- Humana (Tallahassee, FL)
- …**Preferred Qualifications** + Bachelor's Degree + Prior experience working within the healthcare field + Previous experience with medical claims + Project ... benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also...our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions… more
- Sedgwick (Jacksonville, FL)
- …Review Analyst plays a critical role in supporting the medical malpractice claims team by ensuring legal invoice accuracy, compliance, and defensibility. This ... billing guidelines, industry standards, and customary legal practices specific to healthcare litigation. The Analyst contributes to cost containment efforts and… more
- Sedgwick (Miami, FL)
- …Aviation insurance industry. The role will involve handling Hull insurance claims , conducting surveys and meetings internationally, working closely with policy ... holders, insurers, brokers, and service providers to investigate and report on claims , whilst building and maintaining client relationships. As a member of the… more
- Robert Half Management Resources (Jacksonville, FL)
- …with healthcare revenue cycle processes to ensure accurate medical billing and claims management. If you have experience in healthcare revenue cycles and a ... functions, we encourage you to apply. Responsibilities: * Oversee and analyze healthcare revenue cycle processes to optimize efficiency and accuracy. * Manage… more
- GE Aerospace (Jacksonville, FL)
- …In this high-impact role, you'll deliver sharp insights, adjudicate complex claims , and collaborate across teams using advanced analytics and emerging technology. ... and plan + Perform desk and/or field audits of reinsured claims , policies or administrative processes, documenting findings and recommendations using established… more
- TEKsystems (Jacksonville, FL)
- …growth and supporting customer retention and expansion. Our client is a healthcare technology company that provides data exchange and connectivity solutions. They ... real-time health information networks in the United States, connecting healthcare providers and insurance payers. Their platform helps streamline administrative… more
- IQVIA (Tampa, FL)
- …**Essential Functions and Responsibilities:** + Responsible for **pharmacy prescription claims processing** , translating strategy into proactive plans to enable ... staff. + Strategic decision-making support and awareness in change management in healthcare setting. + Client Relationship Management both with direct clients and… more
- Elevance Health (Tampa, FL)
- …is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and ... you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines...dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with… more
- Zelis (FL)
- …So, let's get to it! A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. We serve more ... top five national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions. Zelis sees across… more
- CVS Health (Largo, FL)
- …in-person support across multiple worksites, handling complex benefit and claims inquiries, and providing education during open enrollment and health-related ... This role is ideal for someone with excellent communication skills, knowledge of healthcare benefits, and a passion for serving their community. **Primary Job Duties… more