- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid… more
- Percepta (Melbourne, FL)
- …request * Provide real-time technical assistance to reduce the total number of claims requiring technical escalation and reduce the total number of contacts per ... * Place outbound calls to dealerships regarding the status of submitted claims within client-specified timeframes * Communicate with dealers and repair facilities in… more
- Marriott (Longboat Key, FL)
- …required OSHA programs and statistical data. * Assists in the management of claims by ensuring proper procedures are followed and documented. * Brings issues to ... the attention of the department manager and Human Resources as necessary. * Report all...Report all employee accidents and guest liability incidents to Claims Reporting Service in a timely manner. * Administer… more
- Utilities Service, LLC (Palm Bay, FL)
- …**Pay** :Competitive Hourly **Benefits:** + Company-sponsored Retirement Plan + Health Insurance (Medical/Dental/Vision) + Employee Assistance Program + Life, ... the crew. + May be delegated the authority to investigate incident reports, damage claims , etc., and to settle minor damage claims . + Maintains accurate records,… more
- Molina Healthcare (Tampa, FL)
- …of a formal appeal being submitted. + Independently re-evaluates medical claims and associated records by applying advanced clinical knowledge, knowledge of ... the specific programs supported by the plan such as Utilization Review, Medical Claims Review, Long Term Service and Support, or other specific program experience as… more
- City of Boca Raton (Boca Raton, FL)
- …Location FL 33432, FL Job Type Full-Time Job Number 4258-02 Department City Manager - Admin, IT, MS Division Human Resources 04/02201 Opening Date 08/28/2025 Closing ... continuous improvement of the City's employee benefits programs, including health , dental, life, and disability insurance; deferred compensation; wellness… more
- IKO (Jacksonville, FL)
- …and professional support services to operations and reports directly to the local Plant Manager and functionally to the Director of Health , Safety & Environment. ... the day to day implementation and continuous improvement of Health & Safety programs. The Health &...& Discounts Job Responsibilities + Valued partner to Plant Manager in the effective execution of the plant Safety… more
- Surgery Care Affiliates (Jacksonville, FL)
- …and corrected claims collaborating with the biller and/or Business Office Manager , insurance payers and/or patients on past due accounts + Primary functions are ... Overview At SCA Health , we believe health care is about people - the patients we serve, the physicians we support and the teammates who push us forward. Behind… more
- Molina Healthcare (Jacksonville, FL)
- …and complies with applicable laws and regulations pertaining to the Health Care environment **Job Duties** The Operational/Regulatory Oversight Sr. Analyst works ... with health plans and operations departments to assess, oversee, and...internal policies and procedures. * Supports the Operational Oversight Manager , Director, and team in the general development of… more
- HCA Healthcare (Miami, FL)
- …with Parallon. **Benefits** Parallon, 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...necessary (eg, combining the codes for outpatient and inpatient claims subject to the payment window) + Assist the… more