- Molina Healthcare (Jacksonville, FL)
- …care. Essential Job Duties * Determines appropriateness and medical necessity of health care services provided to plan members. * Supports plan utilization ... focused reviews and recommends corrective actions. * Conducts retrospective reviews of claims and appeals and resolves grievances related to medical quality of care.… more
- JPMorgan Chase (Tampa, FL)
- …corporate events, ensuring timely settlement of trades and cash, management of claims and overdrafts, client / regulatory reporting and input into the production ... to meet employee needs, based on eligibility. These benefits include comprehensive health care coverage, on-site health and wellness centers, a retirement… more
- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The State Technology Lead understands departmental and IT organizational strategy and ... **Required Qualifications** + Bachelor's degree in healthcare administration, public health , information systems, business, policy administration or related field;work… more
- University of Miami (Miami, FL)
- …(https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The UHealth-University of Miami Health System IT Department has an opportunity ... Functions: Business Systems Analyst 3 - Revenue Integrity supports the financial health of the organization by ensuring accurate, compliant, and complete charge… more
- City of Jacksonville (Jacksonville, FL)
- …weeks off during your first year of employment? Do you want low and no cost health insurance options? If you answered "yes" to any of these questions, you need to ... a personal leave day as well? In addition to health insurance, dental, vision, life insurance and flexible spending...as to their legal validity and/or acceptability. + Investigates claims and complaints by or against the Consolidated Government… more
- University of Miami (Medley, FL)
- …listed in patient's account with accurate subscriber information, policy number, and claims address and plan order. + Completes the checklist and document co-pay. ... UHealth system and externally + Contact Primary Care Physician offices and/or Health Plans to obtain authorization or referral for scheduled services according to… more
- HCA Healthcare (Gainesville, FL)
- …North Florida Surgical Pavilion offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and ... a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and...and insurance information to ensure accurate coding, billing and claims submission. What you will do: + You will… more
- Bausch + Lomb (Tallahassee, FL)
- Bausch + Lomb (NYSE/TSX: BLCO) is a leading global eye health company dedicated to protecting and enhancing the gift of sight for millions of people around the ... our customers across the full spectrum of their eye health needs throughout their lives. Our iconic brand is...all PRC meetings (weekly & off-cycle) as well as claims and concept reviews, ensuring productive discussion and accurate… more
- JPMorgan Chase (West Palm Beach, FL)
- …external events, including catering and transportation + Process invoices and T&E expense claims for team members, ensuring all policies are followed and items are ... to meet employee needs, based on eligibility. These benefits include comprehensive health care coverage, on-site health and wellness centers, a retirement… more
- Walgreens (Orlando, FL)
- …to customers inclusive of patients, prescribers, pharmaceutical manufacturers, payers, and health systems. + Reports prescription errors immediately and adheres to ... maintains pharmacy department housekeeping, maintenance, and appearance for the safety, health , and well-being of customers and employees, and ensures adherence to… more