- Evolent (Tallahassee, FL)
- …of 1 years of experience in technical quality assurance and database testing, medical benefits, provider, enrollment, and / or claims data. + Demonstrable ... to analyze source & target integrity across various databases supporting transaction processing based on the end-to-end data flow + create & maintain queries… more
- Walmart (Orlando, FL)
- …not patient facing, we are fully engaged with our customers, patients, and medical practitioners throughout the country. We are hiring full-time 1st shift temporary ... by entering and modifying pharmaceutical data on system and forms; processing and submitting paperwork; creating and maintaining documentation (for example, files,… more
- MyFlorida (Tallahassee, FL)
- …Management Services, applicable labor contracts and departmental procedures. Tracks Workers' Compensation claims and Extended Medical Leave for the North Region ... recommendations regarding feasible solutions. Reviews all hiring/selection packets for processing to ensure compliance with departmental guidelines and applicable… more
- Banner Health (FL)
- …data base and indices, and must be familiar with coding and abstracting software, claims processing tools, as well as common office software and electronic ... you. **Requirements:** + **5 years recent experience in acute-care Inpatient facility-based medical coding (clearly reflected in your attached resume);** + **DRG and… more
- HCA Healthcare (Jacksonville, 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
- Mass Markets (FL)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... + Identifying and resolving payment discrepancies during daily reconciliations. + Processing daily payment returns and keying payments efficiently. + Ensuring the… more
- University of Miami (Miami, FL)
- …necessary. + Responds to customer inquiries regarding insurance coverage for services and processing of claims . + Adheres to University and unit-level policies ... verify insurance information. + Obtains authorization for HMO patients. + Verifies claims are mailed to the proper address. + Contacts physicians, insurance… more
- CVS Health (Tallahassee, FL)
- …analytical, critical-thinking, and problem-solving skills. **Preferred Qualifications** + Claims processing experience. + Customer service experience. ... and responding to provider participation and pricing inquiries. + Analyze post-paid healthcare claims as it relates to pricing needs. + Apply in-depth research to… more
- Elevance Health (Tampa, FL)
- …+ Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and ... abuse prevention and control. + Review and conducts analysis of claims and medical records prior to payment. Researches new healthcare-related questions as… more
- Humana (Tallahassee, FL)
- …Clinical Certifications, CPC, CCS, CFE, AHFI). * Understanding of healthcare industry, claims processing and investigative process development. * Experience in a ... of 2 years' experience conducting comprehensive health care fraud investigations ( Medical Coding or Healthcare ( Medical Chart Review/Insurance Billing) or… more