- Cardinal Health (Tallahassee, FL)
- …Cardinal Health offers a wide variety of benefits and programs to support health and well-being. + Medical , dental and vision coverage + Paid time off ... appropriate. + Acts as a subject matter expert in claims processing. + Processes claims : investigates insurance...plan + Health savings account (HSA) + 401k savings plan +… more
- Elevance Health (Tampa, FL)
- …for fraud and abuse prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to ... be considered. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to… more
- Elevance Health (Tampa, FL)
- …experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing ... you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles,...or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health Information… more
- Sedgwick (Tallahassee, FL)
- …Good technical knowledge of claims management procedures + Knowledge of current medical practices in health care management in a variety of areas (including, ... work restrictions/accommodations. + Performs standard disability clinical reviews of referred medical claims based on client requirements to ensure accurate… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …trials program, including registrational, post-marketing and Investigator-Sponsored Trials (ISTs), health economic outcomes research, other specific medical ... The local "ecosystem approach" creates a unified focus among account management, medical , patient access and market access to engage local healthcare systems and… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- … and data teams at OPH. The ideal candidate will have experience advising medical device, digital health , and AI clients on the application of healthcare ... **About Otsuka Precision Health ** Founded on Otsuka's rich history in delivering...OPH healthcare products, services, and technology. Expert knowledge of medical device and consumer protection (eg, FDA, FTC), healthcare… more
- Travelers Insurance Company (Tallahassee, FL)
- …and/or complex Life Science medical products, clinical trial and pharmaceutical bodily injury claims , as well as General Liability Coverage B claims and E&O ... medical products, clinical trial and pharmaceutical bodily injury claims , as well as General Liability Coverage B ...the job. **What Is in It for You?** + ** Health Insurance** : Employees and their eligible family members… more
- Elevance Health (Tampa, FL)
- …the enterprise. Included are processes related to enrollment and billing and claims processing, as well as customer service written and verbal inquiries. **How ... Teams and Outlook experience. + Understanding of audit methodologies. + Claims processing experience. + Coordination of Benefits experience required, which includes… more
- CVS Health (Tallahassee, FL)
- …travel on the company's site in a cost effective manner - Knowledge of CVS Health (or other PBM) claims processing - Knowledge of retail pharmacy operations ... At CVS Health , we're building a world of health...based from your home and travel onsite to conduct claims audits at pharmacies throughout multiple states by reviewing… more
- ChenMed (Miami, FL)
- …and execution of actions to improve those results). + Prepares ad-hoc analysis for claims and KPIs of medical costs for executive leadership + Develops a ... and prioritize opportunities, and spot trends + Extensive knowledge of healthcare/ medical economics data such as hospital/physician /ASC claims , utilization… more