- Molina Healthcare (Orlando, FL)
- …understanding of contracts reviews to detect any gaps in the correct payment of claims Make recommendations for potential revision and updates * Interprets ... to member enrollment, provider contract, provider demographic information, claim processing guidelines and/or system configuration requirements. Evaluates the accuracy… more
- Molina Healthcare (Orlando, FL)
- …+ Must have knowledge on Medicare payment methods + Experience on Hospital payment methodology & processing is essential + Understanding on hospital claims ... **Required Experience** 5-7 years in SQL, Medicare, Networx, QNXT, claims processing and hospital claims payment method. **Preferred Education** Graduate… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- Position Purpose: The Analyst - Fraud, Waste & Abuse (FWA) provides leadership in in the investigation of potential FWA cases; its main goal is aimed at detection ... on fraud detection and reporting + Document Special Investigations, FWA and Payment Integrity monitoring activities + Collaborate with other departments such as… more
- GovCIO (Tallahassee, FL)
- **Overview** GovCIO is currently hiring for a Senior Business Systems Analyst and Developer to support our customer, USPS and their Logistics Tech Services Group. ... to the USPS business groups within Logistics, Transportation Strategies, Mail Processing , Engineering Systems, and others. This group: + Oversees the strategy,… more
- GovCIO (Tallahassee, FL)
- **Overview** GovCIO is currently hiring for a Applications Database Analyst to support our customer, USPS and their Logistics Tech Services Group. This position is ... to the USPS business groups within Logistics, Transportation Strategies, Mail Processing , Engineering Systems, and others. This group: + Oversees the strategy,… more
- University of Miami (Miami, FL)
- …of Executive Medicine has an exciting opportunity for a full time Business Planning Analyst 2 at Desai Sethi Medical Center in Miami. The incumbent is responsible ... ensure correct appointment type selection, appropriate insurance coverage etc. + Audits payment postings bi-weekly to ensure collections are correct for each site. +… more
- Highmark Health (Tallahassee, FL)
- …and Allegheny Health Network. Responsibilities include award set-up, transaction processing , compliance review, cash management, collections, financial reporting and ... Accounting Receivable, and Cash Management: Develop full understanding of payment terms and payment schedule as outline in the grant, contract and/or clinical… more
- Citigroup (Tampa, FL)
- …maintaining adherence to established guidelines and regional regulations. + Reconciliation, processing , and payment facilitation of voluntary corporate action ... LATAM markets, is responsible for ensuring the accurate, efficient, and compliant processing of asset servicing events within the Latin American region. This… more
- MUFG (Tampa, FL)
- …operations and controls, and ensure timely release of transactions + Ensure accurate processing of transactions and proper booking of exposure and release of ... payment + Ensure the instructions from front/middle offices and...instructions and System of record. + Verification: Review transaction processing and pending Queues in various systems and ensuring… more
- Robert Half Accountemps (Boynton Beach, FL)
- …with and supporting state/local sales and use tax audits, processing and maintaining customer/vendor resale and exemption certificates, performing taxability ... * Review drop-shipping customer orders daily, this includes contacting customers for payment of additional taxes due. * Reconcile monthly sales reports to Avatax… more
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