- Humana (Tallahassee, FL)
- …2 opening available. The Payment Integrity Professional 2 utilizes vendor platforms, claims processing platforms, and data to collaborate with key internal ... and external business stakeholders, while supporting claims code editing pre and post-implementation and functionality. The opportunity contributes to the overall… more
- Cardinal Health (Tallahassee, FL)
- …+ Mails all paper claims . + Acts as a subject matter expert in claims processing . + Manages billing queue as assigned in the appropriate system. + Manages ... done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will...and programs to support health and well-being. + Medical, dental and vision coverage + Paid time off plan… more
- MyFlorida (Miami, FL)
- …records management activities relating to Social Security and Medically Needy disability claims . This includes receipt from the Social Security field offices and ... Department of Children and Families (Medically Needy cases), reviewing claims that are initialized through the automated claims process, initial review,… more
- CenterWell (Tallahassee, FL)
- …Pharmacy in the appropriate state + Must be PTCB certified + 1+ year of claims processing , insurance or pharmacy experience + Must have strong MS Office skills ... computations. Typically works on semi-routine assignments. Job Description The Pharmacy Claims Representative 2 analyzes and answers inquiries regarding pharmacy … more
- Walmart (Orlando, FL)
- …to determine root cause of issues for example systems insurance stock processing information for thirdparty insurance claims coordinating with insurance ... issues with pill cell performance identifying and properly discarding hazardous waste processing recalled and expired pharmaceuticals and disposing or processing … more
- Cardinal Health (Tallahassee, FL)
- …and transmitting claims using billing software including electronic and paper claim processing + Following up on unpaid claims within standard billing cycle ... for verifying patient insurance and benefits, preparing and submitting claims to payers, correcting rejected claims , following...and programs to support health and well-being. + Medical, dental and vision coverage + Paid time off plan… more
- Orlando Utilities Commission (Orlando, FL)
- …be the go-to person for employee questions and ensure compliance and timely processing of a wide range of programs, from FMLA, ADA accommodations, and retirement. ... activities. + Collaborate with internal teams and vendors to ensure accurate processing , reporting, and compliance. + Support open enrollment, new hire orientations,… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …+ Serve as the primary technical subject matter expert (SME) for upstream processing (cell culture/fermentation, harvest). + Lead and manage the technical aspects of ... sections of regulatory submissions (IND, BLA, MAA, etc.) related to upstream processing . + Collaborate closely with Downstream MSAT, Validation MSAT, QA, Regulatory,… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …as the primary technical subject matter expert (SME) for downstream processing (chromatography, TFF/UFDF, viral clearance/filtration, etc.). + Lead and manage the ... sections of regulatory submissions (IND, BLA, MAA, etc.) related to downstream processing . + Collaborate closely with Upstream MSAT, Validation MSAT, QA, Regulatory,… more
- Cognizant (Tallahassee, FL)
- …root causes and implementing corrective actions. Responsibilities include processing accounts receivables to ensure timely payments, understanding procedures ... advanced work related to resolving physician claim denials. + **Accounts Receivables processing ** : getting the payment processed. + **Root Cause Analysis** :… more