- Humana (Tallahassee, FL)
- …a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make ... reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare, Medicaid, and Medicare Advantage requirements… more
- Highmark Health (Tallahassee, FL)
- …to accepted and established coding criteria, as well as other approved guidelines, payment and medical policies.Promote quality and efficiency in the delivery of ... claim review with the goal of proper and timely payment to provider and member satisfaction. The incumbent is...claims review basis. Review process includes a review of medical documentation, itemized bills, and claims data to assure… more
- HCA Healthcare (Ocala, FL)
- …accounts receivable follow-up, insurance follow-up and appeals, insurance posting, professional medical /billing, medical payment posting, and/or cash ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...both written and telephonically + Overcome objections that prevent payment of the claim and gain commitment for … more
- Elevance Health (Tampa, FL)
- …coding or quality assurance environment preferred. + Broad knowledge of medical claims billing/ payment systems provider billing guidelines, payer reimbursement ... **Be Part of an Extraordinary Team** Carelon Payment Integrity is a proud member of the...Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. **Build the Possibilities. Make an Extraordinary Impact.**… more
- Elevance Health (Lake Mary, FL)
- …assurance environment preferred. + Broad, deep and niche knowledge of medical claims billing/ payment systems provider billing guidelines, payer reimbursement ... for employment, unless an accommodation is granted as required by law._ Carelon Payment Integrity is a proud member of the Elevance Health family of companies,… more
- Elevance Health (Miami, FL)
- **Business Consultant -** **Carelon Payment Integrity** **Location** : This role requires associates to be in-office **1-2** days per week, fostering collaboration ... for employment, unless an accommodation is granted as required by law._ **Carelon Payment Integrity** is a proud member of the Elevance Health family of companies,… more
- Aston Carter (Deerfield Beach, FL)
- Job Title: Payment Claims AnalystJob Description The Claims Payment Analyst is responsible for reviewing, analyzing, and processing claims payment requests ... for automotive repairs. The individual will determine the appropriate payment amount by validating the billing information submitted against the authorization… more
- TEKsystems (Deerfield Beach, FL)
- …person will be a financial gatekeeper, reviewing, validating, and approving payment requests submitted by dealerships and repair facilities, all while maintaining ... the integrity of the payment systems. This is a high-volume, detail-oriented role ideal...for this temporary role may include the following: * Medical , dental & vision * Critical Illness, Accident, and… more
- Wells Fargo (Tampa, FL)
- …experience, education + 5+ years of proven Merchant Sales experience and/or payment processing sales experience **Desired Qualifications:** + 5+ years of merchant/ ... payment processing and/or treasury management experience + Experience working...compliance program requirements. **Applicants with Disabilities** To request a medical accommodation during the application or interview process, visit… more
- MUFG (Tampa, FL)
- …more details. **Job Summary:** MUFG is seeking a Senior Software Engineer with payment check processing experience. In this role you will collaborate with other ... age, ancestry, marital status, protected veteran and military status, disability, medical condition, sexual orientation, genetic information, or any other status of… more