- University of Miami (Miami, FL)
- …tests the revised treatment matrix to identify possible cancers from claims data. CORE JOB FUNCTIONS Analyzes regulatory requirements, identifies potential ... of federal regulations and University policies. Oversees accurate and timely processing , tracking, and filing of federally mandated submissions. Assists with the… more
- ASRC Industrial Services (Panama City, FL)
- …we offer a competitive salary and comprehensive benefits package that includes: Medical , Dental, Vision 401k with a Discretionary Company Match & 100% Immediate ... this role. + Proficiency in GPS software and data processing tools. + Experience with Trimble or similar GPS...competitive salary and comprehensive benefits package that includes: + Medical , Dental, Vision + 401k with a Discretionary Company… more
- National Express (Jacksonville, FL)
- …incidents of questionable conduct, accidents etc. + Computer literacy skills in word processing and spreadsheets _We offer medical , dental, vision, basic life ... race, color, religion, sex, pregnancy (including childbirth, lactation and related medical conditions), national origin, age, physical and mental disability, marital… 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 ... Suite (ie, Word, Excel, and Outlook). Preferred Requirements: + Experience processing business license/permit applications. The Benefits of Working for the State… more
- Highmark Health (Tallahassee, FL)
- …(AHFI) **SKILLS** + Must have knowledge of provider facility payment methodology, claims processing systems and coding and billing proficiency + Must ... to prevent further improper payments.Forwards case to the Credentialing and/or Medical Review Committee, law enforcement and regulatory agencies. + Responsible for… more
- AdventHealth (Altamonte Springs, FL)
- …Team of any coding or coding related issues that adversely impact the claims processing , coding accuracy, and compliance.e. Monitors the queue holds and ... Office programs. 5. Ability to review documentation in a medical record and to enter the coding software. **EDUCATION...**EDUCATION AND EXPERIENCE REQUIRED:** 1) High school diploma and medical coding certificate program or 2 year HIM program.… more
- Guardian Life (Tallahassee, FL)
- …AI. + Apply AI/ML to unstructured data sources such as insurance contracts, medical records, sales notes, and customer service logs. + Deliver solutions that enhance ... underwriting risk assessment, claims auto-adjudication, and customer servicing. Operational Excellence + Establish scalable processes, frameworks, and governance… more
- Walmart (Apopka, FL)
- …types, programs, and benefits to current and prospective members; processing memberships, upgrades, and credit accounts; encouraging membership renewals; ... up orders are filled. Oversees assigned area of responsibility by handling claims and returns; zoning the area; arranging and organizing merchandise; identifying… more
- Walgreens (Miami, FL)
- …pharmacy errors and the Continuous 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… more
- Philadelphia Insurance Companies (Lake Mary, FL)
- …- Develops referrals from each qualified appointment. - Submits qualified submissions for processing to Underwriter in complete form with a request for quotation by ... the Philadelphia Insurance Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii, Ltd.) is an… more