- AECOM (Coral Gables, FL)
- …+ Work with management and staff to resolve pre-litigation disputes and potential claims + Manage various types of litigation matters and claims utilizing ... experience at an engineering, architecture or construction company + Claims /litigation handling, including management of outside counsel, relating to architecture,… more
- Insight Global (Sarasota, FL)
- …per day. Additionally, this person will review, process, and correct electronic claims using AccessANYware, SSI, and DDE software systems to ensure timely ... reimbursement. Resolves RTP and denied claims , and maintains the electronic Medicare billing system. Coordinates and updates CM and DDE billing updates, billing… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …environment + Superior organizational and time management skills + Customer service focus and professionalism **Physical Requirements** This role requires the ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- CVS Health (Tallahassee, FL)
- …Senior Claim Benefit Specialist reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. They will act as ... coaching, or responding to complex issues. May also handle customer service inquiries and problems. **Key Responsibilities** + Reviews pre-specified claims… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …pharmaceutical and medical device industry. + Experience working with external service providers. + Working knowledge of current Good Manufacturing Practice (cGMP) ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Prime Therapeutics (Tallahassee, FL)
- …Recommend new and revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other relevant data of ... Develop financial pricing models to monitor performance against pharmacy claims data and identify financial pricing opportunities to drive...collaboratively to provide the highest quality of care and service to our members. If you are looking to… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …growing team and lead the development and strategy for our Digital Medicine Platform's service layer. As the ideal candidate, you have the ability to lead teams ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Butterfly Effects (Deerfield Beach, FL)
- …to support our national billing needs. In this role, you'll ensure clean claims and accurate submissions, allowing our field teams to focus on what matters ... CPT codes, and claim details before submission. + Process claims using the First-In / First-Out method to prevent...Environment - Work alongside professionals who value teamwork and service excellence. + Growth Opportunities - Gain experience in… more
- CVS Health (Plantation, FL)
- …day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject ... and providers with high quality claim adjudication. May handle customer service inquiries and problems. **Additional Responsibilities:** - Applies medical necessity… more
- Sedgwick (Orlando, FL)
- …entry of data; and to support delivery of the highest quality of customer service as a point of contact for internal and external customers and clients. **ESSENTIAL ... + Ensures data integrity by accurately interpreting the leave and disability claims data coding hierarchy and applying the correct leave and disability codes… more