- CenterWell (Sebring, FL)
- …the Branch Coordinator is to provide clerical support for the branch medical records and billing department. Also, responsible for day-to-day coordination of ... personnel communication systems, overall management of agency supplies / mail, and processing of accounts payables. Depending on branch census you may be responsible… more
- CVS Health (Tallahassee, FL)
- …internal and external partners. Responsibilities include reviewing insurance benefits (both medical and pharmacy), claim history review, maintaining complete, ... attention to detail **Preferred Qualifications** Healthcare/Pharmacy Experience Knowledge of medical /pharmacy claims Salesforce Experience **Education** HS or… more
- The Cigna Group (Tallahassee, FL)
- …+ Receive requests by email or telephone regarding insurance claims /policies while operating on multiple computer applications. Respond to inquiries ... and interpret policy provisions to determine most effective response. Mail or route claim forms and supporting documentation to various units for final processing… more
- Orlando Utilities Commission (Orlando, FL)
- …be the go-to person for employee questions and ensure compliance and timely processing of a wide range of programs, from FMLA, ADA accommodations, and retirement. ... activities. + Collaborate with internal teams and vendors to ensure accurate processing , reporting, and compliance. + Support open enrollment, new hire orientations,… more
- Trinity Health (Fort Lauderdale, FL)
- …and HCPCS level II coding guidelines, along with CCI edits and Medicare claims processing manual contents in a multi-facility, integrated health care delivery ... team for simple and/or complex coding; monitors charge router, charge review, and claim edit WQs; identify appropriate ICD-10, CPT, HCC, HCPCS, and modifier usage… more
- Select Medical (Pensacola, FL)
- …employment status reports for payroll, HR and/or compliance purposes. + Processing and maintaining all workers' compensation claims , unemployment requests, ... experience)** At Select Specialty Hospitals, a division of Select Medical , we care for chronically and critically ill or...or post-ICU patients who require extended hospital care. Select Medical employs over 48,000 people across the country and… more
- Walmart (Lehigh Acres, FL)
- …by ensuring proper policies and procedures are followed Ensures the timely processing of claims forexample damaged defective returned liquidated items and ... Manages facilitylevel training and execution of asset protection safety and claims and receiving procedures by reviewing the application of policiesprocedures… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- …is responsible for managing and identifying a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial ... + Manage and identify a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing...needs + Prepare and maintain reports and records for processing + Perform other tasks as assigned. + Follow… more
- Robert Half Technology (Clearwater, FL)
- …from team members during project execution. Requirements * Proven experience in claims processing and related systems. * Strong analytical and problem-solving ... collaborate with stakeholders to deliver effective business solutions, focusing on claims systems and processes. Your work will involve gathering requirements,… more
- Walmart (Wesley Chapel, FL)
- …resolves problems in the prescription fulfillment process when necessary by processing information for third-party insurance claims ; rescanning illegible images; ... procedures by assisting the pharmacist in the prescription fulfillment process; processing third party insurance claims and/or rejections; assisting… more