- Ascension Health (Jacksonville, FL)
- **Details** + **Department:** Claims Processing + **Schedule:** Full Time, Days + **Facility:** Ascension Medical Group + **Location:** Jacksonville, FL **Benefits** ... party payers in an out-patient or medical office environment. + Prepare insurance claims for submission to third party payers and/or responsible parties. + Review … more
- Deloitte (Jacksonville, FL)
- …who wants to work in a collaborative environment? As an experienced Epic Resolute PB Claims Analyst you will have the ability to share new ideas and collaborate on ... onsite client service delivery. Work you'll do/Responsibilities As a Project Delivery Senior Analyst (PDSA) at Deloitte, you will work within an engagement team… more
- Humana (Tallahassee, FL)
- …a part of our caring community and help us put health first** The Senior Payment Integrity Professional uses technology and data mining, detects anomalies in ... data to identify and collect overpayment of claims . Contributes to the investigations of fraud waste and...investigations of fraud waste and our financial recovery. The Senior Payment Integrity Professional work assignments involve… more
- Humana (Tallahassee, FL)
- …data and Medicaid program requirements to drive accurate and timely submissions. The Senior Data and Reporting Professional integrates data from multiple sources ... pivot tables and summarizing data into reports and dashboards + Experience working with claims data + Experience working with big and complex data sets within large… more
- Travelers Insurance Company (Orlando, FL)
- …beacon of hope that guides our customers back to stability. At Travelers, our Claims Organization isn't just a department; it's the beating heart of our promise to ... As a Sr Technical Specialist, you are responsible for handling complex, high-exposure claims . In this technical role, you will leverage your background in claims… more
- Towne Park (Miami Beach, FL)
- …change and may be subject to a specific plan or program terms. **SUMMARY** The Senior Account Manager directly oversees one Tier 3 or 4 assigned account and the ... guest satisfaction, and client satisfaction and business development objectives. The Senior Account Manager reports to the Area or District Manager responsible… more
- ICW Group (Orlando, FL)
- …and further education as required. _California Only:_ California Workers' Compensation Claims Administration (WCCA) and Workers' Compensation Claim Professional ... + Communicates with insureds to obtain information necessary for processing claims . + Contacts and/or interviews injured workers, doctors, medical specialists,… more
- AdventHealth (Maitland, FL)
- … claims processing, contract management, or medical economics Proficiency in understanding professional and facility claims and managed care concepts such as ... (Monday, Wednesday, Thursday) on-site **The role you will contribute:** A Senior Medical Economics analyst is responsible for analyzing and evaluating financial… more
- EFI Global (Miami, FL)
- …to customers that caring counts(R). Each of our more than 700 professional engineers, fire investigators, architects and scientists was selected for their technical ... proficiency, in-depth industry knowledge and commitment to professional integrity. Together, our diverse backgrounds and collective insights empower clients to make… more
- CVS Health (Tallahassee, FL)
- …we do it all with heart, each and every day. **Position Summary** The Senior Analyst, Investigations at Aetna International plays a pivotal role in safeguarding the ... that may compromise the integrity of the organization's operations and claims processes. **Core Responsibilities** + **Investigative Leadership** : Conducts thorough… more