- CVS Health (Tallahassee, FL)
- …with heart, each and every day. **Position Summary** The Dispute Repricing Analyst will be responsible for the accurate analysis and resolution of provider ... of claim related participation and pricing issues. + Reading and interpreting appeals , standard reference materials, etc. **Required Qualifications** + 2+ years of… more
- Shuvel Digital (Tampa, FL)
- Role: Intel Analyst Location: Tampa, FL Duration: 2+ Years Job Description: Perform all-source and/or open source intelligence analysis to include, but not limited ... Demonstrated ability to write clearly, succinctly, and in a manner that appeals to a wide audience Experience creating methodologies by leveraging existing… more
- Molina Healthcare (FL)
- …+ Experience working with complex, often highly technical teams + Appeals & Grievance, healthcare services, or claims background **Preferred License, Certification, ... Association** Certified Business Analysis Professional (CBAP), Certification from International Institute of Business Analysis preferred To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job… more
- Robert Half Accountemps (Plantation, FL)
- Description We are looking for an experienced Medical Claims Analyst to join our team in Plantation, Florida. This contract position offers an exciting opportunity ... audits to ensure compliance with policies and regulatory standards. * Address appeals and resolve discrepancies in claim submissions. * Coordinate benefit functions… more
- Intermountain Health (Tallahassee, FL)
- **Job Description:** The HIM Coding Audit Training Analyst Coordinator provides advanced training to hospital coding staff, compliance, CDI, physicians, and clinical ... providers, clinical staff, compliance and the CDI team. + Audits and creates appeals for all payer and regulatory denials and downgrades and provides in-depth coding… more
- Capgemini (Pensacola, FL)
- …software systems to create Prescription cases and determine coverage, determination and appeals process + Good written and verbal communication skills + The ability ... to display soft skills while moving the call forward + Meeting or exceeding government mandated timelines + Complying with turnaround time, productivity, and quality standards + Conveying resolution to beneficiary or provider via direct communication and… more