- UIC Government Services and the Bowhead Family of Companies (Avon Park, FL)
- …officer or equivalent test experience. + Military or civilian experience in the management , supervision or control of air operations on a conventional or tactical ... Federal agencies. **Supervisory Responsibilities** + Ensures flow of communication from upper management to employees and vice versa. **Physical Demands** + Must be… more
- Evolent (Tallahassee, FL)
- …system processing in detail + provide summary information to stakeholders & management answering business questions + create & maintain queries supporting precise ... Knowledge of Medicare, Medicaid, Commercial Plans and understanding on claims workflow, members, providers + A minimum of 1...(or test strategy) + Operating at least one test management and defect management tool + Creating… more
- Centene Corporation (Orlando, FL)
- …managed care or medical group experience, provider relations, quality improvement, claims , contracting utilization management , or clinical operations. Project ... align on network performance opportunities and solutions, and consultative account management and accountability for issue resolution. Drive optimal performance in… more
- TEKsystems (Tampa, FL)
- …calls and answering emails from health care providers or clients regarding claims , as well as, communicating directly with billing and finance departments for ... and average handling times * Review, comprehend and communicate details regarding claims status * Document/update information in cases with high degree of accuracy… more
- Zelis (St. Petersburg, FL)
- …who you are. Position Overview The Manager, DRG Validation of the Expert Claims Review (ECR) department is responsible for daily operations and team management ... are met. What you'll do: + Oversee the DRG validation process including management of claim assignment and queues, adherence to client turnaround time and department… more
- Truist (Orlando, FL)
- …check status.** Need Help? (https://www.brainshark.com/bbandt/careers-site-faq) _If you have a disability and need assistance with the application, you can request ... guidelines. 2. Independently analyze, research, and support electronic payment cases/ claims /inquiries escalated by internal departments and client service centers to… more
- AdventHealth (Tampa, FL)
- …discharged but not final billed as well as ensure we are billing clean claims . The APC Coordinator will assist in the oversight of the outpatient coding queues, ... promote faster payment. Resolves claim edits within the EPIC management billing system to ensure successful claim submission. Monitor...accounts within 72 hours of being routed to the claims edit work queue and coding review needed work… more
- Kemper (Tampa, FL)
- … management experience + Extensive knowledge of insurance operations: claims , coverages, products and underwriting is preferable to effectively communicate with ... requirements. + Works directly with strategic partners like Product, Claims , and Operations on issues impacting the account. +...a capable people developer + Should demonstrate excellent time management skills + Must be a logical problem solver… more
- LogixHealth (Dania Beach, FL)
- … services, offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting dashboards for ... and monitor contract termination dates and make sure that claims are processed based on the contracted rates. Key...Preferred: + Three to five years experience in healthcare management Benefits at LogixHealth: We offer a comprehensive benefits… more
- Evolent (Tallahassee, FL)
- …member-centric products. This role plays a critical part in both **Medical Cost Management ** and **Product Management ** , leveraging advanced analytics to solve ... + Lead in-depth analyses of healthcare data - including authorizations, claims , membership, and clinical outcomes to identify cost drivers, utilization patterns,… more