- Highmark Health (Tallahassee, FL)
- …complete the retrospective claim review with the goal of proper and timely payment to provider and member satisfaction. The incumbent is responsible for the ... implementation of effective Payment Integrity strategies on a pre- payment and retrospective claims review basis. Review process includes a review of medical… more
- Oracle (Tallahassee, FL)
- **Job Description** We are seeking an experienced professional to support Oracle's global payment ecosystem by serving as the primary point of contact for payment ... **Responsibilities** **Role Description** Serve as the primary point of contact for payment partners across the Hospitality, Food & Beverage, and Retail sectors.… more
- Insight Global (Jacksonville, FL)
- Job Description The Payment Reconciliation Specialist is responsible for deposit and remittance capture, payment posting and reconciliation processes. The ... labor -Communicate system setup changes to improve billing and payment posting -Manage remittance capture, payment posting,...billing and payment posting -Manage remittance capture, payment posting, and deposit balancing -Act as point of… more
- JPMorgan Chase (Tampa, FL)
- …professional growth. Become a pivotal leader at the forefront of revolutionizing payment operations, where your expertise will help drive efficiency across our ... financial systems. As a Payment Lifecycle Associate II within Payments Operations, you will...you will play a pivotal role in enhancing our payment operations framework by streamlining processes, implementing new technologies,… more
- Molina Healthcare (St. Petersburg, FL)
- …to Molina's culture, Mission and Values. **KNOWLEDGE, SKILLS & ABILITIES** ** Payment Integrity Analytics** + Assist in analyzing large datasets to identify ... analysts to conduct exploratory and diagnostic data analysis that supports payment integrity projects. + Utilize statistical analysis, machine learning techniques… more
- Intermountain Health (Tallahassee, FL)
- …college preferred + General knowledge of provider contracts, fee schedules and payment methodologies + Knowledge of health plan benefit interpretation and set up ... + Knowledge of current compliance legislation + Strong interpersonal skills required + Demonstrated proficiency in MS Excel and Word required + Strong problem-solving skills required Preferred Qualifications + Responsible for quality and continuous improvement… 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 ... senior technical team members and other developers to conceptualize, design, and deliver innovative technology solutions. You will interact with various technology, product and business teams across MUFG. **Responsibilities** + Design, develop, test, and… more
- Humana (Tallahassee, FL)
- …The Medical Director provides medical interpretation and determinations whether services provided by other healthcare professionals are in agreement with national ... **Become 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 determinations whether requested services, requested level of care, and/or requested site of… more
- EMCOR Group (Dania Beach, FL)
- …drive results. They are responsible for ensuring timely receipt of payment , managing disputes through collaboration with internal teams, and proactively monitoring ... collection calls, ensuring each call results in a clear action item ( payment commitment, resolution of discrepancy, etc.) + Contact customers using the most… more
- MyFlorida (Tallahassee, FL)
- …functions of the division. ESSENTIAL DUTIES: + Administer the validation and payment of Lottery prizes in compliance with rules, policies, and procedures. Primarily ... mail-in tickets, to include the opening, intake, assignment for validation/ payment , mailing of prize payment checks and...intake, assignment for validation/ payment , mailing of prize payment checks and processing bulk mail. + Oversee the… more