• Medicare Documentation

    Owens & Minor (Tallahassee, FL)
    …**POSITION SUMMARY:** This representative will be required to request Medical documentation and assure received documentation meets insurance payer guidelines. ... including: + Prepayment audits/development letters + Post payment requests for documentation + Overpayment refund requests + Medical necessity documentation more
    Owens & Minor (01/18/25)
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  • Client Audit Specialist , Sr. - Remote

    Prime Therapeutics (Tallahassee, FL)
    …our passion and drives every decision we make. **Job Posting Title** Client Audit Specialist , Sr. - Remote **Job Description** The Client Audit Specialist Sr is ... regulatory, client, and/or functional audit expectations. The Client Audit Specialist Sr provides consultation and strategic advice regarding audit management… more
    Prime Therapeutics (01/01/25)
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  • Internal Sales Specialist

    Baylor Scott & White Health (Tallahassee, FL)
    **JOB SUMMARY** The Internal Sales Specialist obtains new enrollments and facilitates community outreach in the assigned service area. **ESSENTIAL FUNCTIONS OF THE ... ROLE** Coordinates and conducts sales activities for Individual and Medicare Advantage plans to enroll prospective members into the health plan to increase… more
    Baylor Scott & White Health (01/09/25)
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  • Client Audit Specialist , Sr. - Remote

    Prime Therapeutics (Tallahassee, FL)
    …our passion and drives every decision we make. **Job Posting Title** Client Audit Specialist , Sr. - Remote **Job Description** As a member of the Client Audit ... Management (CAM) team, the Client Audit Specialist , Sr is accountable for managing regulatory and/or client-initiated audits. This role maintains a thorough… more
    Prime Therapeutics (01/07/25)
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  • Senior Payment Integrity Analyst

    HealthEdge Software Inc (Tallahassee, FL)
    **Overview** **Position Overview:** We are seeking a Senior Payment Integrity Specialist to play a key role in building and implementing proprietary healthcare edits ... payment integrity, and enterprise level. Our Reimbursement Transformation features Medicare and Medicaid content coupled with flexible contract configuration… more
    HealthEdge Software Inc (01/15/25)
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