- Molina Healthcare (Orlando, FL)
- …analytics and reporting solutions that help track, measure, and optimize automated claims processing solutions. The role will leverage tools like Power BI, Azure ... reporting to track solution effectiveness and surface potential issues + Creating claims impact reporting to assess automation potential, issues or financial impact… more
- Cardinal Health (Tallahassee, FL)
- …understanding of service level goals and objectives when providing customer support . + Demonstrates ability to respond to non-standard requests from vendors ... insurance providers + Researching and appealing denied and rejected claims + Preparing, reviewing, and transmitting claims ...offers a wide variety of benefits and programs to support health and well-being. + Medical, dental and vision… more
- MyFlorida (Tallahassee, FL)
- …for planning, coordinating, and directing the activities of District marketing support personnel to maximize sales and service provided to Florida Lottery ... with daily and weekly Fortune claim processes including review of problem claims submitted, contacting PAS for assistance, assisting customers with completion of … more
- Otsuka America Pharmaceutical Inc. (Jacksonville, FL)
- …with cross-functional colleagues in Medical (MSLs), Market Access (HSAMs), and Patient Support (PELs) under appropriate guidelines. This individual will serve as the ... Account Pull Through** + Maintains ongoing awareness of internal support team resources available throughout the ecosystem and utilizes...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- TECO Energy (Tampa, FL)
- …The MGR Renewable Energy Projects provides leadership, direction, and technical support for various TEC renewable energy project activities. Monitors, develops, ... power plant industry focused on scheduling, budgeting, cost control and contract claims negotiations. _Associate's Degree_ - 10 years of experience in the… more
- USAA (Tampa, FL)
- …documentation may result in disqualification.** + Experience leading $1B+ Claims transformation programs. + Demonstrated experience managing programs with ... business needs into technical specifications. + Recent experience supporting Claims in a Program Management role. + PMP, Agile...(now or in the future) you will need immigration support (ie, H-1B, TN, STEM OPT Training Plans, etc.).**… more
- USAA (Tampa, FL)
- …for consultation on and programming of instructions and alerts within the Claims Center (Guidewire) and Training Environments. These alerts will be programmed within ... apart:** + 2 years of experience adjusting or managing Claims within Guidewire. + 2 years of experience programming...(now or in the future) you will need immigration support (ie, H-1B, TN, STEM OPT Training Plans, etc.).**… more
- Butterfly Effects (Deerfield Beach, FL)
- …in delivering outstanding service and clear communication to the families you support ? Butterfly Effects, a national ABA-informed therapy provider, is seeking a ... the Role As a Medical Collections Specialist, you will support our national collections efforts with a focus on...manage assigned accounts, research and resolve denied or underpaid claims , and maintain compliance with payer guidelines and HIPAA… more
- Healthfirst (FL)
- …organizational and regulatory standards for proper function, quality, and in support of enhancing Member/Provider service experiences. + Experience applying critical ... + Conduct ongoing staff engagements and monthly team meetings. + Ensure team support and adheres to all improvement initiatives. + Provide coaching to QA staff… more
- Butterfly Effects (Deerfield Beach, FL)
- …makes a difference! Butterfly Effects is looking for a Medical Billing Specialist to support our national billing needs. In this role, you'll ensure clean claims ... CPT codes, and claim details before submission. + Process claims using the First-In / First-Out method to prevent...Why Work at Butterfly Effects? + Impactful Work - Support services that directly benefit children and families. +… more