- Norstella (Tallahassee, FL)
- …offerings leveraging Norstella's unified Real World Data asset, NorstellaLinQ, a combination of claims , lab, SDOH and EMR data. You will be joining an organization ... accuracy and quality. *Perform in-depth analyses on healthcare data sources, including claims , lab, EMR/EHR, and SDOH data, to uncover actionable insights and drive… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …transfer, validation support, process monitoring, troubleshooting, and lifecycle management activities conducted by external partners. + **Key Responsibilities:** ... sex, gender identity or gender expression, sexual orientation, age, disability , religion, national origin, veteran status, marital status, or...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …transfer, validation support, process monitoring, troubleshooting, and lifecycle management activities conducted by external partners. **Key Responsibilities:** + ... sex, gender identity or gender expression, sexual orientation, age, disability , religion, national origin, veteran status, marital status, or...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- AIG (Miami, FL)
- …in setting the regional underwriting strategy and the day-to-day underwriting, and management of the LATAM Political Violence and Cyber White Label portfolio written ... of submission flow by distribution channels, effectiveness ratios, analysis of losses/ claims behaviors, among others + Collaborate in the development of business… more
- Elevance Health (Tampa, FL)
- …healthcare fraud in order to recover corporate and client funds paid on fraudulent claims . **How you will make an impact:** + Claim reviews for appropriate coding, ... and claim systems for review of facility, professional and pharmacy claims . + Responsible for independently identifying and developing enterprise-wide specific… more
- Cardinal Health (Tallahassee, FL)
- …data to insurance providers + Researching and appealing denied and rejected claims + Preparing, reviewing, and transmitting claims using billing software ... and paper claim processing + Following up on unpaid claims within standard billing cycle time frame + Calling...experience as a Medical Biller or within Revenue Cycle Management preferred + Strong knowledge of Microsoft Excel +… more
- TECO Energy (Tampa, FL)
- …reports for special projects. **QUALIFICATIONS:** Education Required: Bachelor's degree in Business Management or related field. In lieu of a Bachelor's degree, an ... power plant industry focused on scheduling, budgeting, cost control and contract claims negotiations. _Associate's Degree_ - 10 years of experience in the… more
- Elevance Health (Miami, FL)
- …eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical editing ... DUTIES: + Review medical record documentation in support of Evaluation and Management CPT codes. + Reviews company specific, CMS specific, and competitor specific… more
- Zurich NA (Tallahassee, FL)
- …Diploma or Equivalent and 14 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an Associate ... and 12 or more years of experience in the Claims or Underwriting Support areaAND + Experience with Microsoft...property-casualty insurance solutions and a wide range of risk management products and services for businesses and individuals. We… more
- CVS Health (Tallahassee, FL)
- …bound calls to clients and payers, while working with other teams to resolve claims issues. + Documenting claims details into necessary tools. + Presenting data ... and accurately. **Required Qualifications** + 1+ years of experience working with medical claims with the understanding of how benefit levels are applied. + 1+ years… more