to grow with you over time . Starting compensation is based on experience, and we… more
- NTT America, Inc. (Tallahassee, FL)
- …and the corporate insurance group as regards to high value insurance claims , to ensure that documentary information has been collected, secured, and preserved ... so that claims will be resolved in a timely manner as...facilities. + Excellent communication, presentation, and interpersonal skills + Professional and tactful with ability to maintain confidentiality. +… more
- HCA Healthcare (Atlantis, FL)
- …of absence) + Employee Health Assistance Fund that offers free employee-only coverage to full- time and part - time colleagues based on income. Learn more about ... certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time ...today to our Senior Risk Manager and be a part of the innovation of ideas. **Job Summary and… more
- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Special Investigations Unit Manager leads and monitors investigations of allegations of ... associate engagement & your well-being. We also provide excellent professional development & continued education. **Use your skills to...Bachelor's Degree + Minimum of 3 yrs health insurance claims or Medicare experience + Minimum 3 years of… more
- UNUM (Tallahassee, FL)
- When you join the team at Unum, you become part of an organization committed to helping you thrive. Here, we work to provide the employee benefits and service ... Short & Long-Term Disability + Generous PTO (including paid time to volunteer!) + Up to 9.5% 401(k) employer...position is responsible for providing expert medical analysis of claims files (or underwriting applications) across Unum US product… more
- Truist (Orlando, FL)
- …no less than 10 days of vacation (prorated based on date of hire and by full- time or part - time status) during their first year of employment, along with ... specific benefits available for any non-temporary position for which you apply, based on full- time or part - time status, position, and division of work.… more
- Humana (Tallahassee, FL)
- …APR-DRG and/or EAPG grouper logic + Experience processing or reviewing facility claims + Prior professional experience utilizing Microsoft Excel (eg performing ... **Become a part of our caring community and help us...IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the… more