- Walgreens (Boca Raton, FL)
- …enhancements to pharmacy systems to further promote productivity. + Ensures the accurate processing of insurance claims to resolve customer issues and ... prevent payment rejections. Follows-up with insurance companies as well as medical providers and participates in 3rd party audit. + Follows-up with medical … more
- HCA Healthcare (Niceville, FL)
- …illnesses. Prepares and conducts ongoing health inservices. Ensures the timely processing of employee workers' compensation claims ; evaluates occurrence reports ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more
- Walgreens (Palm Bay, FL)
- …enhancements to pharmacy systems to further promote productivity. + Ensures the accurate processing of insurance claims to resolve customer issues and ... prevent payment rejections. Follows- up with insurance companies as well as medical providers and participates in 3rd party audit. + Follows-up with medical … more
- CVS Health (Tallahassee, FL)
- … processing and customer service that impact customer satisfaction, medical cost management, and operational efficiency. + Consults cross-functionally with other ... processes, and responsibilities. **Required Qualifications** + 2+ years of health insurance work experience and/or Healthcare Insurance Quality Review +… more
- CenterWell (The Villages, FL)
- …the Branch Coordinator is to provide clerical support for the branch medical records and billing department. Also, responsible for day-to-day coordination of ... systems, overall management of agency supplies / mail, and processing of accounts payables. Depending on branch census you...to ensure other billing requirements are satisfied to release claims timely. + Adhere to and participate in Agency's… more
- Elevance Health (Miami, FL)
- …CCS-P) required. **Preferred Skills, Capabilities, and Experiences:** + Claims processing experience preferred. + Knowledge of medical terminology and ... and Reimbursement Specialist** is responsible for reviewing, auditing, and coding medical records for the purpose of reimbursement, training, education and… more
- Humana (Tallahassee, FL)
- …where needed. Follows established guidelines/procedures. **KEY ACCOUNTABILITIES** + Review medical documentation, obtain additional information that may be needed ... + Maintain knowledge of TRICARE, all HGB policies and procedures as well as medical necessity review criteria and privacy requirements **Use your skills to make an… more
- Humana (Tallahassee, FL)
- …Humana Pharmacy Solutions ensuring compliance with programmatic requirements, such as claims processing , prior authorization, formulary management and clinical ... first** The Clinical Pharmacist Lead monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes… more
- Kelly Services (Pensacola, FL)
- …whether injuries/conditions are likely service-related + Complete detailed, impactful medical documentation + Provide expert clinical knowledge while growing your ... the veteran population **Position Requirements** + Active, unrestricted US Medical License (MD, DO, NP*, or PA*) + LLC...business entity (or willingness to obtain) + Active malpractice insurance , in good standing, free of significant sanctions or… more
- Humana (Tallahassee, FL)
- …2 - 4 years of grievance and/or appeals experience. + Previous experience processing medical claims . **Additional Information** + **Workstyle:** remote, work ... your life extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan, time off (including… more