- CVS Health (Tallahassee, FL)
- …clinical or coding staff, federal regulators and vendor coding resources. + Leads dispute resolution. + Acts as mentor to provide education to internal staff based ... on audit findings; provides general education on ICD codes as appropriate. + Effectively communicates the audit process and results to appropriate departments and management. + Conducts process audits to ensure compliance with internal policies and procedures… more
- Cardinal Health (Tallahassee, FL)
- …for the collection of outstanding accounts receivable. This includes dispute research, developing payment plans with customers, and building relationships ... of trust with customers and internal business partners. **_Responsibilities_** + Work directly with Service Leader for designated accounts for a single point of contact approach. + Pulling together reporting of open accounts receivable for each account. + Work… more
- Turner & Townsend (Palm Beach Gardens, FL)
- …liaising with project managers to assess contractor entitlements. + Support dispute prevention and resolution related to payment requisitions and contractual issues. ... + Benchmark performance against other successful commissions. + Manage final account close-out, including audits, vendor settlements, and post-contract reviews. + Document lessons learned and contribute to internal training materials. + Develop procedures for… more
- HNTB (Tampa, FL)
- …HNTB/Subconsultant agreements. Identify unfavorable terms, risk allocation, and change dispute procedures. Ensure development and implementation of a flow-down ... matrix for subconsultant agreements. + Establishes processes for change management within the project team and in cooperation with the client. Proactively capture, track, manage and report all potential project changes and cost impacts utilizing the standard… more
- American Express (Sunrise, FL)
- …Familiar with Agile or other rapid application development methods + Experience in Dispute , Fraud, or any case management domain will be a plus **Qualifications** ... Salary Range: $89,250.00 to $150,250.00 annually bonus benefits The above represents the expected salary range for this job requisition. Ultimately, in determining your pay, we'll consider your location, experience, and other job-related factors. We back you… more
- Cardinal Health (Tallahassee, FL)
- …Support is responsible for proactive research, customer and supplier inquiries, and dispute resolution all with a concentration on customer pricing, acting as a ... liaison with internal and external key stakeholders. Services multiple customer accounts and/or processes in a fast paced and highly analytical environment. **_Responsibilities_** + Manage a queue of submitted pricing discrepancy requests + Works… more
- Cognizant (Tallahassee, FL)
- …. Properly manage patient disputes by obtaining all pertinent information, noting the dispute on the account, and escalating to a supervisor as necessary. . Assist ... in making outbound calls when required. . Perform other activities and responsibilities as assigned We strive to provide flexibility wherever possible. Based on this role's business requirements, this is a remote position open to qualified applicants in United… more
- Sarasota County Government (Sarasota, FL)
- …Judicial Circuit is seeking an Administrative Specialist III to join our Citizen Dispute Settlement Program (CDSP) in Venice. In this role, you'll provide vital ... administrative support to the courts and CDSP, working closely with volunteer mediators, court participants, and judges. From managing case files and compiling statistics to coordinating special programs, training, and public outreach, you'll play a key role… more
- Cardinal Health (Tallahassee, FL)
- …services by acting as a liaison in problem-solving, research and problem/ dispute resolution **_Responsibilities_** + Analyzes and monitors payer trends, managed care ... contract compliance, contract and payer yield and indicators that reflect new opportunities for revenue or charge capture, operational improvements and increased reimbursement. + Performs accurate and timely accounts receivable management + Analyzes accounts… more
- Molina Healthcare (FL)
- …**E:** + Min. 6 years' experience in healthcare claims review and/or member dispute resolution. + 2 years leadership experience + Experience reviewing all types of ... medical claims (eg HCFA 1500, Outpatient/Inpatient UB92, Universal Claims, Stop Loss, Surgery, Anesthesia, high dollar complicated claims, COB and DRG/RCC pricing). To all current Molina employees: If you are interested in applying for this position, please… more
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