- Sharecare (Tallahassee, FL)
- …eligibility, benefit education, open enrollment / new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status, ... vision plans + Support for spending accounts, pharmacy, and disability . + Assistance with incentives and rewards + Aid...resolution with providers, payers or 3rd parties for: + Claims adjustments + Grievances and appeals submissions + Utilization… more
- USAA (Tampa, FL)
- …P&C Claims Operations and/or Optimization experience. + 2+ years of MCO ( Manager , Claims Operations) experience. + Deep operational knowledge of end-to-end ... claims processes. + Demonstrated knowledge of new and emerging...color, religion, sex, sexual orientation, gender identity, national origin, disability , or status as a protected veteran._ **If you… more
- Herc Rentals (Bonita Springs, FL)
- …+ Determine if Herc Rentals' customer types of business can have a Lien and/or Bond claim filed. + Ensure the proper release is provided to the customer based on the ... following. **Keeping you healthy** Medical, Dental, and Vision Coverage Life and disability insurance Flex spending and health savings accounts Virtual Health Visits… more
- Walgreens (Winter Springs, FL)
- …records. Checks in and prices merchandise as required or as directed by store manager or communicated by the shift leader. + Performs duties as assigned by Pharmacy ... Manager , Staff Pharmacist and Store Manager including...those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a… more
- Walgreens (Miami, FL)
- …Co. Pharmacy Code of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems to ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
- Walgreens (St. Petersburg, FL)
- …Co. Pharmacy Code of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems to ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
- Walgreens (Bonita Springs, FL)
- …Co. Pharmacy Code of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems to ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
- Elevance Health (Miami, FL)
- …with fraud and abuse. **How you will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities ... fraud and abuse prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to accurately… more
- Elevance Health (Tampa, FL)
- …with fraud and abuse. **How you will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities ... fraud and abuse prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to accurately… more
- Elevance Health (Miami, FL)
- …eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical editing ... research and responds to system inquiries and appeals. + Conducts research of claims systems and system edits to identify adjudication issues and to audit … more