- Butterfly Effects (Deerfield Beach, FL)
- …you ready to bring your expertise in medical collections to a purpose-driven healthcare organization? Do you take pride in delivering outstanding service and clear ... You'll manage assigned accounts, research and resolve denied or underpaid claims , and maintain compliance with payer guidelines and HIPAA regulations. This… more
- CVS Health (Tallahassee, FL)
- …Provide excellent customer services for high volume inbound provider calls for the Claims Inquiry/ Claims Research Medicaid team. Extensive claims research on ... required by HIPAA and CVS Health guidelines. **Preferred Qualifications** + Healthcare background + Experience in highly transactional call center environment… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- Otsuka Pharmaceutical Company is a global healthcare company with the corporate philosophy: "Otsuka-people creating new products for better health worldwide." Otsuka ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …requirements related to pharmaceutical samples. **Preferred:** + Pharmaceutical or healthcare industry experience. + Experience with fleet management platforms or ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …federal laws, regulations and guidelines including PhRMA Code on Interactions with Healthcare Professionals as well as complying with all OAPI standards and policies ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Highmark Health (Tallahassee, FL)
- …BE A US CITIZEN This position serves as a key liaison between Claims Operations, Customer Service, Regulatory Affairs, IT, Legal and other departments, proactively ... industry regulatory changes and assess their potential impact on Claims Operations, Customer Service and other operational areas processes...Health Insurance Industry + 3 - 5 years the Healthcare Industry + 3 - 5 years in Lean/Six… more
- Prime Therapeutics (Tallahassee, FL)
- …Analyze data to find suspicious patterns and outliers using knowledge of healthcare coding conventions, fraud schemes, and general areas of vulnerability. + Contact ... Education Level Bachelors + Experience Level 2+ years + Required Fraud Investigations and Claims experience Must be eligible to work in the United States without the… more
- Walgreens (Sanford, FL)
- …medications and drug interaction awareness. Offers preventive and clinical healthcare services, including immunizations, diagnostic testing, and patient outcome ... efforts on enhancing patient experience by increasing awareness of healthcare services offered through Walgreens (eg patient consultation, medication management,… more
- Walgreens (Cocoa Beach, FL)
- …the pharmacist, including those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- Humana (Tallahassee, FL)
- …+ Leadership experience - indirect or direct + Must have experience in the healthcare industry or medical field + Strong data entry skills required + Proficiency ... appeals experience + Prior experience interpreting Member Benefits and Medical Claims + Previous experience processing medical authorizations + Bilingual (English… more