- Molina Healthcare (Orlando, FL)
- …conducts research to resolve customer initiated issues related to core systems processing, and coordinates and manages project teams in the development ... + 3-5 years' experience in a combination of applicable business and business systems + Computer Science or Info tech + Testing experience required + Data… more
- Prestige Employee Administrators (Tampa, FL)
- …carriers and clients + Collect and maintain plan documentation + Audit plans + Claims assistance + Partner with Accounting to reconcile bill + Benefit system set up ... (ie Microsoft Office) and the ability to learn and adapt to new systems + Broker license preferred + PEO background preferred Skills and Personal Qualifications:… more
- CVS Health (Tallahassee, FL)
- …in a prepayment environment - Investigates to prevent payment of fraudulent claims committed by insured's, providers, claimants, etc. - Researches and prepares cases ... information and identifying information resources. * Ability to utilize company systems to obtain relevant electronic documentation. * Ability to travel and… more
- Highmark Health (Tallahassee, FL)
- …scope and complexity + 5 years with coding languages, analytical software, systems , tools and processes using claims , clinical, enrollment and provider ... data + 3 years of project leadership in a complex, matrixed environment (payer and/or provider preferred) + 3 years of providing analytical consultation to clinical, administrative, operational and financial stakeholders **Preferred** + None **LICENSES or… more
- Polk County Public Schools (Bartow, FL)
- …TPA regarding claims management. * Serves as a backup to Analyst and management at legal proceedings including workers' compensation and liability mediation ... and risk management administration. This position gathers information, reviews claims , communicates and coordinates information to third-party administrators (TPA),… more
- HCA Healthcare (Pensacola, FL)
- …to charitable organizations. Apply Today! **Job Summary and Qualifications** Processes claims electronically to insurance carriers. Mails claims to carriers ... to accounts. Communicates any charge related issues to Charge Master Manager/ Analyst . + Works all identified insurance requirement edits through the electronic… more
- Prime Therapeutics (Tallahassee, FL)
- …+ A bachelor's degree in business intelligence, management information systems , mathematics, statistics, analytics, computer and information sciences or similar ... years of work experience. + Prior experience as a Business Intelligence Developer/ Analyst or Data Analyst supporting business intelligence, reporting, analytics… more
- Highmark Health (Tallahassee, FL)
- …work closely with the section's Accountant, Accounting Coordinators, Associate Analyst , providing, guidance, feedback, training, motivation, and support. This team ... for non-payment, Completing write-offs as appropriate, Coordinating AR issues affecting claims or inquiry processing with Membership and Billing personnel.Lead or… more
- Molina Healthcare (FL)
- …staff for mentoring, coaching, and analysis questions. + Reviews Medical Economics analyst work products to ensure accuracy and clarity. + Reviews regulatory ... Education** Bachelor's Degree in Finance, Economics, Math, Computer Science, Information Systems , or related field **Required Experience** + 3 years management or… more
- Air National Guard Units (Tyndall AFB, FL)
- …execution of financial management plans as they relate to communications systems . Analyzes, evaluates, validates, and recommends approval/disapproval of requested or ... as computer operator or assistant, computer sales representative, program analyst , or other positions that required the use or...required the use or adaptation of computer programs and systems . SPECIALIZED EXPERIENCE: GS-13 Must have at least one… more