- CHS (Clearwater, FL)
- …monitoring strong operational controls relating to claims cost control, including review processes for potential pre-existing conditions, determining medical ... **Overview** **Claims Manager** **Servicing** **Health Insurance Policies or Benefits** **Summary:** Premier Administrative Solutions (PAS) is a Third-Party… more
- HUB International (Gainesville, FL)
- …and organization. We offer: + Competitive salaries and benefits offerings + Medical /dental/vision insurance and voluntary insurance options + Health ... broker. + Prepare and maintain accurate quote comparison sheets on each insurance company for review and use in determining coverage costs and benefits. + Key… more
- University of Miami (Medley, FL)
- …to assure proper Medicare Severity Diagnostic Related Groups (MS-DRG) assignment. + Review medical record documentation for major complications and comorbidities ... accurate reimbursement, data collection, and research purposes. CORE JOB FUNCTIONS + Review , analyze, and interpret the entire electronic medical record (EMR)… more
- Citigroup (Tampa, FL)
- …seeks a Credit Portfolio Senior Officer for its Tampa, Florida location. Duties: Review and approve trade and working capital solutions transactions in Latin America ... (LATAM) that are within the Global Deal Review (GDR) and Cluster Deal Review (CDR)...and retention awards. Citi offers competitive employee benefits, including: medical , dental & vision coverage; 401(k); life, accident, and… more
- University of Miami (Medley, FL)
- …staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The ... Data Integrity Analyst evaluates the authenticity of data within the electronic medical record system to facilitate accurate patient matching and the synchronization… more
- City of Coral Gables, FL (Coral Gables, FL)
- …statutory time frames. Act as primary liaison among injured employees, managers, medical providers, and insurance representatives. Monitor claim status, reserve ... the clerical procedure involved in the processing of workers' compensation. Knowledge of medical terminology in the review of diagnostic and treatment records A… more
- Bausch + Lomb (Tallahassee, FL)
- …and able to travel. **We offer competitive salary & excellent benefits including:** + Medical , Dental, Eye Health, Disability and Life Insurance begins on your ... with the organization and management of DSMBs and Data Review Committees, as necessary. + Prepare study timelines and...incentives. They may also be eligible to participate in medical , dental, vision insurance , disability and life… more
- Highmark Health (Tallahassee, FL)
- …**PREFERRED RESPONSIBILITIES** + Clinical operations analysis (monitors and analyzes medical management activities + Responsible for communicating review ... Senior Risk Compliance Analyst is responsible for monitoring and analyzing medical and utilization management activities to ensure compliance with internal policies,… more
- Walgreens (Temple Terrace, FL)
- …accurately to prevent payment rejections. Resolves patient issues by working with insurance companies and medical providers and conducting or participating in ... generics, less expensive medicines, and over-the-counter products. Refers to the medical provider, as needed, to ensure medication is taken correctly, health… more
- Carnival Cruise Line (Miami, FL)
- …team to assess fitness for duty per International Maritime Health guidelines. + **Crew Medical Claims Management** + Review crew cases of high risk and escalate ... care coordination and utilization reviews. Operationally, the role supports shipboard medical teams, participates in the 24/7 duty rotation, and manages ship… more