- City of Jacksonville (Jacksonville, FL)
- …to meet the diverse needs of our employees. Our comprehensive benefit programs include medical , dental and vision plans; life insurance coverage for you and your ... employment? Do you want low and no cost health insurance options? If you answered "yes" to any of...as to their legal validity and/or acceptability. + Investigates claims and complaints by or against the Consolidated Government… more
- Molina Healthcare (Orlando, FL)
- …PM (Team will work on set schedule) Looking for a RN with experience with appeals , claims review, and medical coding. JOB DESCRIPTION Job SummaryProvides ... services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes… more
- City of Jacksonville (Jacksonville, FL)
- …to meet the diverse needs of our employees. Our comprehensive benefit programs include medical , dental and vision plans; life insurance coverage for you and your ... as to their legal validity and/or acceptability. + Investigates claims and complaints by or against the Consolidated Government...cases, hearings and at various internal board hearings and appeals . + Attends meetings of the City Council, boards,… more
- Cognizant (Tallahassee, FL)
- …following benefits for this position, subject to applicable eligibility requirements: . Medical /Dental/Vision/Life Insurance . Paid holidays plus Paid Time Off . ... teams. **In this role, you will:** . Perform comprehensive follow-up on hospital claims to resolve outstanding accounts receivable. . Analyze denial trends and root… more
- Elevance Health (Tampa, FL)
- …management. + Respond to and resolve issues related to member/provider complaints, claims processing issues and appeals . **Minimum requirements:** + PharmD from ... and incentive bonus programs (unless covered by a collective bargaining agreement), medical , dental, vision, short and long term disability benefits, 401(k) +match,… more