- 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
- 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
- Humana (Tallahassee, FL)
- …an impact** **Required Qualifications** + Minimum 1 year of experience in medical claims payment and processing + Minimum 1 year of experience analyzing and ... researching medical claims + Proficient in Microsoft Office (Word, Excel, Access,...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families,… more
- The Hartford (Lake Mary, FL)
- …candidate will be part of a unique team responsible for providing top quality representation of The Hartford and its insureds for litigated matters involving Auto ... and co-counsel with professional diplomacy and discretion. + Participate in claims file reviews. + Independently conduct trials, depositions, arbitration, and… more
- LogixHealth (Dania Beach, FL)
- …collaborative environment and bring your expertise to ensure groups can submit claims to insurance carriers for reimbursement . The ideal candidate will have ... services, offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting dashboards for clients… more
- Zelis (St. Petersburg, FL)
- …who you are. Position Overview The Manager, DRG Validation of the Expert Claims Review (ECR) department is responsible for daily operations and team management of ... and concept trends and implement improvement strategies + Implement and conduct quality assurance program to ensure accurate results to our clients + Collaborate… more
- UNUM (Tallahassee, FL)
- …Rehabilitation. This position is responsible for providing expert medical analysis of claims files (or underwriting applications) across Unum US product lines. The ... incumbent provides high quality , timely, and efficient medical consultative services to the...workflow standards as set forth in the Benefits Center Claims Manual, underwriting manual, and associated documentation. The incumbent… more
- Norstella (Tallahassee, FL)
- …to extract meaningful insights from real-world data (RWD) sources, including claims , laboratory results, billing codes, and electronic health records (EHRs). You ... data and align insights with client needs. + Monitor and troubleshoot data quality issues, ensuring the integrity and reliability of insights provided to clients… more
- Truist (Orlando, FL)
- …guidelines. 2. Independently analyze, research, and support electronic payment cases/ claims /inquiries escalated by internal departments and client service centers to ... resolution. Claims /inquiries related to Regulation E are met in accordance...clients and internal departments to resolve wire exceptions maintaining quality client experiences executing the attributes and behaviors as… more