- University of Miami (Miami, FL)
- …(https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The University of Miami Health System, "UHealth", Department of Pediatrics-Early ... verify insurance information. + Obtains authorization for HMO patients. + Verifies claims are mailed to the proper address. + Contacts physicians, insurance… more
- Humana (Tallahassee, FL)
- …to make an impact** **Required Qualifications** + Minimum 1 year of experience in medical claims payment and processing + Minimum 1 year of experience analyzing ... part of our caring community and help us put health first** Become a part of our caring community...and researching medical claims + Proficient in Microsoft Office… more
- ChenMed (Greenacres, FL)
- …while working directly with patients and their families, doctors and other medical personnel. Supervision is received from the Pharmacist who reviews work for ... receipt; removing outdated drugs. + Maintains knowledge of asset protection techniques, creates claims for order errors and damaged goods. + Maintains a safe and… more
- ChenMed (Lauderhill, FL)
- …while working directly with patients and their families, doctors and other medical personnel. Supervision is received from the Pharmacist who reviews work for ... receipt; removing outdated drugs. + Maintains knowledge of asset protection techniques, creates claims for order errors and damaged goods. + Maintains a safe and… more
- Evolent (Tallahassee, FL)
- **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health ... care, we seek to connect the pieces of fragmented health care system and ensure people get the same...Doing:** + **Data Analytics & Insights** : Analyze healthcare claims and authorization data to identify cost drivers, utilization… more
- Evolent (Tallahassee, FL)
- **Your Future Evolves Here** Evolent Health has a bold mission to change the health of the nation by changing the way health care is delivered. Our pursuit ... growth, and a great place to work? Definitely. Evolent Health International (Pune, India) has been certified as "Great...products. This role plays a critical part in both ** Medical Cost Management** and **Product Management** , leveraging advanced… more
- Molina Healthcare (Orlando, FL)
- …reporting and monitoring process, including HEDIS, state-based measure reporting and medical record review. + Manages annual HEDIS data collection activities. ... manage contacts within the plan(s) and/or Molina corporate, external auditors, software and medical record vendors, and other Molina departments, such as Claims ,… more
- University of Miami (Miami, FL)
- …(https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The UHealth-University of Miami Health System IT Department has an opportunity ... Hospital Billing Administration along with proficiency in Charging, Contracts, and Claims /Remittance + Configure, build, and maintain Epic HB applications to support… more
- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Associate VP, Resolution- CTM Oversight and Operations will serve as a strategic leader ... operations for higher quality and operational efficiency. + Ensure enrollment and claims processes comply with regulatory requirements and guidelines. + Partner with… more
- TEKsystems (Tampa, FL)
- …Service Associate is responsible for taking inbound calls and answering emails from health care providers or clients regarding claims , as well as, communicating ... and average handling times * Review, comprehend and communicate details regarding claims status * Document/update information in cases with high degree of accuracy… more