- CVS Health (Tallahassee, FL)
- …in a prepayment environment - Investigates to prevent payment of fraudulent claims committed by insured's, providers, claimants, etc. - Researches and prepares cases ... to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), 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 ... rates of reimbursement, as applicable. + Assists in problem solving with providers, claims or service issues. **Minimum Requirements:** + Requires BA/BS in a health… more
- The Cigna Group (Tampa, FL)
- …on Workers Compensation PBM, the market environment, and the interactions with claims payers. The Account Executive works closely with Marketing, Clinical Team, ... degree and 6+ years of relevant experience + Both to include 2+ years of medical sales experience with proven track record of success and 2 years with proven track… more
- CVS Health (Tallahassee, FL)
- …provider issues, benefit questions, care coordination, member eligibility and claims . + Coordinate vendor participation in onsite vaccine administration. Maintain ... to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and… more
- National Express (Jacksonville, FL)
- …events to ensure excellence in customer service. + Ability to Investigate claims and incidents of questionable conduct, accidents etc. + Computer literacy skills ... in word processing and spreadsheets _We offer medical , dental, vision, basic life insurance coverage, holiday pay, and PTO accrual. Additionally, employees are able… more
- Jacobs (Fort Lauderdale, FL)
- …Constructability and value engineering analysis experience with regard to schedules * Claims analysis and change order experience * Experience with EVM (Earned Value ... national origin, ancestry, sex (including pregnancy, childbirth, breastfeeding, or medical conditions related to pregnancy, childbirth, or breastfeeding), age, … more
- TEKsystems (Orlando, FL)
- …- Ensure assignment of benefits are obtained and on file for Medicare claims - Bill insurance companies for therapies provided - Document all pertinent communication ... is crucial Education/Experience: High school diploma with 1 years of medical billing or insurance verification experience. Bachelors degree in related field… more
- TEKsystems (Orlando, FL)
- …Respond to inbound calls and digital inquiries from members regarding benefits, claims , payments, and services. + Resolving member concerns with professionalism and ... + Collaborate with internal departments and external partners (eg, medical groups, facilities) to resolve complex issues. + Meet...for this temporary role may include the following: * Medical , dental & vision * Critical Illness, Accident, and… more
- Elevance Health (Tampa, FL)
- …or benefit change increments or decrement. + Communicates with sales, administration and claims to assess the rating and administrative impact or benefit and plan ... Loss underwriting experience preferred + Demonstrated knowledge, and proficiency in Medical Stop Loss Underwriting. For candidates working in person or virtually… more
- MyFlorida (Tallahassee, FL)
- …registering, inspecting, and investigating the manufacturing, distributing, and sale of drugs, medical gases, and cosmetics in the State of Florida. The Program ... available for dental, vision, hospital supplements, cancer, etc. + Tax-deferred medical and childcare reimbursement accounts are available + Tuition waiver program… more