- Humana (Tallahassee, FL)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice management. +… more
- Philadelphia Insurance Companies (Lake Mary, FL)
- …Philadelphia Insurance Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii, Ltd.) is an ... Description Marketing Statement: Philadelphia Insurance Companies, a member of the Tokio Marine Group, designs, markets and underwrites commercial property/casualty… more
- Humana (Tallahassee, FL)
- …help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. The Corporate ... Medical utilization management experience + Working with health insurance organizations, hospitals and other healthcare providers, patient interaction, etc.… more
- University of Miami (Medley, FL)
- …Miami/UHealth Department of Central Business Office has an exciting opportunity for a full-time Medical Biller to work in Miami, FL. The Medical Biller compiles ... and maintains order, invoice, and payments records. + Assists patients, insurance companies, and laboratories with inquiries regarding billing issues. + Reviews… more
- CVS Health (Tallahassee, FL)
- …product liability claims and litigation. + Familiarity or experience with insurance and coverage issues related to litigated claims . + Strong attention ... Litigation experience at a law firm, and/or significant experience overseeing litigated claims for an insurance carrier or corporation, including mediation… more
- University of Miami (Medley, FL)
- …maintains cash receipts, and refers accounts to collection agencies. + Processes third-party insurance claims , requests and submits claim forms, and processes ... Office has an exciting opportunity for a full-time Supervisor, Medical Collections (H) to work in Miami, FL. The...and control reports. + Advises upper management of any insurance denial trends to identify problems with particular payors.… more
- Humana (Tallahassee, FL)
- …and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate ... + Medical utilization management experience, + working with health insurance organizations, hospitals and other healthcare providers, patient interaction, etc. +… more
- Centene Corporation (Tallahassee, FL)
- …for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering ... a fresh perspective on workplace flexibility. **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical management, quality… more
- Marriott (Lake Buena Vista, FL)
- …* Works with the unemployment services provider to respond to unemployment claims ; reviews provider reports for accuracy and corrects errors. * Prepares, audits ... and ensure compliance with the Privacy Act. * Ensures medical records are maintained in a separate, secure and...orientation, property meetings, bulletin boards, etc. * Conducts periodic claims reviews with Regional Claims office to… more
- Fujifilm (Tallahassee, FL)
- …Budget conscious **Salary and Benefits** + Up to $180,000- $190,000 depending on experience. + Medical , Dental, Vision + Life Insurance + 401k + Paid Time Off ... be an integral part of the legal team providing support to the Medical Device businesses of FUJIFILM Healthcare Americas Corporation and FUJIFILM SonoSite, Inc.,… more
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