- Humana (Tallahassee, FL)
- …Clinical Certifications, CPC, CCS, CFE, AHFI). * Understanding of healthcare industry, claims processing and investigative process development. * Experience in a ... Insurance Billing) or Internal/External Audit or Regulatory/Compliance OR Claims Investigations or Criminal Investigation/White Collar Crime); interacting with… more
- MyFlorida (Ocoee, FL)
- …for employees features a highly competitive set of employee benefits including: + Health insurance (over 90% employer paid) + $25,000 life insurance policy (100% ... for providing legal representation in defense of the Department in claims of inverse condemnation, as assigned. Responsible for thoroughly researching all… more
- MyFlorida (Fort Lauderdale, FL)
- …documents. Responsible for representation in defense of the Department in claims of inverse condemnation, as assigned. Responsible for thoroughly researching all ... and rules. Provides support to Department attorneys representing the Department in claims and litigation against and by the Department. Assists with responding to… more
- MyFlorida (Gainesville, FL)
- …related activities. Reviews and makes recommendations on construction related claims . Provides technical assistance and related coordination activities to utility ... customer complaints related to assigned projects under construction. Reviews contract claims for time/monies and submits recommendations to the Resident Engineer… more
- Humana (Tallahassee, FL)
- …of experience researching MS-DRG, APR-DRG and/or EAPG grouper logic + Experience processing or reviewing facility claims + Prior professional experience ... closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid… more
- MyFlorida (Bartow, FL)
- …related activities. Reviews and makes recommendations on construction related claims . Provides technical assistance and related coordination activities to utility ... customer complaints related to assigned projects under construction. Reviews contract claims for time/monies and submits recommendations to the Resident Engineer… more
- Sedgwick (Tallahassee, FL)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Site Auto Appraiser (CAT Repair Solution) **PRIMARY PURPOSE** **:** To inspect, ... directly with auto repair facilities to determinate supplemental repair processing and provides a supplemental estimate. **ADDITIONAL FUNCTIONS and… more
- LogixHealth (Dania Beach, FL)
- …individual providers and monitor contract termination dates and make sure that claims are processed based on the contracted rates. Key Responsibilities: + Assigning ... Work with Contract Coordinator to pursue new contracts for physician groups with insurance carriers and obtain contracts for new clients + Review status of… more
- BrightStar Care (Naples, FL)
- …an experienced medical Billing and Payroll Specialist . Responsibilities include weekly processing of billing and payroll.. Managing Authorizations , appeals and re- ... submission of claims . Posting cash etc. Must be detail oriented...Programs * Bereavement pay * 401(k) Employer matching * Insurance : * Medical * Dental * Vision * Mileage… more
- UIC Government Services and the Bowhead Family of Companies (Avon Park, FL)
- …knowledge of computer systems including USAF databases, computer graphics, and word processing applications, in order to perform assigned duties. + High school ... License required; must be able to be insured through company's vehicle insurance policy while driving work/government/rental vehicles during working hours, and for… more