• Claim Benefit Specialist Ops

    CVS Health (Tallahassee, FL)
    …guidelines and scope. + Assesses claims for accuracy and compliance with coding guidelines, medical necessity, and documentation requirements. + Documents claim ... approves routine claims that cannot be auto adjudicated. Applies dental/ medical necessity guidelines, determines coverage, coordinates benefits, completes eligibility… more
    CVS Health (05/09/25)
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  • Senior Plan Builder (Meritain Health)

    CVS Health (Tallahassee, FL)
    …follow through on escalations and urgent requests. They must possess an analytical system coding ability to translate plan benefits into system data coding . The ... partners. + Ability to utilize Meritain's proprietary system for analytical coding of detailed customized plans rather than standard offerings. + Participate… more
    CVS Health (05/02/25)
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  • Dialysis Clinical Manager Registered Nurse - RN

    Fresenius Medical Center (Haines City, FL)
    …Manager to oversee the facility's Home Therapies Program. + Maintains integrity of medical and operations records and complies with all data collections and ... **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations.… more
    Fresenius Medical Center (05/08/25)
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  • Data Analyst III Medical Economics

    Centene Corporation (Tallahassee, FL)
    …preferred. Working knowledge of SQL/querying languages. Preferred knowledge of programmatic coding languages such as Python and R. Knowledge of statistical, ... characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and… more
    Centene Corporation (04/02/25)
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  • HCC Risk Adjustment Coder PRN PPC

    Datavant (Tallahassee, FL)
    …for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized system, ... Review, analyze, and code diagnostic information in a patient's medical record based on client specific guidelines for the...guidelines. + Coders must meet and maintain a 95% coding accuracy rate. + Any other task requested by… more
    Datavant (03/27/25)
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  • Accounts Payable Clerk

    Robert Half Accountemps (Jacksonville, FL)
    …and proper coding . * Reconcile accounts to maintain up-to-date financial records . * Conduct regular check runs to facilitate timely payments. * Input and ... and efficient processing of invoices and payments while maintaining organized financial records . This opportunity is ideal for professionals with a strong background… more
    Robert Half Accountemps (05/06/25)
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  • Oncology Data Specialist Certified PRN

    AdventHealth (Daytona Beach, FL)
    …+ Experience working in a multi-campus healthcare system + Knowledge of various electronic medical records such as CRStar, Cerner, ARIA, OncoEMR This facility is ... to stay abreast of all applicable changes in the cancer industry with regards to coding and compliance. **The value you'll bring to the team:** + Serves as the… more
    AdventHealth (05/08/25)
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  • Inpatient Facility Coder - remote

    Cognizant (Tallahassee, FL)
    …+ Knowledge of federal, state, and payer regulations. + Capable of interpreting medical records reports and chart entries. + Able to work independently ... and regulatory guidelines. + Perform Peer Reviews of Company Health Information Management coding auditors and coders. + Maintain minimum accuracy rate of 98% while… more
    Cognizant (04/03/25)
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  • Ophthalmic Technician

    Pearle Vision (Jacksonville, FL)
    … office administrator, medical billing and collections, appointment scheduler or medical records clerk and direct patient care. ESSENTIAL DUTIES AND ... patients * Answering telephones * Updating and maintaining Electronic Medical Records * Obtaining insurance verification and...claim forms * Patient and insurance billing * Optometric medical billing and coding * Vision insurance… more
    Pearle Vision (04/28/25)
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  • Ophthalmic Technician

    Pearle Vision (Jacksonville, FL)
    … office administrator, medical billing and collections, appointment scheduler or medical records clerk and direct patient care. Opportunity to hone sales ... patients * Answering telephones * Updating and maintaining Electronic Medical Records * Laughing at silly Dad...claim forms * Patient and insurance billing * Optometric medical billing and coding * Vision insurance… more
    Pearle Vision (04/15/25)
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