- Evolent (Tallahassee, FL)
- …of the request. + Provides clinical rationale for standard and expedited appeals . + Utilizes medical/clinical review guidelines and parameters to assure consistency ... package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on… more
- MyFlorida (Port Charlotte, FL)
- …deferred compensation plan. Health, vision, dental, disability, and other supplemental insurance available at reasonable premium rates. Paid vacation and sick leave. ... forwarded to the Department's Fiscal Officer. + File inquiries, reconsiderations and appeals to the appropriate agency or individual(s) for rejected statements. +… more
- University of Miami (Miami, FL)
- …post patient care. + Obtains or reviews all patient demographic information, insurance information and referral numbers. + Reviews clinical records for completeness ... (DAR) + Create, submit, and follow up with Medication and interventional procedure appeals This list of duties and responsibilities is not intended to be… more
- MyFlorida (Tallahassee, FL)
- …deferred compensation plan. Health, vision, dental, disability, and other supplemental insurance are available at reasonable premium rates. Paid vacation and sick ... client may be entitled to receive. Assist in preparing and perfecting" appeals ", provide representation at fee basis, hardship eligibility hearings, request for… more
- MyFlorida (Miami, FL)
- …deferred compensation plan. Health, vision, dental, disability, and other supplemental insurance available at reasonable premium rates. Paid vacation and sick ... each client may be entitled to. Assist in preparing and perfecting" appeals ", provide representation at fee basis, hardship eligibility hearings, request for waivers… more
- Elevance Health (Panama City, FL)
- …+ Assists and participates in appeal or fair hearings, member grievances, appeals , and state audits. **Minimum Requirements:** + Requires BA/BS degree and a ... and long term disability benefits, 401(k) +match, stock purchase plan, life insurance , wellness programs and financial education resources, to name a few. Elevance… more
- Evolent (Tallahassee, FL)
- …subject matter expert. + Provides clinical rationale for standard and expedited appeals . + Discusses determinations (peer to peer phone calls) with requesting ... package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on… more
- City of Jacksonville (Jacksonville, FL)
- …as counsel to JEA in cases, hearings and at various internal board hearings and appeals . + Attends meetings of the JEA Board of Directors and committees. + Performs ... Our comprehensive benefit programs include medical, dental and vision plans; life insurance coverage for you and your dependents; flexible spending plans for medical… more
- Evolent (Tallahassee, FL)
- …of the request and provides clinical rationale for standard and expedited appeals . + Utilizes medical/clinical review guidelines and parameters to assure consistency ... package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on… more
- Evolent (Tallahassee, FL)
- …(NCQA) guidelines. + Provides clinical rationale for standard and expedited appeals . + Ensures documentation of all communications with medical office staff ... package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on… more