- Elevance Health (Miami, FL)
- …for fraud and abuse prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to ... Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Clinical Provider Auditor II** is responsible for… more
- Sedgwick (Tallahassee, FL)
- …new business plan with goals and objectives for assigned locations/offices; provides expert medical and product support to Sedgwick claims and clinical staff. ... combination of education and experience required to include five (5) years medical case management, two (2) years clinical experience, two (2) years providing… more
- Elevance Health (Tampa, FL)
- …for fraud and abuse prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to ... Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The Clinical Provider Auditor II is responsible for… more
- Elevance Health (Miami, FL)
- …not eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical ... into effective and accurate reimbursement criteria.** PRIMARY DUTIES: + Review medical record documentation in support of Evaluation and Management CPT codes.… more
- Robert Half Accountemps (Orlando, FL)
- …critical role in optimizing healthcare revenue cycle processes, ensuring the accuracy of medical billing, and managing claims with diligence. This is an ... experience in healthcare revenue cycle management. * Proficiency in medical billing and claims processing. * Strong...management. * Proficiency in medical billing and claims processing. * Strong knowledge of compliance and financial… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …this deep-rooted dedication that drives us to uncover answers to complex, underserved medical needs, so that patients can push past the limitations of their disease ... of clinical data into commercial messaging + Partner with medical teams to align on an asset-level plan driving...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Norstella (Tallahassee, FL)
- …by querying and analyzing a wide range of healthcare data sources, including claims , lab results, electronic medical records (EMR), and other real-world data ... service offerings leveraging Norstella's unified Real World Data asset, a combination of claims , lab, SDOH and EMR data. You will be joining an organization hard… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …CNS portfolio. The individual will work closely with market access, sales, medical affairs, and finance to implement commercial strategies that sustain product ... Work closely with, market access, Finance, Commercial operations, and medical teams to ensure seamless execution of brand strategies...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Veterans Affairs, Veterans Health Administration (West Palm Beach, FL)
- Summary The West Palm Beach VA Medical Center is currently seeking a Fee Basis Physician (Radiation Oncology). The incumbent will be responsible for maintaining and ... VHA Physician Total Rewards. The West Palm Beach VA Medical Center is seeking an experienced and dynamic Fee...claimed by the applicant. [If the applicant does not claim an ECFMG certificate, facility officials must still confirm… more
- Veterans Affairs, Veterans Health Administration (Panama City Beach, FL)
- …along the US Gulf Coast. Our facilities include our Biloxi VA Medical Center in Biloxi,Mississippi and 4 community-based outpatient clinics in Mobile, Alabama; ... Rewards. Recruitment Incentive (Sign-on Bonus): Contingent upon approval of the Medical Center Director Education Debt Reduction Program (Student Loan Repayment):… more