- Veterans Affairs, Veterans Health Administration (Orlando, FL)
- …the appropriateness of administrative data; verification of insurance coverage for medical services; verifying claims for billing purposes.This experience must ... the appropriateness of administrative data; verification of insurance coverage for medical services; verifying claims for billing purposes; ensuring eligibility… more
- AdventHealth (Maitland, FL)
- … claims analytics Managed Care, Patient Financial services, health insurance claims processing, contract management, or medical economics Proficiency in ... (Monday, Wednesday, Thursday) on-site **The role you will contribute:** A Senior Medical Economics analyst is responsible for analyzing and evaluating financial and… more
- Sedgwick (Tallahassee, FL)
- …job site modification and/or obtaining adaptive equipment necessary; and to ensure medical , legal and accreditation standards are maintained. **ARE YOU AN IDEAL ... Determines objective, quantifiable, medically supported work restrictions for assigned claims . + Facilitates return-to-work (RTW) efforts through negotiation with… more
- LogixHealth (Dania Beach, FL)
- …a Senior Billing Specialist at LogixHealth, you will work with a team medical billers, administrators, and coders to provide cutting edge solutions that will ... A/R (Accounts Receivable) reports to follow up on unpaid claims + Assist with trouble shooting with pockets of...perform the duties. Required: + Knowledge of third party medical billing for all major carriers + Prior word… more
- Molina Healthcare (FL)
- …of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical Management, Network, and other departments to enable critical ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst, Medical Economics provides support and consultation to the...and manage information from large data sources. + Analyze claims and other data sources to identify early signs… more
- Molina Healthcare (FL)
- …of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical Management, Network, and other departments to enable critical ... **JOB DESCRIPTION** **Job Summary** The Manager, Medical Economics provides support and consultation to the...and manage information from large data sources. + Analyze claims and other data sources to identify early signs… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …medicines for those with CNS disorders, we are seeking a skilled and experienced Medical Director of CNS Early Assets, Global Medical Affairs, responsible for ... certain assets within the broader CNS TA portfolio Medical Affairs (both US and Global), with a specialization...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- **Position Summary** : Reporting to the Vice President, Global Medical Affairs, the Executive Director, CNS Strategy, Global Medical Affairs is a leadership ... position responsible for the strategic and tactical medical plans of both global and US ...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Sedgwick (Orlando, FL)
- …to our clients and patients through processing referrals in the delivery of medical goods and services. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Reaches out to ... said goods or service. + Communicates with vendor partners, claims adjusters and nurse case managers providing updates on...referral is deemed medically necessary and approved by the claim 's adjuster. + Confirms all required and relevant billing… more
- HCA Healthcare (Jacksonville, FL)
- …Do you want to join an organization that invests in you as a Medical Billing Specialist? At Surgery Ventures, you come first. HCA Healthcare has committed up ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more