- Humana (Tallahassee, FL)
- …for Medicare and Medicaid claims ) + Experience with Auditing and monitoring of healthcare records + Must be able to work core business hours on EST time between ... of compliance risk across the organization. This team ensures that healthcare providers align their operational practices with legal requirements while fostering… more
- NASCO (Tallahassee, FL)
- …US Healthcare payer analytics use cases (eg, risk stratification, claims analytics, provider network optimization) + Certifications in cloud technologies (AWS ... data strategy and AI architecture to enhance our industry leading SaaS healthcare payer products and corporate data management products. This hands-on leader will… more
- Walgreens (Fort Lauderdale, FL)
- …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- Walgreens (Orlando, FL)
- …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- Walgreens (Fort Myers, FL)
- …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- Devereux Advanced Behavioral Health (Orlando, FL)
- …charts, graphs and tables for data analysis. + Ensure accurate billing and claims submission for Medicaid, Managed Care, and other third-party payors + Hiring and ... outstanding receivables and pursue timely collections. + Resolve denied or rejected claims , working closely with payors to ensure proper adjudication + Validate rate… more
- Elevance Health (Tampa, FL)
- …expertise, as well as single point of service support (eg, calls and claims ) to key client contacts (HR, Benefit Administrators, client key decision makers, etc.) ... or equivalent and a minimum of 5 years related claims /customer service experience; or any combination of education and...dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with… more
- Evolent (Tallahassee, FL)
- …Experience we look for:** + Master's degree in business administration, healthcare administration, public health, analytics, or a related field, master's degree ... accounts + Strong knowledge of health plan operations, care/utilization management, claims processing, value-based care, and the levers to optimize financial… more
- University of Miami (Miami, FL)
- …Hospital Billing Administration along with proficiency in Charging, Contracts, and Claims /Remittance + Configure, build, and maintain Epic HB applications to support ... or responsibilities as necessary. CORE QUALIFICATIONS: + Bachelor's degree in Healthcare Administration, Information Systems, or related field. + Minimum 3 years… more
- Walgreens (Lauderdale Lakes, FL)
- …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more