- Molina Healthcare (Orlando, FL)
- …functionality through project inclusion and documentation review to understand proper claims processing for the applicable solution. Validates data received ... support issues related to EDI transaction editing and custom claims processes to determine root cause of issue. Gains...claims to identify billing issues that will impact claims processing and payment. Monitor new solutions implemented to… more
- Molina Healthcare (Orlando, FL)
- …Maintains critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business ... rules as they apply to each database. Validate data to be housed on provider databases and ensure...and best practices while suggesting improvement processes to ensure systems are working more efficiently and improve quality. +… more
- AdventHealth (Maitland, FL)
- …sources using knowledge of healthcare managed care contracts and healthcare administrative claims data + Employs existing complex models and implements them ... to the team:** + Research and analyzes managed care data from the various financial systems and...provider types + Applies detailed understanding of medical coding systems affecting the adjudication of claims to… more
- Molina Healthcare (Orlando, FL)
- … claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of ... business rules as they apply to each database. Validate data to be housed on databases and ensure adherence...information into the claim payment system and other applicable systems . + Participates in defect resolution for assigned component… more
- Molina Healthcare (Orlando, FL)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data , pharmacy data , and lab data regarding network ... + Healthcare Analyst I or Financial/Accounting Analyst I experience desired + Multiple data systems and models + BI tools To all current Molina employees: If you… more
- Walgreens (Orlando, FL)
- …with Company policies and procedures. + Responsible for operating pharmacy systems to obtain patient and drug information and process prescriptions. Assists ... and coaches pharmacy technicians in the operation of pharmacy systems and cashiers in the operation of the pharmacy...those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a… more
- AdventHealth (Maitland, FL)
- …care issues by collecting and interpreting contract performance information (eg claims volumes, quality and efficiency reports, participation gap analysis, accounts ... receivable data , etc.) to preserve the integrity of those contracts....AdventHealth departmental leaders and making recommendations as needed. + SYSTEMS (5%) Accepts responsibility for the overall contracting process… more
- Siemens Energy (Orlando, FL)
- …to notices surrounding sale and use tax issues. + RunVertex reports and analyze the data to ensure the accuracy of data priorto sending to the third-party ... information for indirect tax audits in addition to assistwith processing refund claims . **What You Bring** + BachelorsDegree or equivalent experience in Accounting… more
- AdventHealth (Maitland, FL)
- …various sources using knowledge of healthcare managed care contracts and healthcare administrative claims data + Works alongside Senior Medical Economics ... **A Medical Economics Analyst is responsible for supporting the Senior Medical Economics Analyst by applying technical, analytical, and...team:** + Assisting in Research and analyzes managed care data from the various financial systems and… more
- Celestica (Orlando, FL)
- …growth plans. + Supports quarterly business reviews with customers, and with senior management at key/strategic suppliers. + Interfaces with cross functional teams ... flexibility and future process changes / improvements. + Supports customer claims related material, including excess & obsolete inventory, premiums and material… more