- CVS Health (Plantation, 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
- Community Health Systems (Naples, FL)
- …risk management, patient safety, and regulatory compliance across Physicians Regional Healthcare System. This role ensures compliance with federal, state, and local ... Safety Officer or collaborate with one to support quality and safety initiatives. ** Claims & Litigation Management** + Oversee legal claims processes, including… more
- LogixHealth (Dania Beach, FL)
- …coders to provide cutting edge solutions that will directly improve the healthcare industry. You'll contribute to our fast-paced, collaborative environment and will ... A/R (Accounts Receivable) reports to follow up on unpaid claims + Assist with trouble shooting with pockets of...skills Preferred: + 3-5 years billing related experience + Healthcare industry knowledge About LogixHealth: At LogixHealth we provide… more
- Prime Therapeutics (Tallahassee, FL)
- …to elicit, define, and document the requirements for changes to Prime's claims systems. **Responsibilities** + Ensure understanding of business requirements and IT ... and serve as subject matter expert and mentor for other members of Claims IT team, including cross-training assigned BSAs on system requirements phase of assigned… more
- Publix (Lakeland, FL)
- …wide range of liability matters including premises, fleet, pharmacy, and product claims . + Develop and refine internal litigation processes and policies for ... attorney-represented and litigated claims . + Provide strategic legal counsel to senior leadership...or insurance setting. + In-house experience-preferably in a retail, healthcare , or consumer-facing company. + Familiarity with risk management,… more
- Sharecare (Tallahassee, FL)
- …2-yr associates degree in healthcare /health sciences OR equivalent experience in healthcare , preferably helping members navigate benefits and claims , OR held ... through personalized resource and referral facilitation, issue resolution and healthcare navigation. Utilizing motivational interviewing and guided approaches, the… more
- Elevance Health (Tampa, FL)
- …identification, investigation and development of complex cases against perpetrators of healthcare fraud in order to recover corporate and client funds paid ... on fraudulent claims . **How you will make an impact:** + Claim...+ Responsible for independently identifying and developing enterprise-wide specific healthcare investigations and initiatives that may impact more than… more
- Robert Half Accountemps (Orlando, FL)
- …this Contract-to-Permanent position, you will play a critical role in optimizing healthcare revenue cycle processes, ensuring the accuracy of medical billing, and ... managing claims with diligence. This is an excellent opportunity for...excellent opportunity for professionals with a strong background in healthcare financial management to contribute to a dynamic and… more
- Elevance Health (Miami, FL)
- …identification, investigation and development of complex cases against perpetrators of healthcare fraud in order to recover corporate and client funds paid ... on fraudulent claims . Health insurance experience required with understanding of health...+ Responsible for independently identifying and developing enterprise-wide specific healthcare investigations and initiatives that may impact more than… more
- Carnival Cruise Line (Miami, FL)
- …reviewing care plans, coordinating with internal stakeholders, supporting disability claims , and facilitating return-to-work planning. The Manager also escalates ... planning in compliance with regulations and employment obligations. + Support disability claims and benefits review for crew unable to return to duty. +… more