- Elevance Health (Miami, FL)
- …make an impact:** + Managing incoming calls or incoming post services claims work. + Determines contract and benefit eligibility; provides authorization for ... would provide an equivalent background. **Preferred Skills, Capabilities and Experiences** + Medical terminology training and experience in medical or insurance… more
- Cardinal Health (Tallahassee, FL)
- …Operations Management oversees the business and administrative operations of a medical practice. This position is responsible for reviewing the physician's daily ... limited to radiation, chemotherapy, PET/CT, urology and scans + Follow up within 48 hours on any existing authorizations...any pre-service appeals to obtain paying approval based on medical necessity. + Communicate effectively with all RCM and… more
- Molina Healthcare (Orlando, FL)
- …work PST hours. **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost ... ensuring the highest quality on every project/request. Responsible for error resolution, follow up and performance metrics monitoring. + Provides peer review of… more
- AssistRx (Maitland, FL)
- …to expedite patient access + Document and initiate prior authorization process and claims appeals + Report any reimbursement trends or delays in coverage to ... care providers and patients Requirements + In-depth understanding and experience with Major Medical & Pharmacy Benefit Coverage + 2 to 3 years of benefit… more
- HCA Healthcare (Trinity, FL)
- …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 ... health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and… more
- Elevance Health (Tampa, FL)
- …of the care management plan and modifies as necessary. + Interfaces with Medical Directors and Physician Advisors on the development of care management treatment ... of reimbursement, as applicable. + Assists in problem solving with providers, claims or service issues. + Assists with development of utilization/care management… more
- Elevance Health (Miami, FL)
- …of the care management plan and modifies as necessary. Interfaces with Medical Directors and Physician Advisors on the development of care management treatment ... rates of reimbursement, as applicable. + Assists in problem solving with providers, claims or service issues. **Minimum Requirements:** + Requires BA/BS in a health… more
- Rexel USA (Tampa, FL)
- …focused daily on employee safety and a safe work environment + Follow established Standard Operating Procedures, Environmental Health and Safety Rules, and ... orderly and in designated area and report freight damage claims + Prepare branch orders from the warehouse and...Motor Vehicle Record + Must obtain verification of non-expired medical certificate as required by law within 60 days… more
- Option Care Health (Tallahassee, FL)
- …financial assistance program). + Supports the ongoing activities needed to ensure clean claims on hold and denial management ( follow -up on paperwork where ... functions. **Travel Requirements** N/A **Preferred Qualification & Interests** Previous healthcare/ medical billing experience preferred. May perform other duties as… more
- AbbVie (Orlando, FL)
- …medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkable impact on people's ... portfolio. For more information about AbbVie, please visit us at www.abbvie.com. Follow @abbvie on X, Facebook, Instagram, YouTube, LinkedIn and Tik Tok… more
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