- Elevance Health (Tampa, FL)
- …coding or quality assurance environment preferred. + Broad knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement ... -expense spending. The **DRG CODING AUDITOR** is responsible for auditing inpatient medical records and generating high quality recoverable claims for the… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …publications plan. This position provides guidance, coaching, and oversight to the Manager , Medical Core Content, ensuring all materials are developed with ... Direction** + Provide guidance, coaching, and oversight over the work of the Manager , Medical Core Content, managing and ensuring the development of core… more
- Sedgwick (Orlando, FL)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Leave of Absence Coordinator **Leave of Absence Representative** **Our teams ... from some of the world's most reputable brands + An assigned mentor and manager who will guide you on your career journey + Career development and promotional… more
- Sedgwick (Orlando, FL)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Care Team Representative **Entry-level, Care Team Representative** Are you looking ... world's most reputable brands. + An assigned mentor and manager who will guide you on your career journey....To provide excellent service displaying empathy to callers regarding claims for multiple lines of business, including but not… more
- Elevance Health (Miami, FL)
- …to conduct extensive research and analyze the grievance and appeal issue(s) and pertinent claims and medical records to either approve or summarize and route to ... + Demonstrated business writing proficiency, understanding of provider networks, the medical management process, claims process, the company's internal business… more
- Elevance Health (Miami, FL)
- …as single point of service support (eg, phone and e-mail inquiries, claims , enrollment, billing) to Elite Broker contacts (Brokers, General Agents, Agencies, etc.) ... plan offerings, have issues that are impacting multiple service areas such as claims , eligibility, etc. and provide onsite support as needed) with timely and… more
- USAA (Tampa, FL)
- …P&C Litigation Claims Operations and/or Optimization experience. + 2+ years Manager , Claims Operations experience. + Deep operational knowledge of end-to-end ... comprehensive medical , dental and vision plans, 401(k), pension, life insurance , parental benefits, adoption assistance, paid time off program with paid holidays… more
- Walgreens (Niceville, FL)
- …better ways to further promote productivity. + Ensures the accurate processing of insurance claims to resolve patient issues and prevent payment rejections. ... efficient workflow of the pharmacy and assists the pharmacy manager in identifying ways to optimize pharmacy financials, inventory...Follows up with insurance companies and medical providers and participates… more
- Walgreens (Lake Worth, FL)
- …systems to further promote productivity. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. ... efficient workflow of the pharmacy and assists the pharmacy manager in identifying ways to optimize pharmacy financials, inventory...Follows-up with insurance companies as well as medical providers… more
- Walgreens (Deland, FL)
- …systems to further promote productivity. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. ... efficient workflow of the pharmacy and assists the pharmacy manager in identifying ways to optimize pharmacy financials, inventory...Follows- up with insurance companies as well as medical providers… more