- Ensono (Miami, FL)
- …reshape how our world runs. As an expert technology adviser and managed service provider with cross-platform certifications, Ensono empowers our clients to keep up ... compliance requirements. + Experience with Fiscal Intermediary Shared System (FISS), Medicare Claims System (MCS), Clerk ID, Veteran-Directed Care (VDC) and other VA… more
- AdventHealth (Altamonte Springs, FL)
- …Team of any coding or coding related issues that adversely impact the claims processing, coding accuracy, and compliance.e. Monitors the queue holds and adhere to ... better in coding accuracy.p. Demonstrates initiative in providing patients/customer service and resolving problems.q. Sets priorities and demonstrates effective… more
- Trinity Health (Fort Lauderdale, FL)
- …to managing patient care, specifically for the OP Therapy Cap and Claims -Based Outcomes Reporting Flexibility in working in several clinical locations (ie ... Information:_** + Holy Cross Hospital in Fort Lauderdale, Florida is a full- service , non-profit Catholic hospital, sponsored by the Sisters of Mercy and a… more
- Cardinal Health (Tallahassee, FL)
- …laws and regulations, (eg, Stark, Corporate Practice of Medicine, Anti-Kickback, False Claims Act, and HIPAA); and Marketing and Advertising + Proactively identify ... best practices + Identify opportunities to improve efficiency while providing flawless service levels + Communicate in a professional and persuasive manner and has… more
- Insight Global (Maitland, FL)
- …expanding legal team. This remote position focuses on first-party property insurance claims , offering an opportunity to work with a reputable and growth-oriented law ... ancestry, genetic factors, age, disability, protected veteran status, military oruniformed service member status, or any other status or characteristic protected by… more
- Molina Healthcare (St. Petersburg, FL)
- …rejections. Address a variety of enrollment questions or concerns received via claims , call tracking, or e-mail. Maintain records in the enrollment database. ... + Partners with vendor management team and the external vendor to ensure service level agreements and regulatory requirements are met + Considers (thinking bigger… more
- Meta (Tallahassee, FL)
- …on prescription wearer and channel needs and mindsets 8. Manage prescription product claims , content, and pricing in B2C and B2B contexts, and for wearers with ... go-to-market strategies 14. Experience leading implementation of complex product or service offerings 15. Experience working with technical partners to translate… more
- Walmart (Port St. Lucie, FL)
- …guidelines, and correcting/reporting unsafe situations to management. Provides Member service by acknowledging the Member, identifying their needs, assisting with ... area in accordance with Company policies and procedures by properly handling claims and returns, zoning the area, arranging and organizing merchandise, and… more
- Deloitte (Jacksonville, FL)
- …by reviewing services, contracts, performance guarantees, and renewals. + Analyze claims utilization data and assess health plan performance against strategy. + ... presentations and reports. + Build and maintain strong client relationships through exceptional service . + Serve as a project manager to train and mentor junior team… more
- CVS Health (Tallahassee, FL)
- …members who cannot advocate for themselves. The TOC team will review prior claims to address potential impact on current case management and eligibility status. ... with Social Services, Care Management, PCP and other key players to discuss service needs and support safe transitions + Follows members identified as inpatient in… more