- 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 ... 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
- Ascension Health (Jacksonville, FL)
- …Shortage Designation Type. **Benefits** Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match plans ... + Develop strategy and processes to reduce denials and audits. + Assist with appeals and length of stay market initiatives. + Utilize hospital data sources to… more
- Robert Half Management Resources (Tampa, FL)
- …bring forward recommendations. + Responsible for day-to-day benefits operations such as appeals , death claims, direct billing of benefits, and support for regulatory ... professionals, including medical, vision, dental, and life and disability insurance . Hired contract/temporary professionals are also eligible to enroll in… more
- Elevance Health (Tampa, FL)
- …pre-authorization requests for services. + Conducts review of grievance and appeals requests to provide to Medical Directors. **Minimum Requirements:** + Requires ... 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
- Cognizant (Tallahassee, FL)
- …on documentation. + Analyze denial reasons, correct coding errors, and manage appeals , working with various departments to prevent future denials. + Review ... benefits for this position, subject to applicable eligibility requirements: . Medical/Dental/Vision/Life Insurance . Paid holidays plus Paid Time Off . 401(k) plan… more
- Elevance Health (Miami, FL)
- …for services requested. + Makes medical necessity determinations for grievance and appeals appropriate for their specialty. + Ensures consistent use of medical ... 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 (Tampa, FL)
- …alternative surgical and non-surgical treatments. + Performs first level provider appeals of coverage decisions. + Provides support and education to internal ... 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
- Evolent (Tallahassee, FL)
- …of best practices. + Provides clinical rationale for standard and expedited appeals . + Discusses determinations (peer to peer phone calls) with requesting physicians ... package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on… more
- Capgemini (Pensacola, FL)
- …software systems to create Prescription cases and determine coverage, determination and appeals process + Good written and verbal communication skills + The ability ... Full time regular employees are eligible for paid time off, medical/dental/vision insurance , 401(k), and any other benefits to eligible employees. Note: No amount… more