- Cardinal Health (Tallahassee, FL)
- …and efficiency for the program **_Qualifications_** + Previous customer service experience, preferred + High School diploma or equivalent, preferred + ... high level customer service + Experience conducting and documenting patient medical health insurance benefit investigations, prior authorizations, and appeals, … more
- Cardinal Health (Tallahassee, FL)
- …in the reimbursement environment including Medicare, Medicaid, Managed Care, and Commercial medical and pharmacy plans while planning for various scenarios that may ... of industry experience with patient-facing or high touch customer interaction experience preferred + Previous Hub or Patient Support Service experience preferred … more
- Citigroup (Tampa, FL)
- …+ 5-8 years of relevant work experience + AML Certification preferred + Consistently demonstrates clear and concise written and verbal communication ... incentive and retention awards. Citi offers competitive employee benefits, including: medical , dental & vision coverage; 401(k); life, accident, and disability… more
- Community Health Systems (Crestview, FL)
- …correspondence, and maintaining accurate documentation. The Clerk works closely with medical staff, patients, and other departments to ensure the smooth operation ... Training or certification in office administration, healthcare, or a related field preferred + 1-2 years clerical or administrative experience, preferably in a… more
- Elevance Health (Tampa, FL)
- …members and providers. **How you will make an impact:** + Perform physician-level case review, following initial nurse review, of Medical Oncology regimens and ... medical necessity decisions. + Brings to their supervisors attention, any case review decisions that require Medical Director review or policy… more
- Humana (Fort Lauderdale, FL)
- …and of moderate complexity. **We are looking for motivated and dynamic case managers that reside in the following counties: Broward County, FLORIDA** This ... meet those needs + Coordinating services, and monitoring and evaluating the case management plan against the member's personal goals + Guides members/families… more
- HCA Healthcare (Largo, FL)
- …corporate to train and support quality improvement, risk management, patient safety, case management, medical staff affairs, and physician relations activities + ... recommendations regarding how to reduce the variable cost per case while maintaining and enhancing clinical effectiveness + You...in a large, complex hospital or regional health system preferred + Current and clear medical licensure… more
- HCA Healthcare (Tallahassee, FL)
- …corporate to train and support quality improvement, risk management, patient safety, case management, medical staff affairs, and physician relations activities. ... in 21 states and the United Kingdom. We are looking for a Chief Medical Officer for our HCA Florida Capital Hospital team where excellence creates excellence.… more
- Humana (Lake Wales, FL)
- …often straightforward and of moderate complexity. **We are looking for motivated and dynamic case managers that enjoy making a difference in the lives of others in ... meet those needs + Coordinating services, and monitoring and evaluating the case management plan against the member's personal goals + Guides members/families… more
- Highmark Health (Tallahassee, FL)
- …+ 5 years in Clinical, Direct Patient care (hospital, outpatient, or private practice) ** Preferred ** + 1 year in Medical Management in a Health Insurance Plan; ... standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical...Preferred ** + None **SKILLS** + Critical Thinking + Case Management + Customer Service + Oral & Written… more
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