- CVS Health (Tallahassee, FL)
- …3-5 years. + Strong analytical and investigative skills, with experience in healthcare fraud detection. + Proficiency in interpreting claims data, medical ... that may compromise the integrity of the organization's operations and claims processes. **Core Responsibilities** + **Investigative Leadership** : Conducts thorough… more
- AdventHealth (Maitland, FL)
- …data. + Interprets and analyzes data from various sources using knowledge of healthcare managed care contracts and administrative claims data. + Employs existing ... is responsible for analyzing and evaluating financial and economic data related to healthcare costs and managed care payer rates and reimbursement. The role focuses… more
- Molina Healthcare (Tampa, FL)
- … healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) + Knowledge of healthcare financial terms ... related to cost, utilization and revenue for multiple Molina Healthcare products. Analyzes data and dashboard reports to monitor...and manage information from large data sources. + Analyze claims and other data sources to identify early signs… more
- HCA Healthcare (Sarasota, FL)
- …CBO office** **Introduction** Are you passionate about the patient experience? At HCA Healthcare , we are committed to caring for patients with purpose and integrity. ... + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family...will be responsible for daily charges, preparing and submitting claims to third party payers, applying contractual adjustments, credit… more
- HCA Healthcare (Jacksonville, FL)
- **Description** **Introduction** Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career ... + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family...the errors in a timely manner. + Monitors insurance claims by running appropriate reports and contacting insurance companies… more
- HCA Healthcare (Kissimmee, FL)
- **Description** **Introduction** Last year alone, HCA Healthcare colleagues invested over 156,000 hours impacting our communities. As a(an) Manager Patient Safety ... on years of service) + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family building benefits with Progyny… more
- Molina Healthcare (FL)
- …SIU Coding Investigator is responsible for investigating and resolving instances of healthcare fraud and abuse by medical providers. This position uses information ... enforcement or for payment recovery. **KNOWLEDGE/SKILLS/ABILITIES** + Reviews post pay claims with corresponding medical records to determine accuracy of claims… more
- HCA Healthcare (Ocala, FL)
- …you to join Parallon which is part of the nation's leading provider of healthcare services, HCA Healthcare . **Benefits** Parallon offers a total rewards package ... on years of service) + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family building benefits with Progyny… more
- Molina Healthcare (Orlando, FL)
- …for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims ... the development, implementation and maintenance of provider data in the claims payment system. * Supports critical business strategies by providing systematic… more
- HCA Healthcare (Pensacola, FL)
- **Description** **Introduction** Are you passionate about the patient experience? At HCA Healthcare , we are committed to caring for patients with purpose and ... + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family...will do in this role: + You will transmit claims to billing vendors, process/ correct insurance rejects, process… more