- Humana (Tallahassee, FL)
- …provider reimbursement programs for an organization that provides health insurance . The Senior Provider Reimbursement Professional works assignments involve ... certification from the AAPC and/or AHIMA) + Extensive knowledge of medical claims processing and familiarity with reimbursement methodologies, ICD, CPT, and HCPCS +… more
- Sedgwick (Tallahassee, FL)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Litigation Consultant | Auto | Remote **PRIMARY PURPOSE** : To address and ... Ten (10) years of experience handling litigation including 5 years of claims management experience or equivalent combination of education and experience required.… more
- Cardinal Health (Tallahassee, FL)
- …degree in related field, or equivalent work experience, preferred + Knowledge of insurance billing, Medicare claims , and audit processes. + Familiarity with ... review, and submit medical documentation and billing data to insurance providers. + Process electronic and paper claims...and programs to support health and well-being. + Medical, dental and vision coverage + Paid time off plan… more
- The Falcon Group (Miami, FL)
- …deposition and trial) specifically for construction defect claims , construction damage claims , and insurance claims and ensuring the successful delivery ... work environments and a comprehensive benefits package. Benefits include Group Medical, Dental and Vision, 401k with employer match, Supplemental Life Insurance ,… more
- AON (Tampa, FL)
- …medical plans for PEO clients. + Analyze data such as census information, claims experience, and premium history to calculate insurance premiums. + Collaborate ... consideration for long-term incentive awards at Aon's discretion; medical, dental and vision insurance , various types of...PEO clients. + Analyze data such as census information, claims experience, and premium history to calculate insurance… more
- Sedgwick (Tallahassee, FL)
- …+ Communicate modeling challenges, findings, and outcomes to stakeholders **QUALIFICATIONS** + Insurance claims knowledge preferred + Minimum one year of ... a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Data Scientist (REMOTE) Data Scientist (Remote) **PRIMARY PURPOSE OF THE ROLE:**… more
- MyFlorida (Miami, FL)
- …including: + Health insurance (over 90% employer paid) + $25,000 life insurance policy (100% employer paid) + Dental , vision and supplemental insurances + ... conveyance documents. Responsible for representation in defense of the Department in claims of inverse condemnation, as assigned. The Difference You Will Make:… more
- Humana (Tallahassee, FL)
- …2 ensures contract compliance and performs analysis regarding pharmacy claims . Understands department, segment, and organizational strategy and operating objectives, ... 2 ensures contract compliance and performs analysis regarding pharmacy claims . Understands department, segment, and organizational strategy and operating objectives,… more
- MyFlorida (Kissimmee, FL)
- …including: + Health insurance (over 90% employer paid) + $25,000 life insurance policy (100% employer paid) + Dental , vision and supplemental insurances + ... General Engineering (GEC) contracts, management of the Plans and Claims Review contract, Disadvantaged Business Enterprise (DBE) program, Affirmative Action/Equal… more
- Highmark Health (Tallahassee, FL)
- … claims and encounters, clinical data, prescription drug data, membership data, dental and vision claims , provider data, financial data (ie, revenue, premium, ... understanding of data flows from various corporate systems (eg, claims , billing, lab, and Rx), to solve complex issues...and projects may involve all aspects of the health insurance business and care management processes and may be… more