- Insight Global (Boca Raton, FL)
- …foundation and proven track record in Commercial Healthcare Insurance including claims processing, products, and benefits management. The Product Owner may cover ... Collaborate with cross-functional teams, including developers and business stakeholders, ensuring high- quality product delivery. This position pays a salary range of… more
- Evolent (Tallahassee, FL)
- …You Will Be Doing:** + **Data Analytics & Insights** : Analyze healthcare claims and authorization data to identify cost drivers, utilization trends, and population ... : Partner with internal stateside and global teams to deliver high- quality analyses. **Qualifications:** **Required** + Bachelor's degree in a quantitative field… more
- Walgreens (Lauderdale Lakes, FL)
- …to Company policies and procedures in relation to pharmacy errors and the Quality Improvement Program. + Strictly adheres to the Walgreen Co. policy regarding Good ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
- AdventHealth (Tampa, FL)
- …accurate reimbursement under OPPS. The APC Coordinator may assist with monthly quality reviews, RAC and post-payment audits. Will routinely monitor the Federal ... billed as well as ensure we are billing clean claims . The APC Coordinator will assist in the oversight...accounts within 72 hours of being routed to the claims edit work queue and coding review needed work… more
- USAA (Tampa, FL)
- …and/or process engineering/optimization. + Experience in successfully applying quality management, process improvement, and problem-solving tools and methodologies. ... analyze data. **What sets you apart:** + Broad experience and expertise in Claims Investigations to include enabling new or enhanced capabilities. + Familiarity with… more
- Ankura (Miami, FL)
- …packages + Assist with data gathering activities including document review, and quality control of data entry activities + Demonstrating proper documentation of work ... fluency in both Spanish and English required + 2+ years of disputes/ claims experience in the construction and engineering industries + Experience in damages… more
- Walgreens (Wellington, FL)
- …to Company policies and procedures in relation to pharmacy errors and the Quality Improvement Program. + Strictly adheres to the Walgreen Co. policy regarding Good ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
- Walgreens (Davie, FL)
- …to Company policies and procedures in relation to pharmacy errors and the Quality Improvement Program. + Strictly adheres to the Walgreen Co. policy regarding Good ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
- HCA Healthcare (Atlantis, FL)
- …of the clinical risk and patient safety program on a day-to-day basis and claims management program and risk management education for the facility. Able to follow ... exposure. Responsible for coordinating activities that focus on the management of claims and pretrial preparation. Also responsible for the grievance process and the… more
- Mass Markets (FL)
- …and advice comply with insurance regulations and company policies. + Deliver high- quality service to ensure customer satisfaction and retention. + Respond to ... customer inquiries regarding coverage, benefits, claims , and other insurance-related questions. + Maintain accurate and up-to-date customer information and… more