- Zelis (St. Petersburg, FL)
- …and identification of revenue opportunities + Experience and working knowledge of Health Insurance , Medicare guidelines and various healthcare programs + Strong ... more than 750 payers, including the top five national health plans, regional health plans, TPAs and...Position Overview The Manager, DRG Validation of the Expert Claims Review (ECR) department is responsible for daily operations… more
- Centene Corporation (Tampa, FL)
- …per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance , 401K and stock purchase plans, tuition reimbursement, paid ... some instances, researches and identifies basic and more complex claims payment errors and make appropriate adjustments to ...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
- Veterans Affairs, Veterans Health Administration (Fort Lauderdale, FL)
- …vesting) and federal 401K with up to 5% in contributions by VA Insurance : Federal health /vision/dental/term life/long-term care (many federal insurance ... is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). Participation in the Coronavirus Disease...claimed by the applicant. [If the applicant does not claim an ECFMG certificate, facility officials must still confirm… more
- Veterans Affairs, Veterans Health Administration (Daytona Beach, FL)
- …vesting) and federal 401K with up to 5% in contributions by VA Insurance : Federal health /vision/dental/term life/long-term care (many federal insurance ... is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). Participation in the Coronavirus Disease...claimed by the applicant. [If the applicant does not claim an ECFMG certificate, facility officials must still confirm… more
- Veterans Affairs, Veterans Health Administration (Gainesville, FL)
- …vesting) and federal 401K with up to 5% in contributions by VA Insurance : Federal health /vision/dental/term life/long-term care (many federal insurance ... dysfunction, and pain resulting from injury, disease, disability, or other health -related conditions. Interpretation of tests and measurements to assess normal… more
- Veterans Affairs, Veterans Health Administration (Miami, FL)
- …vesting) and federal 401K with up to 5% in contributions by VA Insurance : Federal health /vision/dental/term life/long-term care (many federal insurance ... Summary The Miami VA Health System is recruiting a Gastroenterologist with interests...equipment are in place. Our GI service provides some remote care through telehealth and video visits. The physician… more
- Veterans Affairs, Veterans Health Administration (Gainesville, FL)
- …vesting) and federal 401K with up to 5% in contributions by VA Insurance : Federal health /vision/dental/term life/long-term care (many federal insurance ... patients on preventive measures and how to maintain eye health post- surgery. Maintain accurate and thorough medical records,...claimed by the applicant. [If the applicant does not claim an ECFMG certificate, facility officials must still confirm… more
- Humana (Tallahassee, FL)
- …PowerPoint, and Lucid. **Preferred Qualifications** + Minimum 1 year of experience medical claims payment and processing in a medical claim 's environment + ... part of our caring community and help us put health first** The Senior Process Improvement Professional, DSNP Encounters...forward to next round. Travel: While this is a remote position, occasional travel to Humana's offices for training… more
- Cognizant (Tallahassee, FL)
- …training, continuous improvement, system automation. + System health monitoring of: Claim adjudication jobs, ASP alerts, CPU alerts, Claims queue monitoring, ... role will also involve monitoring the IBM i RxClaim health , Sterling Integrator file delivery, Robot batch jobs on...flexible shift environment (24 x 7) This is a remote opportunity within the US. Candidate must be currently… more
- Humana (Tallahassee, FL)
- …deep dive research and analysis skills** **Prior experience in a fast-paced insurance or health care setting** **Demonstrated experience working with Medicare ... **Become a part of our caring community and help us put health first** The Senior Encounter Data Management Professional develops business processes to ensure… more