- Sedgwick (Jacksonville, FL)
- …performance development plans; conducts colleague performance discussions. + Provides support , guidance, leadership and motivation to promote maximum performance. ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… more
- Prime Therapeutics (Tallahassee, FL)
- …data integrity and consistency + Analyze campaign list segment selection and support post campaign analysis on campaign effectiveness + Assess system capabilities ... + Pharmacy Benefit Management (PBM) experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data + Campaign management… more
- Humana (Tallahassee, FL)
- …operations for higher quality and operational efficiency. + Ensure enrollment and claims processes comply with regulatory requirements and guidelines. + Partner with ... Enrollment Period (AEP). + Utilize tools such as Availity to streamline claims submission, eligibility verification, and authorization processes. + Directly lead a… more
- Aston Carter (Medley, FL)
- …industry leader!We're actively hiring an Accounts Receivable (AR) Specialist to support a high-performing finance team at a multi-million-dollar company based in ... + Communicate with retailer accounting teams and internal stakeholders. + Process invoices, claims , and apply payments accurately. What We're Looking For + 4+ years… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …Inc, ("DHCP") credentialing CACTUS database, provide data entry and clerical support to the Credentialing Department. This position will assist the Credentialing ... School/Residency/Fellowship completion, Hospital privileges verification, System Award Management (SAM), Claims history, Accreditation (ancillary facilities), Site Visits and obtaining… more
- Walgreens (Lauderdale Lakes, FL)
- …the core of our business, and our pharmacy technicians enjoy all the tools and support - including the latest technology - to grow their careers and reach their ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
- AdventHealth (Tampa, FL)
- …Program Career Development Whole Person Wellbeing Resources Mental Health Resources and Support **Our promise to you:** Joining AdventHealth is about being part of ... billed as well as ensure we are billing clean claims . The APC Coordinator will assist in the oversight...accounts within 72 hours of being routed to the claims edit work queue and coding review needed work… more
- Humana (Tallahassee, FL)
- …first** The Encounter Data Management Professional ensures data integrity for claims errors. The Encounter Data Management Professional work assignments are varied ... make an impact** **Required Qualifications** + 1 - 5 years or more of claims processing experience + Minimum of 1 year experience in conducting thorough root cause… more
- ChenMed (Greenacres, FL)
- …receipt; removing outdated drugs. + Maintains knowledge of asset protection techniques, creates claims for order errors and damaged goods. + Maintains a safe and ... as assigned by the Pharmacy Manager or Pharmacist on duty. + Process claims for 3rd party reimbursement efficiently and correctly to third-party insurance providers… more
- Humana (Tallahassee, FL)
- …problems within the encounter process between Humana and CMS using data analysis, claims research, and other resources to provide insight and ensure data integrity ... for Medicare/Medicaid claims errors. **Key Role Functions** + Develop business processes to ensure successful submission and reconciliation of encounter submissions… more