- MyFlorida (Bartow, FL)
- …+ Paid holidays and one Personal Holiday each year + State Group Insurance coverage options, including health, life, dental, vision, and other supplemental ... insurance options + Retirement plan options, including employer contributions...to protecting the rights of the accused in criminal appeals . If you are an appellate lawyer who is… 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
- MetLife (Tampa, FL)
- …and fast-paced environment and in accordance with state and department of insurance regulations. * Develop actions plans and identify return to work potential ... and thorough manner. Identifies and refers appropriate matters to our appeals , complaint, or litigation support areas. Essential Business Experience and Technical… 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
- 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
- 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
- Elevance Health (Vero Beach, 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
- City of Jacksonville (Jacksonville, FL)
- …of General Counsel (OGC) in hearings and at various internal board hearings and appeals . + Attends meetings of the City Council, boards, agencies and OGC clients. + ... 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)
- …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
- TEKsystems (Orlando, FL)
- …and report documentation trends, coding errors, or compliance risks. * Assist with appeals and denials related to coding or medical necessity. * Maintain current ... * 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available * Life Insurance (Voluntary Life & AD&D for the employee and dependents) * Short and… more