- Humana (Tallahassee, FL)
- …skills to make an impact** **Required Qualifications** + Minimum 1 year of experience in medical claims payment and processing + Minimum 1 year of experience ... cross functional teams and support analyzing business processes, error processing , issues and ticket creations with the product management...analyzing and researching medical claims + Proficient in Microsoft Office… more
- Travelers Insurance Company (Tampa, FL)
- …and issues claim payments including outside vendor invoices, attorney expenses, and medical processing fees. Processes and documents returned checks, voided ... This role is hybrid (3 days in office/2 days remote ). **What Will You Do?** + CUSTOMER ENGAGEMENT: Serves...statements. Prints and prepares claim documents for legal and medical reviews. Reports and assigns claims , and… more
- Humana (Tallahassee, FL)
- …team is seeking an Encounter Data Management Professional that has experience with business processing and data entry to join working remote anywhere in the US. ... problems within the encounter process between Humana and CMS using data analysis, claims research, and other resources to provide insight and ensure data integrity… more
- Humana (Tallahassee, FL)
- …**Use your skills to make an impact** **Required Qualifications** **5+ years of medical claims processing /auditing or encounter data management experience** ... team leadership experience** **Demonstrated experience in managing projects effectively** ** Medical claims experience** **Additional Information** **_This position… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …innovative products, with a focus on pharmaceutical products to meet unmet medical needs and nutraceutical products for the maintenance of everyday health. This ... expected 20% of the time based on business needs. Remote options may be considered within the US. As...with states and local laws. **Company benefits** : Comprehensive medical , dental, vision, prescription drug coverage, company provided basic… more
- Mass Markets (FL)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... to complete account management tasks + Accurately document and process customer claims in appropriate systems + Follow all required scripts, policies, and procedures… more
- Mass Markets (FL)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... and retention. + Respond to customer inquiries regarding coverage, benefits, claims , and other insurance-related questions. + Maintain accurate and up-to-date… more
- Actalent (Orlando, FL)
- …Pharmacy Technician (CPhT). + Experience in pharmacy operations, appeals, managed care, claims processing , and handling denials. + Strong data entry and ... systems and applications. + Ability to work independently in a remote environment. Additional Skills & Qualifications + National Pharmacy Technician Certification… more
- Mass Markets (FL)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... Do you know what it means to "Pair a Remote "? + Trouble shoot data, video, and voice (VoIP...cars! + Health Benefits:Full-time employees are eligible for comprehensive medical , dental, and vision coverage after 60 days of… more
- Humana (Tallahassee, FL)
- …of experience researching MS-DRG, APR-DRG and/or EAPG grouper logic + Experience processing or reviewing facility claims + Prior professional experience ... closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid… more