- Humana (Tallahassee, FL)
- …cycle management (related to billing, coding, collections for Medicare and Medicaid claims ) + Experience with Auditing and monitoring of healthcare records + Must ... sets + Knowledge of healthcare compliance, mainly primary care and risk adjustment, pharmacy knowledge a plus + Certified Coder (CPC, CRC, and/or CMC) + Experience… more
- CVS Health (Tallahassee, FL)
- …day. **Position Summary** This candidate must reside in Illinois or Florida. As a Regional Pharmacy Onsite Auditor , you will be an essential part to the ... manner - Knowledge of CVS Health (or other PBM) claims processing - Knowledge of retail pharmacy ...PBM) claims processing - Knowledge of retail pharmacy operations including reading prescriptions and drug knowledge -… more