- Elevance Health (Tampa, FL)
- …abuse prevention and control. + Review and conducts analysis of claims and medical records prior to payment . Researches new healthcare-related questions as ... **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 days… more
- Centene Corporation (Tallahassee, FL)
- …involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment . + Develops alliances with the ... for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering… more
- Elevance Health (Tampa, FL)
- …coding or quality assurance environment preferred. + Broad 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
- Abbott (Orlando, FL)
- …spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 114,000 colleagues ... you dream of. + Employees can qualify for free medical coverage in our Health Investment Plan (HIP) PPO...their health and get on with their lives. The Payment Review & Administration SME is responsible for leading… more
- Fiserv (Coral Springs, FL)
- …impact on a global scale, come make a difference at Fiserv. **Job Title** Senior Payment Exceptions Analyst **What does a Senior Payment Exceptions Analyst do at ... experience. **What you will do:** + Investigate and resolve payment exceptions during the payment processing cycle...rewards. + Prioritize your health with a variety of medical , dental, vision, life and disability insurance options and… more
- HCA Healthcare (Sarasota, FL)
- …of each individual is recognized. Submit your application for the opportunity below: Payment Poster with Surgery Ventures **Benefits** Surgery Ventures offers a total ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...benefits may vary by location._** We are seeking a Payment Poster for our team to ensure that we… more
- Bank of America (Jacksonville, FL)
- Cons Prod Strat Analyst III - Global Payment Operations Fraud Charlotte, North Carolina;Jacksonville, Florida; Kennesaw, Georgia; Richmond, Virginia **To proceed ... be at least 18 years of age.** Acknowledge (https://ghr.wd1.myworkdayjobs.com/Lateral-US/job/Charlotte/Cons-Prod-Strat-Analyst-III Global- Payment -Operations-Fraud\_25007211-2) **Job Description:** At Bank of America, we are… more
- Elevance Health (Tampa, FL)
- …and abuse prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to accurately ... **Clinical Provider Auditor II** **Supports the Payment Integrity line of business** **Hybrid 1:** This role requires associates to be in-office **1-2** days per… more
- Fiserv (Coral Springs, FL)
- …an impact on a global scale, come make a difference at Fiserv. **Job Title** Payment Exceptions Manager We're Fiserv, a global leader in Fintech and payments, and we ... make a difference at Fiserv. **What does a successful Payment Exceptions Manager do at Fiserv?** The Settlement Controls...rewards. + Prioritize your health with a variety of medical , dental, vision, life and disability insurance options and… more
- Citigroup (Tampa, FL)
- …in this role develop, implement and lead specific oversight processes within Payment Controls. **Responsibilities** : + Support the oversight of the effectiveness of ... through comprehensive payroll management, strategic cash flow optimization and robust payment capabilities controls, empowering our organization to thrive and our… more