- Elevance Health (Tampa, FL)
- **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 days ... an accommodation is granted as required by law._ **Carelon Payment Integrity** is a proud member of the Elevance...+ Examines claims for compliance with relevant billing and processing guidelines and to identify opportunities for fraud and… more
- Highmark Health (Tallahassee, FL)
- …Fraud Investigator (AHFI) **SKILLS** + Must have knowledge of provider facility payment methodology, claims processing systems and coding and billing proficiency ... + Must have understanding of technical and financial aspects of the health insurance industry + Strong personal computer skills, along with the ability to use fraud/abuse data mining tools are required + Must possess excellent communication skills and be… more
- Wounded Warrior Project (Jacksonville, FL)
- …program collaboration. + Provide support for emergency financial assistance triage, payment logistics and processing , and appropriate escalations. + Provide ... back-up support to Financial Readiness Specialists during high-demand periods or as directed by management, ensuring prompt assistance for emergency financial requests. + Track and manage cases appropriately utilizing internal client management system… more
- CVS Health (Tallahassee, FL)
- …Center of Excellence (COE) team provides oversight for monthly capitation payment submission and processing , ensuring leadership receives information needed ... for monthly general ledger locks. Individual will need to collaborate with network, accounting, finance, products/benefit area and other internal business areas. Must be able to isolate and troubleshoot issues post capitation run and share findings across… more
- Navy Federal Credit Union (Pensacola, FL)
- Overview To oversee the review, verification, processing , and posting of remittances received through mail, mobile, ATM, and other channels constituting the majority ... all remittances received. Ensure the reliability of the remittance image and processing equipment, systems, applications, and dedicated LAN. Test new or enhanced… more
- Healthfirst (FL)
- …eligibility and enrollment. + Manage premium billing cycles, invoice generation, and payment reconciliation. + Ensure timely processing of payments and address ... Responsibilities:** + Oversee the enrollment process, ensuring timely and accurate processing of new and modified enrollments, renewals, and terminations. +… more
- Truist (Orlando, FL)
- …supervision of the Operations Manager, responsible for handling electronic payment exceptions, escalations, and reconciliations related to Wire within established ... AND RESPONSIBILITIES 1. Independently analyze, research, and process complex electronic payment exceptions and requests in accordance to applicable operating rules… more
- JPMorgan Chase (Tampa, FL)
- …Enhance your skills in billing processes, project management and more. As a Payment Lifecycle Specialist IV within our Treasury Services (TS) Billing Operations, you ... banking, consumer and small business banking, commercial banking, financial transaction processing and asset management. We offer a competitive total rewards package… more
- Citigroup (Tampa, FL)
- …effective and timely manner within established guidelines + Responsible for the reconciliation, processing and payment of corporate action and income events + ... to own team. **Responsibilities:** + This role will manage reconciling and processing positions related to Corporate Action and income events covering Latin America… more
- DriveTime (Clearwater, FL)
- …labor and parts coding for repair orders + Oversee tire orders, including processing and payment reconciliation + Collaborate daily with national vendors such ... plays a key role in managing vendor relationships, vendor coordination, processing invoices, and ensuring repair quality. This position supports smooth operations… more