- Option Care Health (Tallahassee, FL)
- …provider, there is no limit to the growth of your career.** Option Care Health , Inc. is the largest independent home and alternate site infusion services provider in ... states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the infusion care experience for patients, customers and… more
- CVS Health (Tallahassee, FL)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...each and every day. **Position Summary** The Product Implementation Manager role is responsible for product/plan approval and auditing,… more
- Highmark Health (Tallahassee, FL)
- **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding ... the Standards of Ethical Coding as set forth by the American Health Information Management Association and Corporate Compliance Coding Guidelines. Assures compliance… more
- Molina Healthcare (St. Petersburg, FL)
- …Duties** + Performs clinical/medical reviews of retrospective medical claim reviews, medical claims and previously denied cases, in which an appeal has been ... submitted, to ensure medical necessity and appropriate/accurate billing and claims processing. + Identifies and reports quality of care issues. + Assists with… more
- HCA Healthcare (Palm Harbor, FL)
- …back! **Benefits** HCA Healthcare, 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...as needed. + Manage and approve all Provider Enrollment Claims , on Hold write-offs, and administrative adjustments regularly. +… more
- Magellan Health Services (FL)
- …services as necessary. + May also be certified by DMDC as Site Security Manager (SSM) with responsibility for the safekeeping, storing, and accountability of the CAC ... in one of the following disciplines: Military Pay, Military Personnel, Travel Claims or Navy Transportation. Substitutions for HR background can be from similar… more
- Highmark Health (Tallahassee, FL)
- …ensure they utilize various means of automated communication, as well as, claims and electronic data interchange and electronic funds transfer. Collaborate with ... **Preferred** + 3-5 years of experience as Dental Office Manager or Dental Hygienist LICENSES OR CERTIFICATIONS Required +...with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as… more
- Highmark Health (Tallahassee, FL)
- …review, assisting in navigating a complex regulatory environment, working with claims data, performing financial analyses, and supporting the presentation of ... and testing processes in partnership with the pharmacy benefits manager . The successful candidate will possess excellent communication, analytical, and… more
- Sedgwick (Orlando, FL)
- …from some of the world's most reputable brands + An assigned mentor and manager who will guide you on your career journey + Career development and promotional ... and solution-focused. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Establishes FMLA claims ; tracks and codes documentation in accordance with internal workflow… more
- Sedgwick (Orlando, FL)
- …from some of the world's most reputable brands. + An assigned mentor and manager who will guide you on your career journey. + Career development and promotional ... To provide excellent service displaying empathy to callers regarding claims for multiple lines of business, including but not...with a comprehensive curriculum. + An assigned mentor and manager that will support and guide you on your… more