Epic Denials Manager DeloitteEpic Denials ManagerTampa, FLRemote$140,000–$160,000 / yearAs an Epic Denials Manager, you will help deliver back-end revenue cycle management (RCM) services, including denials and claims submission, denials management, payment posting, and credits and refunds, A/R follow-up for health care provider client. Our purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities.
Full-Time Tampa Accounts Receivables (AR) - Healthcare Prosper InfusionFull-Time Tampa Accounts Receivables (AR) - HealthcareTampa, FLThe role requires collaboration with pharmacy teams, healthcare providers, and insurance companies to streamline the revenue cycle and minimize denials. This includes verifying insurance coverage, submitting claims, resolving billing discrepancies, and ensuring timely reimbursement from payers.
NewIntern BerkleyInternSaint Petersburg, FloridaResponsibilities: The Intern will train with key team members in underwriting, operations and claims to learn and participate in the Berkley Edge underwriting and claims process as a resume builder and stepping stone to a future career in the insurance industry. • Train with key team members in underwriting, operations and claims to learn and participate in the Berkley Edge underwriting and claims process.
Procurement Buyer RefrescoProcurement BuyerTampa, FLFull timeThis person will work with internal teams and suppliers to help analyze the data for synthesis, identify cost improvement initiatives that could add value, and drive a reduction in complexity across the categories. Reporting: Generating monthly, quarterly, and annual supply cost reports, including but not limited to departmental scorecards, spend analyses, SKU rationalization opportunities, spend reduction tracking, etc.
Procurement Category Manager RefrescoProcurement Category ManagerTampa, FL$20–$40 / hourFull timep>The Procurement Category Manager is responsible for the strategic sourcing, contract management, supplier performance management, financial budgeting, and project management for their assigned material category estimated to be $20-$40M in spend. Joining our team as a people manager means you’ll be encouraged to evolve as a leader who prioritizes the success of both you and your team, to deliver results, whilst bringing your authentic self to work.
Disability Advocacy Case Manager 2 Pinellas County, FLDisability Advocacy Case Manager 2Saint Petersburg, FLEmployees in this class exercise considerable independent judgment in facilitating eligibility for disability benefits; conducting comprehensive client assessments and medical-record reviews; developing and implementing individualized service plans; providing case management, resource coordination, and field-based support; and collaborating with community partners to assist eligible residents with filing Social Security disability claims. 6 years' experience as described above, OR; Associate's degree and 4 years' experience as described above, OR; Bachelor's degree and 2 years' experience as described above, OR; Master's or higher-level degree that includes some social casework experience or a related human service field, OR; An equivalent combination of education, training, and/or experience.
NewProperty Manager Avenue5 Residential, LLCProperty ManagerSt. Petersburg, FL$90,000–$95,000Full timeRespond to resident complaints and issues and serve as liaison to residents and the corporate office regarding the administration of common area maintenance and the enforcement of landlord rules and regulations. Create a climate in which associates want to do their best by leading and communicating a shared vision with associates and providing coaching and development.
Inpatient DRG Reviewer Zelis Healthcare, Inc.Inpatient DRG ReviewerSt. Petersburg, FL$79,000–$99,750 / yearWhere the regrouped 'new DRG' differs from what was originally claimed by the provider, write a customer facing 'rationale' or 'findings' statement, highlighting the problems found and justifying the revised choices of new codes and DRG, based on the clinical evidence obtained during the review. This is a place for builders with a growth mindset who act with agility, embrace change, and use modern technology to shape smarter solutions, exceptional experiences, and the future of our industry for our clients, customers, and our culture.
Government Revenue Cycle Accounts Receivable TridentUSA Health ServicesGovernment Revenue Cycle Accounts ReceivableClearwater, FL$19–$21 / hourManage claim assignments, via work queues and/or work lists and ensure proper follow up is performed on the accounts for cash resolution. Keep supervisor advised of any compliance, system(s), and/or payer trend issues which may lead to untimely or inaccurate completion of claim submission/resolution.
RCMS Configuration Associate Qualifacts Systems IncRCMS Configuration AssociateTampa, FLRemoteThe Configuration Associate will work under the guidance of experienced team members to gather requirements, assist with system configuration, document customer needs, support implementation readiness, and help customers adopt billing and RCMS processes successfully. We are seeking an entry-level RCMS Configuration Associate to support new customer onboarding, revenue cycle implementation activities, billing configuration tasks, and EDI clearinghouse setup across healthcare technology solutions.
RCMS Configuration Associate QualifactsRCMS Configuration AssociateTampa, FloridaRemoteThe Configuration Associate will work under the guidance of experienced team members to gather requirements, assist with system configuration, document customer needs, support implementation readiness, and help customers adopt billing and RCMS processes successfully. We are seeking an entry-level RCMS Configuration Associateto support new customer onboarding, revenue cycle implementation activities, billing configuration tasks, and EDI clearinghouse setup across healthcare technology solutions.
Health Insurance Call Center Representative (Medicare) Integrity Marketing GroupHealth Insurance Call Center Representative (Medicare)Clearwater, FLMaintain external contacts with policyholders, providers of service, agents, attorneys and other carriers as well as internal contacts with peers, management, and other support areas with a positive and professional approach. With strong industry knowledge, we deliver value to our customers by providing compassionate customer service, efficient processing, and quality results.
Commercial Lines Executive Account Manager Brown Insurance ServicesCommercial Lines Executive Account ManagerSeminole, FL$60,000–$75,000 / yearProficient computer skills, including experience with agency management systems and Microsoft Office Suite, Epic (Applied Systems) preferred. These strategies allow us to operate in the client’s best interests, rather than being confined to limited options through a big-box agency.
Lexus of Clearwater - Experienced Warranty Administrator AutoNationLexus of Clearwater - Experienced Warranty AdministratorClearwater, FloridaWith a network of dealerships nationwide strengthened by a recognized brand, we offer a wide variety of new and used vehicles, customer financing, parts, and provide expert maintenance and repair services. AutoNation is one of the largest automotive retailers in the United States, offering innovative products, exceptional services, and comprehensive solutions, empowering our customers to make the best decisions for their needs.
NewACCOUNTANT III-HEALTH INSURANCE BILLING - 50000714 Government of FloridaACCOUNTANT III-HEALTH INSURANCE BILLING - 50000714LARGO, FLCandidates claiming Veterans' Preference must attach supporting documentation with each submission that includes character of service (for example, DD Form 214 Member Copy #4) along with any other documentation as required by Rule 55A-7, Florida Administrative Code. POSITION DESCRIPTION: Under the general supervision of the Billing Department Supervisor, incumbent performs duties involving applications of accounting skills, billing activities and coordination of other fiscal related matters.
Senior Trial Attorney Frank Winston Crum Insurance, Inc.Senior Trial AttorneyClearwater, FLIn this role, you will contribute to the mission of FrankCrum by supporting the Managing Trial Attorney in the defense of Frank Winston Crum Insurance Company and Clear Blue Insurance Company's insureds ("Insureds") in litigated matters involving in property, bodily injury, and construction defect claims throughout the State of Florida. FrankCrum, a family-owned business-to-business entity since 1981 made of several companies: FrankCrum Corporate (a professional employer organization), FrankCrum Staffing, Frank Winston Crum Insurance Company, and the FrankCrum Insurance Agency - all based in Clearwater, Florida.
Sr. Paralegal Frank Winston Crum Insurance, Inc.Sr. ParalegalClearwater, FLFrankCrum, a family-owned business-to-business entity since 1981 made of several companies: FrankCrum Corporate (a professional employer organization), FrankCrum Staffing, Frank Winston Crum Insurance Company, and the FrankCrum Insurance Agency - all based in Clearwater, Florida. In this role, youll contribute to the mission of FrankCrum by providing paralegal support duties to staff counsel in the defense of Frank Winston Crum Insurance Company and Clear Blue Insurance Company's insureds in litigated matters involving in property, bodily injury, and construction defect claims throughout the State of Florida.
ACCOUNTANT I - 64058864 Government of FloridaACCOUNTANT I - 64058864HUDSON, FL$34,760–$43,833.66 / yearThe State's total compensation package for employees features a highly competitive set of employee benefits including: Annual and Sick Leave benefits; Nine paid holidays and one Personal Holiday each year; State Group Insurance coverage options, including health, life, dental, vision, and other supplemental insurance options; Your take home pay can be significantly influenced by your insurance premiums. Candidates claiming Veterans' Preference must attach supporting documentation with each submission that includes character of service (for example, DD Form 214 Member Copy #4) along with any other documentation as required by Rule 55A-7, Florida Administrative Code.
Sales Account Manager - Nutraceutical Ingredients Univar Solutions Inc.Sales Account Manager - Nutraceutical IngredientsTampa, FLThe Account Manager works in close partnership with the Global Nutra Core team (technical PhDs, quality and regulatory, and technical marketing) to convert customer trials into commercial revenue, and is accountable for delivered gross profit, margin, win rate, and account and SKU expansion within the territory. The role sells a science-led, clinically backed portfolios: spanning probiotics, actives, amino acids, creatine, botanicals, vitamins, lipids, and cellular health ingredients into nutraceutical manufacturers, brand owners, contract manufacturers, and private-label producers.
Financial Operations Recovery Specialist III Elevance HealthFinancial Operations Recovery Specialist IIITampa, FL$23.75–$39.37 / hourThe Financial Operations Recovery Specialist III will be responsible for the discovery, validation, recovery, and adjustments of claims overpayments and may support activities related to cash receipts, cash application, claim audits, collections, overpayment vendor validation, and claim adjustments. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.