- Zelis (St. Petersburg, FL)
- …in provider negotiations to reduce outstanding member balances + Collaborate with members' health plans to research claim issues and ensure accurate claim ... match, flexible paid time off, holidays, parental leaves, life and disability insurance , and health benefits including medical, dental, vision, and prescription… more
- Molina Healthcare (Orlando, FL)
- …highly preferred Work hours: Monday- Friday 8:00am - 5:00pm Central time Remote position **Essential Job Duties** * Performs clinical/medical reviews of previously ... likelihood of a formal appeal being submitted. * Reevaluates medical claims and associated records independently by applying advanced clinical knowledge, knowledge… more
- Danaher Corporation (Orlando, FL)
- At Cepheid, we are passionate about improving health care through fast, accurate diagnostic testing. Our mission drives us, every moment of every day, as we develop ... scalable, groundbreaking solutions to solve the world's most complex health challenges. Our associates are involved in every stage of molecular diagnostics, from… more
- Mass Markets (FL)
- …services. Our contact centers are powered by both on-site and remote agents, leveraging advanced technologies to enhance customer journeys, drive scalability ... with generally accepted accounting principles (GAAP) and contribute to the financial health and growth of our organization. To be considered for this role,… more
- Molina Healthcare (Tampa, FL)
- …industry (ie, hospitals, network, ancillary, medical facilities, healthcare vendor, commercial health insurance company, large physician practices, managed care ... Manager, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business...and manage information from large data sources. + Analyze claims and other data sources to identify early signs… more
- Conduent (FL)
- …incentive. In addition, Conduent provides a variety of benefits to employees including health insurance coverage, voluntary dental and vision programs, life and ... culture where individuality is noticed and valued every day. ** Remote Call Center Representative** Our call center associates are...accrued after 180 days (about 6 months) of employment. Health benefits medical, dental, and vision are available on… more
- Prime Therapeutics (Tallahassee, FL)
- …participates in committee review meetings within the Commercial, Medicare, Medicaid, and Health Insurance Marketplace for the assigned department. This position ... with us. **Job Posting Title** Regulatory Analyst Sr - Remote **Job Description** The Senior Regulatory Analyst is responsible...related to, or within Pharmacy Benefit Management (PBM) or health insurance Must be eligible to work… more
- Datavant (Tallahassee, FL)
- …+ Experience in the following fields would be beneficial: Data Entry, Medical Records, Health Care, Insurance Claims Processing and Proof Reading/Editing of ... Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the… more
- Molina Healthcare (Jacksonville, FL)
- …portals to validate state, vendor, and internal COB leads. + Updates the other insurance table on the claims transactional system and COB tracking database. + ... Facilitates administrative support, data entry, and accurate maintenance of other insurance records. **Job Duties** + Provides telephone, administrative and data… more
- Cardinal Health (Doral, FL)
- …the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the scope of ... Hybrid or Remote position Schedule: Monday - Friday, 8:00 AM...from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and… more