- Molina Healthcare (Tampa, FL)
- …and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system ... not limited to, Configuration, Business Systems, Encounters (inbound and outbound), Claims , Provider Services and Contracting. * Identifies issues, resolves problems… more
- Molina Healthcare (St. Petersburg, FL)
- …rejections. Address a variety of enrollment questions or concerns received via claims , call tracking, or e-mail. Maintain records in the enrollment database. ... **Knowledge/Skills/Abilities** + Has direct oversight of enrollment, premium billing and reconciliation processes and all related staff + Coaches and mentors direct staff, including goal setting and score card development + Monitors and enforces compliance… more
- Molina Healthcare (St. Petersburg, FL)
- …Lead Analyst, Configuration Oversight to support our Payment Integrity and Claims Operations teams in ensuring the accuracy and compliance of Coordination ... and regulatory guidance. The ideal candidate will bring deep knowledge of claims adjudication, QNXT system navigation, and strong analytical acumen. Experience in… more
- Prime Therapeutics (Tallahassee, FL)
- …make. **Job Posting Title** Sr. Functional Bus Consultant (Compliance) - Remote **Job Description** The Senior Functional Business Consultant The Functional Business ... Consultant serves as a project manager **,** business system or business process subject matter...least one of the specific areas for position (eg, claims , eligibility, product, benefits, implementations or related area) +… more
- AdventHealth (Altamonte Springs, FL)
- …we are even better. **Job Location: Monday-Friday 8:00am to 5:00pm - Remote ** **The role you'll contribute:** **Responsible for ensuring the providers are loaded ... in Athena/Epic and MSOW Network Management thus releasing held claims and updating the status report for the practices....+ Completes special projects as assigned by the reimbursement manager within the time frame requested. **The expertise and… more
- AdventHealth (Altamonte Springs, FL)
- …understanding that together we are even better. **Job Location: Monday-Friday - Remote ** **The role you'll contribute:** Assigns codes to hospital inpatient accounts ... Coding programs. Will work with Case Management, the Billing Office, Coding Manager , Clinical Documentation Improvement specialists and the coding team to code and… more
- Bowman (Tallahassee, FL)
- …to ensure a productive working environment. + Assist and work with the Project Manager to ensure accurate and timely billing. + Design and implement processes to ... and resolve any issues that may arise as it relates to disputes, or claims + Act as liaison between operations and many corporate accounting functions including but… more
- Ryder System (Tallahassee, FL)
- …to areas such as: I-9 compliance, Pre-employment services, Unemployment Insurance claims , Immigration Services, Leave Administration, Drug and Alcohol program, HR ... + Monitor work queues and work independently under the direction of the Manager + Exhibit positive attitude while communicating with all internal and external… more
- Western Digital (Tallahassee, FL)
- …supervision and coordination of loss prevention, asset protection, insurance, and claims control. Domestic and/or international travel may be required. **ESSENTIAL ... recommend appropriate courses of action. + Coordinate property and casualty insurance claims control function at all locations. + Continuous review of existing… more
- Humana (Tallahassee, FL)
- …Coder or coding knowledge. + Claims knowledge and understanding of claims processing. **Additional Information** + **Workstyle:** Remote , work from home. + ... will make a meaningful impact. As the Nurse Audit Manager , you will spearhead audit and validation processes to...a time that is best for your schedule. Nationwide Remote - This is a remote nationwide… more