- Elevance Health (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 ... 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
- Elevance Health (Miami, FL)
- …for services requested. + Makes medical necessity determinations for grievance and appeals appropriate for their specialty. + Ensures consistent use of company ... 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)
- …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 (Miami, FL)
- …for services requested. + Makes medical necessity determinations for grievance and appeals appropriate for their specialty. + Ensures consistent use of company ... 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
- Florida Atlantic University (Boca Raton, FL)
- …includes processing of awards, revision requests, satisfactory academic progress appeals , counselor reports, and professional judgments. + Occasionally attend ... $50 per month single & $180 per month family), Dental, Vision, Life Insurance , Flexible Spending plans, Employee Assistance Program (EAP) and much more. + State… more
- City of Boca Raton (Boca Raton, FL)
- …in civil litigation, administrative hearings, quasi-judicial proceedings, and appeals ; responsibilities include case evaluation, discovery, trial preparation, ... 10 full years or more, 30% Retirement (normal, early, or disability) 50% HEALTH INSURANCE (Premiums): The city pays 100% of the premium for employee single and… 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
- University of Miami (Coral Gables, FL)
- …Assists physicians and clinic staff with filing charges, billing, and insurance authorizations including pre-authorization and retro-authorization and appeals as ... needed. Assists with scheduling patient appointments and clinic closures and reschedules by contacting patients and rescheduling appointments. + Answers patient questions regarding outpatient procedures, post-operative recovery, and rehabilitation protocols. +… more