- Evolent (Tallahassee, FL)
- …for the mission. Stay for the culture. **What You'll Be Doing:** The Specialty Appeals Team offers candidates the opportunity to make a meaningful impact as part of ... a highly trained dedicated team focusing on appeals and post-determination requests. We maintain the principles of...policies and procedures. + Documents communications with medical office staff and/or MD provider as required. + Interfaces with… more
- Humana (Tallahassee, FL)
- …The Medical Director relies on broad clinical expertise to review Medicare drug appeals (Part D & B). The Medical director work assignments involve moderately ... and medical necessity. The Medical Director will collaborate with clinicians and support staff to provide Humana members with optimal value based care in accordance… more
- Elevance Health (Miami, FL)
- **Audit & Reimbursement II- Appeals ** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training ... Perform cost report reopenings. + Under guided supervision, participate in completing appeals related work: + Position papers + Jurisdictional Reviews + Maintaining… more
- MyFlorida (Marianna, FL)
- …is Florida's award-winning, state-funded child advocacy organization. With more than 10,000 staff and volunteers, which includes more than 180 attorneys, its primary ... OPS POSITION As a full-time OPS employee, your employee insurance rate will be significantly low due to the...as directed by the Director of Pro Bono and Appeals or the Circuit Director. + Responsible for developing… more
- MyFlorida (Crestview, FL)
- …coming from the benefits that the State offers. As a full-time employee, your insurance rate will be significantly low due to the contribution of the State of ... While the rates are higher for halftime employees, health insurance options are still available if you are in...as directed by the Director of Pro Bono and Appeals or the Circuit Director. + Responsible for developing… more
- HCA Healthcare (Bradenton, 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...to the infection control, risk management, safety, and medical staff credentialing functions, ensuring the collaboration and coordination of… more
- HCA Healthcare (Tallahassee, FL)
- …and resolution of coding related denials and rejections.** 1. **Supervises front office staff on payment and billing issues. Oversees insurance verification** 1. ... plans (accident, critical illness, hospital indemnity), auto and home insurance , identity theft protection, legal counseling, long-term care coverage, moving… more
- MyFlorida (Largo, FL)
- ACCOUNTANT III-HEALTH INSURANCE BILLING - 50000010 1 Date: Jan 5, 2026 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... . Requisition No: 867671 Agency: Veterans Affairs Working Title: ACCOUNTANT III-HEALTH INSURANCE BILLING - 50000010 1 Pay Plan: Career Service Position Number:… more
- Cardinal Health (Tallahassee, FL)
- …maintain optimal account receivables performance and client satisfaction. + Resolves complex insurance claims, including appeals and denials, to ensure timely ... feedback, recommendations, and training as appropriate. + Assists supervisors in ensuring staff adherence to company policy and procedures. + Assists supervisors in… more
- Elevance Health (Tampa, FL)
- …report reopenings. + Under guided supervision, participate in completing more complex appeals related work: + Position papers + Jurisdictional Reviews + Maintaining ... all logs, case files, tracking systems + Participate in all team meetings, staff meetings, and training sessions **Minimum Requirements:** + Requires a BA/BS degree… more