- LEGOLAND (Winter Haven, FL)
- …the system as new information is received in regards to guest/employee incidents and claims management. + Follows up on the status of all General Liability, Bodily ... Injury, Property Damage and Auto claims with insurance companies and TPA claims ...priorities and diverse work styles. Experience in the medical field , EMT Certification, or Paramedic Certification is helpful. **Education:**… more
- CVS Health (Largo, FL)
- …as a trusted onsite representative to our public sector client. This field -based role centers on delivering responsive, high-touch support to plan sponsors and ... in-person support across multiple worksites, handling complex benefit and claims inquiries, and providing education during open enrollment and health-related… more
- MyFlorida (Tallahassee, FL)
- …design and implement algorithms to effectively data-mine within various types of claims data utilizing a variety of software applications; compile research, data ... include, but not be limited to, the following: * Identify suspicious patterns in claims data and other sources by applying your knowledge of heath care coding… more
- Canon USA & Affiliates (Tallahassee, FL)
- …and review of collaterals for clinical accuracy and adherence to clinical claims . Effectively interacts with multiple teams including R&D, global and local business, ... expertise, and reviewing study/test-plan design. Influence regulatory specifications and claims strategy by providing clinical consultation during early phase… more
- Molina Healthcare (St. Petersburg, FL)
- …you keep complaint data synchronized across appeals & grievances, enrollment, claims , pharmacy, and quality functions. You surface systemic issues, steer partners ... Mastery * Track record coordinating cross-functional action plans with Enrollment, Claims , Pharmacy, Network, and Member Services * Hands-on experience maintaining… more
- HCA Healthcare (Pensacola, FL)
- …to charitable organizations. Apply Today! **Job Summary and Qualifications** Processes claims electronically to insurance carriers. Mails claims to carriers ... up on a daily/weekly basis. + This applies to all non-transmitted pending claims . + Communicates daily information needed for billing to the Billing/Practice Manager… more
- Molina Healthcare (FL)
- …executive decision-making + Mine and manage information from large data sources. + Analyze claims and other data sources to identify early signs of trends or other ... of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical Management, Network, and other departments to enable critical decision… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …objectives. **Qualifications** + BS or MS in Analytical Sciences, Chemistry, or related field with a minimum of 12 years of experience in the biopharmaceutical ... industry + PhD in Analytical Sciences, Chemistry, or related field with a minimum of 7 years of experience...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Orlando Utilities Commission (Orlando, FL)
- …candidate will have:_** + Bachelor's degree in Human Resources, Business, or related field from an accredited college or university. In lieu of a degree, equivalent ... program enrollments, terminations, changes, beneficiaries, disability, accident and death claims , rollovers, distributions, loans, hardships and compliance testing. +… more
- Butterfly Effects (Deerfield Beach, FL)
- …Specialist to support our national billing needs. In this role, you'll ensure clean claims and accurate submissions, allowing our field teams to focus on what ... CPT codes, and claim details before submission. + Process claims using the First-In / First-Out method to prevent...Opportunities - Gain experience in a dynamic and evolving field . + Comprehensive Training - Stay current with the… more