- AAA Cooper Transportation (Fort Pierce, FL)
- …multi-regional trucking company providing less-than-truckload, truck load, dedicated contract carriage, brokerage and international services. With directly operated ... which, includes but not limited to, driver check in, manifesting trailers, billing , closing out of trailers, ensure trailers with hazardous materials are properly… more
- Molina Healthcare (Orlando, FL)
- …planning, risk management, capital generation, revenue management (patient billing , revenue), controllership and internal audit, orequivalent combination of ... + Clinical Licensure and/or certification required ONLY if required by state contract , regulation, or state board mandate. + Experience in working across regulatory… more
- Molina Healthcare (FL)
- …Reviews documentation regarding updates/changes to member enrollment, provider contract , provider demographic information, and/or claim processing guidelines. ... and regulations in order to identify incorrect coding, abuse and fraudulent billing practices, waste, overpayments, and processing errors of claims. ( _Use for… more
- University of Miami (Medley, FL)
- …enrollment and deductible status for persons enrolled in the School's special contract programs. + Notify appropriate parties of the appointment time, referral ... obtain prompt, efficient, effective care (eg medical explanations, reduced waiting, billing inquiries, cost estimates). This list of duties and responsibilities is… more
- University of Miami (Miami, FL)
- …and strategic direction for 340B operations, both in-house and retail contract pharmacy arrangements, will also oversee business operations for the UHealth ... of the drug spend, and working with the drug wholesaler to correct any billing /payment issues, as well as reconciling the drug spend for key drugs (high-cost and/or… more
- Evolent (Tallahassee, FL)
- …from product strategy analyses and translating them to complex risk-based contract development, and they will partner closely with executives across analytics, ... knowledge of healthcare claims; specifically, differences between institutional vs professional billing and various sites of care/service is preferred + Familiarity… more
- Zelis (St. Petersburg, FL)
- …and recommendations based on data analysis and client feedback. + Manage contract renewals, negotiations, and amendments with TPA clients. + Ensure compliance with ... + Work with legal and finance teams to address any contractual or billing issues. + Stay informed about industry trends, market conditions, and competitive… more
- Intermountain Health (Tallahassee, FL)
- …on a working knowledge of required metrics. Audits of documentation, coding and billing practices, in primary care practices. Works in tandem with the payers on ... education materials, and training techniques. Based on medical record metrics and contract obligations, conducts patient outreach and follow up in regards to… more
- Eliassen Group (Tallahassee, FL)
- **Sr Guidewire Business Analyst** **Anywhere** **Type:** Contract **Category:** Business Analysis **Industry:** Insurance **Workplace Type:** Remote **Reference ... Integration projects + GW Associate Certification a must (in Policy, Claim or Billing Center) + Experience working on projects within an Agile environment +… more
- Performance Food Group (Riviera Beach, FL)
- …Purpose:** Under direct supervision, carries out the clerical aspects of the contract and bidding documentation function. Works directly with the bidding agencies as ... of nutritional catalogs / database; assist accounts receivable in resolving billing discrepancies. + Performs other related duties as assigned. **Req Number:**… more