• Claims Auditor I

    Elevance Health (Miami, FL)
    …accuracy by verifying various aspects of the claim including eligibility, system coding and pricing, pre-authorization, and medical necessity. + Contacts others ... Capabilities, and Experiences:** + Working knowledge of insurance industry and medical terminology + Working knowledge of relevant systems and proven understanding… more
    Elevance Health (08/30/25)
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  • Remote Lab Investigation Specialist

    Adecco US, Inc. (Sunrise, FL)
    …& Life Sciences is hiring a contract remote Lab Investigation Specialist for our Medical partner. The anticipated hourly wage for this position is between $21 and ... education, geographic location, and other factors. Benefit offerings include medical , dental, vision, life insurance, short-term disability, additional voluntary… more
    Adecco US, Inc. (08/19/25)
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  • Primary Care Physician

    CenterWell (The Villages, FL)
    …doctors, advanced practice professionals, pharm D, care coach nurses, medical assistants, behavioral health, specialists, quality-based coders, referral coordinators ... accordance with standards of care. . Follows level of medical care and quality for patients and monitors care...manner working with a quality- based coder to optimize coding specificity. . Follows policy and protocol defined by… more
    CenterWell (08/29/25)
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  • Primary Care Physician

    CenterWell (Tampa, FL)
    …doctors, advanced practice professionals, pharm D, care coach nurses, medical assistants, behavioral health, specialists, quality-based coders, referral coordinators ... accordance with standards of care. . Follows level of medical care and quality for patients and monitors care...manner working with a quality- based coder to optimize coding specificity. . Follows policy and protocol defined by… more
    CenterWell (08/22/25)
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  • Primary Care Physician

    CenterWell (Deerfield Beach, FL)
    …Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators ... accordance with standards of care. . Follows level of medical care and quality for patients and monitors care...manner working with a quality- based coder to optimize coding specificity. . Follows policy and protocol defined by… more
    CenterWell (08/22/25)
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  • Primary Care Physician

    CenterWell (Fort Lauderdale, FL)
    …Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators ... accordance with standards of care. . Follows level of medical care and quality for patients and monitors care...manner working with a quality- based coder to optimize coding specificity. . Follows policy and protocol defined by… more
    CenterWell (08/22/25)
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  • Primary Care Physician

    CenterWell (Delray Beach, FL)
    …Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators ... accordance with standards of care. + Follows level of medical care and quality for patients and monitors care...manner working with a quality- based coder to optimize coding specificity. + Follows policy and protocol defined by… more
    CenterWell (08/15/25)
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  • Referral Coordinator

    CenterWell (The Villages, FL)
    …and CPT coding + **Bilingual in English and Spanish** + Medical Assistant or Professional State Certifications related to healthcare **Working hours** : Monday ... clinical setting, preferably within the Medicare population + Proficient with medical terminology + Proficient with Microsoft Office applications including Microsoft… more
    CenterWell (08/15/25)
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  • Pharmacy Technician - Work From Home (Orlando, FL)

    CVS Health (Tallahassee, FL)
    …Healthcare work experience and familiarity with benefits, insurance, prescriptions. - Prefer Medical Billing, Coding and other Medical assisting roles. ... you! We offer a comprehensive benefits package which includes medical , dental, vision insurance as well as a wide-ranging...will be considered for employment in accordance with all federal , state and local laws. We are an equal… more
    CVS Health (06/18/25)
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  • Clinical Appeals Nurse (RN)

    Molina Healthcare (Tampa, FL)
    …compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical/ medical reviews of previously denied cases in which a formal ... likelihood of a formal appeal being submitted. + Independently re-evaluates medical claims and associated records by applying advanced clinical knowledge, knowledge… more
    Molina Healthcare (08/15/25)
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