- HCA Healthcare (St. Petersburg, FL)
- …plans (accident, critical illness, hospital indemnity), auto and home insurance , identity theft protection, legal counseling, long-term care coverage, moving ... assistance, pet insurance and more. + Free counseling services and resources...Hoc quality review process + Submits and reviews coding appeals as appropriate **What qualifications you will need:** +… more
- MyFlorida (Tallahassee, FL)
- …tribunals, handling everything from evidence review to trial representation and appeals . + Oversee a large caseload of administrative, state, and federal ... BENEFITS: + Paid vacation, sick leave, and holidays. + Comprehensive health insurance and life insurance with accidental death and dismemberment benefits.… more
- Jabil (St. Petersburg, FL)
- …the reporting and processing of monthly invoices. + Manage the Benefits Appeals process. + Perform audits of internal systems, payroll deduction files, provider ... Annual Bonus + Medical, Dental, Prescription Drug, and Vision Insurance with HRA and HSA options + 401K Match...Off + Tuition Reimbursement + Life, AD&D, and Disability Insurance + Commuter Benefits + Employee Assistance Program +… more
- MyFlorida (West Palm Beach, FL)
- …This position is in the Office of the Attorney General within the Criminal Appeals Division in West Palm Beach, Florida. Qualifications: + Bachelor of Laws or Juris ... Nine paid holidays and one Personal Holiday each year. + State Group Insurance coverage options, including health, life, dental, vision, and other supplemental … more
- MyFlorida (Tallahassee, FL)
- …This is in the Office of the Attorney General within the Criminal Appeals Unit in Tallahassee, Florida. Pay: $77, 219.22 Annually Qualifications: Bachelor of Laws ... Nine paid holidays and one Personal Holiday each year. + State Group Insurance coverage options, including health, life, dental, vision, and other supplemental … more
- Bristol Myers Squibb (Tampa, FL)
- …for escalation and resolution of Tier 2 queries, plan interpretation and appeals . + Responsible for ensuring internal processes are documented and updated versions ... Financial protection benefits such as short- and long-term disability, life insurance , supplemental health insurance , business travel protection and survivor… more
- Elevance Health (Miami, FL)
- …a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any ... or segment health management is a plus. + Knowledge of the health insurance industry and the National Accounts segment is preferred. For candidates working in… more
- Cardinal Health (Tallahassee, FL)
- …reviewing the physician's daily schedule and obtaining verification of patients' insurance benefits for their scheduled visits. They will also obtain authorization ... necessary & must be knowledgeable of a variety of Insurance Plans and Policie **Responsibilities** + Submit authorizations for...to not delay patient care. + Complete any pre-service appeals to obtain paying approval based on medical necessity.… more
- Highmark Health (Tallahassee, FL)
- …medical necessity and appropriateness. Complete initial determination of cases, review of appeals and grievances, and other reviews as assigned. Compose clear and ... + 1 year in Medical Management in a Health Insurance Plan; strong knowledge of managed care industry **LICENSES...this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described… more
- BrightStar Care (Naples, FL)
- …. Responsibilities include weekly processing of billing and payroll.. Managing Authorizations , appeals and re- submission of claims . Posting cash etc. Must be ... Programs * Bereavement pay * 401(k) Employer matching * Insurance : * Medical * Dental * Vision * Mileage...the database. * Responsible for dealing with collections and insurance fraud. Requirements * High school graduate * Demonstrated… more