- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …certification, School/Residency/Fellowship completion, Hospital privileges verification, System Award Management (SAM), Claims history, Accreditation (ancillary ... fax or mailings State licenses, Drug Enforcement Agency (DEA) certificates, Liability insurance, National Practitioner Database (NPDB) Report, Office of Inspector… more
- GAP Solutions Inc (Tallahassee, FL)
- …record systems. + Assisting with drafting SOP's. + Processing personal liability insurance reimbursement claims . + Initiating tentative selection notifications, ... **Position Objective:** As a Junior Human Resource Specialist , apply HR skills in support of managers,...waiver and hearing requests. + Conduct desk audits, review management requests for various position management and… more
- Molina Healthcare (Orlando, FL)
- …Healthcare provider network consists of providers that meet all regulatory and risk management criteria to minimize liability to the company and to maximize ... credentialing database necessary for processing of recredentialing applications. * Reviews claims payment systems to determine provider status, as necessary. Ongoing… more
- Molina Healthcare (Miami, FL)
- …Healthcare provider network consists of providers that meet all regulatory and risk management criteria to minimize liability to the company and to maximize ... credentialing database necessary for processing of recredentialing applications. * Reviews claims payment systems to determine provider status, as necessary. *… more
- CDM Smith (Orlando, FL)
- …**Business Unit:** FSU **Job Description:** CDM Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical ... in evaluating and analyzing financial data related to disaster-related claims , including property damage, business interruption, and other loss categories. The … more