- Aston Carter (Medley, FL)
- …+ Reconcile payments and resolve discrepancies and deductions. + Conduct post- audit research and provide detailed analytical reports. + Communicate with retailer ... accounting teams and internal stakeholders. + Process invoices, claims , and apply payments accurately. What We're Looking For...for this temporary role may include the following: * Medical , dental & vision * Critical Illness, Accident, and… more
- PruittHealth (Tallahassee, FL)
- …prior to hire and per renewal regulations. 30. Monitors workers compensation claims and coordinate work between employee and insurance carrier. 31. Operates copier, ... and payroll checks. 33. Processes, records and tracks Family Medical Leave on partners. 34. Records and tracks PTO...are paid in a timely manner. 39. Completes an audit of all bills dated for that month that… more
- Walgreens (Kissimmee, FL)
- …issues and prevent payment rejections. Follows-up with insurance companies as well as medical providers and participates in 3rd party audit . + Follows-up with ... privacy, generics, less expensive medicines, over-the-counter products, and refers to medical provider as needed to ensure medication is taken correctly, health… more
- Walgreens (Bradenton, FL)
- …issues and prevent payment rejections. Follows- up with insurance companies as well as medical providers and participates in 3rd party audit . + Follows-up with ... privacy, generics, less expensive medicines, over-the-counter products, and refers to medical provider as needed to ensure medication is taken correctly, health… more
- Walgreens (Lynn Haven, FL)
- …patient issues and prevent payment rejections. Follows up with insurance companies and medical providers and participates in 3rd-party audit . + Follow-up with ... privacy, generics, less expensive medicines, over-the-counter products, and refers to medical provider as needed to ensure medication is taken correctly, health… more
- University of Miami (Miami, FL)
- …a pivotal role in ensuring revenue integrity through: trend reporting and claims analysis, development of payor scorecards, Charge Description Master (CDM) reviews, ... requirements. + Participate in internal audits and support external audit responses. + Maintain documentation of findings, recommendations, and resolutions.… more
- Molina Healthcare (Miami, FL)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and ... in response to approved change requests; retain old and new report design for audit trail purposes. + Analyze data sets and trends for anomalies, outliers, trend… more
- University of Miami (Miami, FL)
- …treatment of program participants, returns, and proper disposal of excess product + Audit patient claims for appropriate and accurate billing for Patient ... Miami offers competitive salaries and a comprehensive benefits package including medical , dental, tuition remission and more. UHealth-University of Miami Health… more
- Devereux Advanced Behavioral Health (Orlando, FL)
- …hires, changes, and terminations. + Complete specific roster templates and conduct audit reviews for MMAs. + Coordinate with contract representatives and network ... providers to resolve claims issues. + Facilitate the credentialing process for new...**Retirement** - 403(b) through TIAA + **Quality Low-Cost Benefits** ( medical , dental, vision), pet insurance, plus student loan debt… more
- Walgreens (Daytona Beach, FL)
- …Quality Improvement Program. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. Follows-up with ... insurance companies as well as medical providers and conducts or participates in 3rd party audit . + Assists and supports Store Manager and Pharmacy Manager in… more