- Mass Markets (Tampa, FL)
- …to complete account management tasks + Accurately document and process customer claims in appropriate systems + Follow all required scripts, policies, and procedures ... ranging from electronics to dream vacations and sometimes even cars! + Health Benefits:Full-time employees are eligible for comprehensive medical, dental, and vision… more
- Sedgwick (Tampa, FL)
- …limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance , employee assistance, flexible spending or health savings account, and ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Attorney Auditor ** **This is a fully remote...other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating… more
- Evolent (Tallahassee, FL)
- …compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...Doing:** + **Data Analytics & Insights** : Analyze healthcare claims and authorization data to identify cost drivers, utilization… more
- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** Become a part of our caring community and help us put health first The Encounter Data ... an impact** **Required Qualifications** + Minimum 1 year of experience in medical claims payment and processing + Minimum 1 year of experience analyzing and… more
- Centene Corporation (Tallahassee, FL)
- …per year Centene offers a comprehensive benefits package including: competitive pay, health insurance , 401K and stock purchase plans, tuition reimbursement, paid ... one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national… more
- Centene Corporation (Orlando, FL)
- …per year Centene offers a comprehensive benefits package including: competitive pay, health insurance , 401K and stock purchase plans, tuition reimbursement, paid ... for our 28 million members. Centene is transforming the health of our communities, one person at a time....providers regarding policies and procedures related to referrals and claims submission, web site usage, EDI solicitation and related… more
- AdventHealth (Maitland, FL)
- **Account Representative Manager Billing/Collections/Denials -Advent Health ** **Location Address:** **900 WINDERLEY PL, Maitland, 32751** **Top Reasons to work at ... Time **You Will Be Responsible For:** + Manages the cohesive relationship between insurance and hospital. Works with Insurance payers to ensure proper follow… more
- Sedgwick (Tallahassee, FL)
- …limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance , employee assistance, flexible spending or health savings account, and ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager-Sign-On Bonus Eligible **We are growing...- a rewarding career making an impact on the health and lives of others, and a remote work… more
- 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
- Zelis (St. Petersburg, FL)
- …and identification of revenue opportunities + Experience and working knowledge of Health Insurance , Medicare guidelines and various healthcare programs + Strong ... more than 750 payers, including the top five national health plans, regional health plans, TPAs and...Position Overview The Manager, DRG Validation of the Expert Claims Review (ECR) department is responsible for daily operations… more