- CVS Health (Tallahassee, FL)
- …+ International Network Management/Contract negotiation International Vendor management + Operations Management ( Claim , Customer Service) + Additional spoken ... in support of an international network, medical cost management and overall claim /customer service strategies. This role will provide concierge level of service to… more
- US Air Force - Agency Wide (Patrick AFB, FL)
- …expert advice, and guidance that defines the Center's IT operations , infrastructure, application development, application modernization, network security, high ... and integrated IT hardware, software, and data management solutions to operations across the enterprise, preserving the long-term digital strategy. Builds strategic… more
- MyFlorida (Tallahassee, FL)
- …workforce and providing employment opportunities to veterans and individuals who have a disability . To lear n more about the Department of Revenue's excellent array ... role in supporting employees who need workplace accommodations due to disability , pregnancy, childbirth, or related medical conditions, or religious accommodations,… more
- Zelis (St. Petersburg, FL)
- …of the Expert Claims Review (ECR) department is responsible for daily operations and team management of the DRG product. The Manager, DRG Validation will be ... you'll do: + Oversee the DRG validation process including management of claim assignment and queues, adherence to client turnaround time and department procedures… more
- UNUM (Tallahassee, FL)
- …+ Competitive benefits package that includes: Health, Vision, Dental, Short & Long-Term Disability + Generous PTO (including paid time to volunteer!) + Up to 9.5% ... Rehabilitation. This position is responsible for providing expert medical analysis of claims files (or underwriting applications) across Unum US product lines. The… more
- Adecco US, Inc. (Orlando, FL)
- …the FRM provides expert guidance on benefit investigations, prior authorizations, claims resolution, and appeals. This client- and customer-facing role requires ... high-impact reimbursement cases by overseeing benefit investigations, prior authorizations, claims escalations, and appeals, ensuring timely patient access. 3.… more
- Centene Corporation (Orlando, FL)
- …managed care or medical group experience, provider relations, quality improvement, claims , contracting utilization management, or clinical operations . Project ... to external provider related issues + Investigate, resolve and communicate provider claim issues and changes + Initiate data entry of provider-related demographic… more
- Intermountain Health (Tallahassee, FL)
- …Essential Functions* Oversees the day-to-day revenue cycle functions including claims processing, denials, payments,customer service, and follow up on accounts. ... Assigns daily work schedules. Acts as a resource in the daily operations and activitiesof the department. Performs staff level duties as required.* Develops,… more
- CVS Health (Tallahassee, FL)
- …+ 2+ years of International Vendor management experience + 2+ years of Operations Management ( Claim , Customer Service) + Must possess a successful track ... supports the international network, medical cost management, and overall claim /customer service experience. The candidate will provide concierge-level service to… more
- Trinity Health (Fort Lauderdale, FL)
- …a. Perform coding functions, including CPT, ICD-10 assignment, documentation review and claim denial review b. Responsible for proofing daily charges for accuracy ... and clean claim submission c. Responsible for balancing charges and adjustments...entry, supply chain processes, hospital and/or Medical Group practice operations . + Licensure / Certification: CPC license required. +… more