- CVS Health (Tallahassee, FL)
- …of team by providing strategic leadership and overseeing the operations of the claims processing team(s). Directs workflow to ensure the efficient and accurate ... and fostering collaboration with internal and external stakeholders to optimize claim processing , minimize errors, and enhance overall operational effectiveness… more
- AssistRx (Orlando, FL)
- …organization to implement and support all operational and financial processes related to claim processing activities. In addition, manager will ensure ... The Copay Support Program Manager is a critical role within the organization...external business review meetings. Responsible for forecasts and analyzing claims data to determine Copay utilization, establish escrow account… more
- CGI Technologies and Solutions, Inc. (Tampa, FL)
- …housing contracts, determining their annual rent adjustments, reconciling monthly payment requests, processing claims for unpaid rent and damages and extended ... the direction of the Asset Manager /Central Services Manager (CSM), the Business Processing Specialist will...billing, etc. 3. Customer service 4. Public speaking 5. Claims processing CGI is required by law… more
- MyFlorida (Tallahassee, FL)
- …victim services; disability examiner; claims adjuster; insurance adjuster; or case manager processing eligibility and benefit payments. + A bachelor's degree ... incumbent in this position serves the primary role of processing claim and payment determinations in the...clerical or administrative experience in the areas of: accounting; claims processing ; claims or benefits… more
- CHS (Clearwater, FL)
- **Overview** ** Claims Manager ** **Servicing** **Health Insurance Policies or Benefits** **Summary:** Premier Administrative Solutions (PAS) is a Third-Party ... client's stated coverage. Join Premier Administrative Solutions as a Claims Manager and lead our Claims...to payment. * Oversight for the ongoing management of claims processing technology, including plan building and… more
- Siemens Energy (Orlando, FL)
- …as the main point of contact between Siemens Energy and our customers for processing warranty claims related to transformers within the Grid Technologies Sales ... role, you will also tackle the responsibilities of a process quality manager , ensuring that project management milestones are met effectively! Key responsibilities… more
- Elevance Health (Tampa, FL)
- …The **Clinical Document Improvement Director** is responsible for leading encounter processing , diagnostic documentation and claims integrity across CareBridge. ... / revenue cycle management (RCM) organizations, with specific understanding in end-to-end claims / encounter processing , as well as ensuring compliance with… more
- CHS (Clearwater, FL)
- …guidelines, and reporting requirements; Federal and state regulations; and timeliness of claims processing . + Utilize Excel, prepares tracking and trending ... up-to-date working knowledge on regulatory requirements associated with billing and claims processing , as well as HIPAA guidelines/established Encryption… more
- Sysco (Plant City, FL)
- …workflow process, communicating the decisions of the investigations and supporting the Claims Manager . **Duties & Responsibilities:** + Maintain accurate and ... Primarily responsible for recording and following up on the timely processing of customer claims . This includes reviewing submitted claims for completion and… more
- Molina Healthcare (FL)
- …experience in healthcare claims review and/or Provider appeals and grievance processing /resolution, including 2 years in a manager role. * Experience ... Medicare standards and requirements related to non-contracted provider dispute/appeals processing . * Establishes member and non-contracted provider grievance/dispute and… more