- Highmark Health (Tallahassee, FL)
- …(AHFI) **SKILLS** + Must have knowledge of provider facility payment methodology, claims processing systems and coding and billing proficiency + Must ... reports according to state regulations. Responsible for updating annually the changes in insurance laws with regard to lines of business + Coordinates data extracts… more
- AssistRx (Maitland, FL)
- …with medication assistance, prior authorizations, pharmacy benefits investigation, managed care, claims processing . + Experience working with pharmaceutical or ... + 2 to 4 years of experience interacting with healthcare providers regarding health insurance plan requirements. + 1 to 2 years of experience in specialty pharmacy… more
- SIMEDHealth (Gainesville, FL)
- …tracking resolution progress + Auditing physician schedules for potential collection issues + Processing and following up on paper claims + Referring appropriate ... physicians. You will be responsible for monitoring aging reports, resolving insurance denials, maintaining timely and accurate follow-up, and improving collections… more
- MyFlorida (Tallahassee, FL)
- …Refund Sub-Process for various taxes administered by the Department to ensure correct processing of refund claims . The incumbent also trains auditors, including ... of benefits, including career training, tuition waivers, paid vacations, insurance , and retirement programs, visit our website (https://floridarevenue.com/sites/careers/SitePages/Home.aspx) .… more
- MyFlorida (Tallahassee, FL)
- …the purposes of giving advice or preparing statements or reports to ensure correct processing of refund claims by the Department. MINIMUM REQUIREMENTS: + Two ... of benefits, including career training, tuition waivers, paid vacations, insurance , and retirement programs, visit our website (https://floridarevenue.com/sites/careers/SitePages/Home.aspx) .… more
- MyFlorida (Tallahassee, FL)
- …implement changes to the Department's processes as it relates to application processing guidelines, escalations, FAQ/Ask Us system and other Division of Service ... hours of paid sick leave annually. + The State of Florida offers health insurance coverage (ie individual and family coverage) to eligible employees. + The State of… more
- MyFlorida (Tallahassee, FL)
- …Suite (ie, Word, Excel, and Outlook). Preferred Requirements: + Experience processing business license/permit applications. The Benefits of Working for the State ... hours of paid sick leave annually + The State of Florida offers health insurance coverage (ie, individual and family coverage) to eligible employees + The State of… more
- MyFlorida (Tallahassee, FL)
- …+ Operational knowledge of data analysis, data visualization, and data processing techniques. Knowledge and ability to manage, prepare, maintain, analyze and ... hours of paid sick leave annually. + The State of Florida offers health insurance coverage (ie individual and family coverage) to eligible employees. + The State of… more
- Humana (Tallahassee, FL)
- …in assisting the underwriting team by providing essential support in the evaluation and processing of renewal and new business work on a group level basis. This ... coverage + Experience in negotiation + Experience working with healthcare or claims related data **Additional Information** **Work At Home / Internet Information:**… more
- MyFlorida (Orlando, FL)
- …employee's fingerprints. These fingerprints must be forwarded to the department for processing and retention. (6) Have passed a physical examination by a licensed ... but are not limited to: fraud against the Medicaid Program, false claims against the Medicaid program, investigating possible criminal violations of any applicable… more