- Highmark Health (Tallahassee, FL)
- …analytical and communication skills Preferred + Associate's Degree + 3 years with claims processing and data management + Past auditing and strong ... related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding,… more
- AdventHealth (Altamonte Springs, FL)
- …closely with the Employee Clinic Manager, regional Employee Health Managers, Medical Directors, and both clinical and non-clinical staff across various healthcare ... facilities to deliver exemplary medical care to our clients. This role is pivotal...The Employee Health Registered Nurse also oversees Workers' Compensation claims , hospital surveillance programs, and regulatory compliance related to… more
- Walgreens (Lynn Haven, FL)
- …Seeks new and better ways to further promote productivity. + Ensures the accurate processing of insurance claims to resolve patient issues and prevent payment ... 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)
- …for production and inventory control in buying, storing, handling, and processing of materials and supplies. Designs facilities, management systems, and standard ... a pivotal role in ensuring revenue integrity through: trend reporting and claims analysis, development of payor scorecards, Charge Description Master (CDM) reviews,… more
- CVS Health (Tallahassee, FL)
- …attention to detail **Preferred Qualifications** Healthcare/Pharmacy Experience Knowledge of medical /pharmacy claims Salesforce Experience **Education** HS or ... patients. They serve to support the Site of Care department by processing incoming referral received from the precertification department, communicating with, and… more
- Public Consulting Group (Tallahassee, FL)
- …+ Third Party Administrator Services + Enhance Health and Public Safety Services + Claims Processing Services and Solutions + Consulting and Advisory Services + ... options + Develops effective working relations and cooperate with medical team throughout the entire case management process +...working experience in case management, including as a nurse, medical , mental health care manager or a related job… more
- Veterans Affairs, Veterans Health Administration (Orlando, FL)
- …The selectee reports directly to the Mobility Manager at the OVA Medical Center and collaborates on transportation workload forecasting, schedule design, procedure ... process modification, and BT program operations. Responsibilities include managing Claims and Travel, distributing workload for 12 GS-6 Transportation Assistants,… more
- CVS Health (Tallahassee, FL)
- …with complaints and/or Center for Medicare and Medicaid Services (CMS) + Medical /RX claim processing knowledge + Bachelors Degree **Education:** High School ... queue of Medicare complaints. These complaints can include various issues ranging from claims that are adjudicated incorrectly to rude customer service. You will be… more
- University of Miami (Miami, FL)
- …+ Responds to customer inquiries regarding insurance coverage of services and processing of claims . + Follows appropriate procedures to link alternative ... Miami offers competitive salaries and a comprehensive benefits package including medical , dental, tuition remission and more. UHealth-University of Miami Health… more
- AssistRx (Maitland, FL)
- …with medication assistance, prior authorizations, pharmacy benefits investigation, managed care, claims processing . + Experience working with pharmaceutical or ... offers? Here are some additional benefits that our employees enjoy! + Medical , dental, vision, life, & short-term disability insurance + Teledoc services for… more