- MyFlorida (Orlando, FL)
- …Our Organization and Mission: FloridaCommerce works across the state to support Florida's economy, robust and talented workforce, and our local communities. ... applying laws and policies to determine the eligibility of reemployment assistance claims using the CONNECT system. This includes gathering claimant and employer… more
- Sedgwick (Orlando, FL)
- …OF THE ROLE:** To provide excellent service displaying empathy to callers regarding claims for multiple lines of business, including but not limited to, expediting ... the claims process, and providing detailed claim notes on all...Provide excellent customer service to external customers and internal support to an assigned team. + Act as a… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …and their staff on matters related to access, coverage, reimbursement processes, claims submissions, and coding requirements + Analyze payer criteria and provide ... Coordinate with Hubs on individual patient cases, including patient support services and enrollment + Collaborate with Field Sales,...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- MyFlorida (Tallahassee, FL)
- …three months' expenditures. Ensures spending plans are timely received and approved to support compliance with the net cash resource limit. Follows up on Net Cash ... provided to division staff during oversight reviews to justify costs, expenditures, claims for reimbursement or requests for payment. Gathers, organizes and analyzes… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …assets as appropriate. + Consistently keep up with industry data trends. + Support an enterprise wide CDM framework with emphasis on modifications to organizational ... Commercial third-party data assets, including Xponent Plantrak, DDD, HCOS, Claims Data, Specialty pharma, omnichannel data, SalesForce/Veeva (Call/Sample/Detail), etc.… more
- Walgreens (St. Petersburg, FL)
- …billing is completed and accurate prior to claim submission (ie, medical claims billing). + Process reimbursement checks/payment in accordance with policy. + Review ... price modify logs and ensure there are corresponding SDL (submit direct link) claims . + Review, research and resolve all third party chargebacks in a timely manner.… more
- Molina Healthcare (Miami, FL)
- …leadership and direction to MMS Operational Units management staff (eg, Claims Processing, Provider Services, Provider Enrollment, Finance, Managed Care Provider ... in conjunction with the Director, Account Management so that department goals support overall account level objectives. * Responsible for the achievement and… more
- Prime Therapeutics (Tallahassee, FL)
- …advanced communications, client interaction, training, testing, ongoing system support , and developing reports and coordinating audits. **Responsibilities** + ... experience in at least one of the specific areas for position (eg, claims , eligibility, product, benefits, implementations or related area) + Must be eligible to… more
- Kubicki Draper (Tampa, FL)
- …insurance defense experience. Must have experience litigating third-party bodily injury claims and handling extensive personal injury claims , including ... brain injuries, significant injuries to property or business, and wrongful death claims . Trial experience is strongly desired. Your Day-to-Day: + Draft/review and… more
- Sedgwick (Orlando, FL)
- …and solution-focused. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Establishes FMLA claims ; tracks and codes documentation in accordance with internal workflow ... processes. + Analyzes FMLA and other paid leave claims to determine eligibility, certification, payment calculations, payments and/or...curriculum + An assigned mentor and manager that will support and guide you on your career journey +… more