Lakeland, FL
12 days ago
Bill Review Complex Analyst, Risk Management
.css-1q0wr4y{margin:var(--spacer-xxs) auto;max-width:var(--width-max);padding:0 calc(var(--grid-gap) / 2);}@media (min-width: 576px){.css-1q0wr4y{-webkit-align-items:flex-start;-webkit-box-align:flex-start;-ms-flex-align:flex-start;align-items:flex-start;display:-webkit-box;display:-webkit-flex;display:-ms-flexbox;display:flex;gap:var(--spacer-l);}}.css-1uk1gs8{margin:0;}.css-1rr4qq7{-webkit-flex:1;-ms-flex:1;flex:1;}.css-h3h32j{letter-spacing:-0.02em;font-size:28px;line-height:40px;color:var(--color-1);margin-bottom:var(--spacer-xs);margin-top:var(--spacer-xxs);}@media(min-width: 993px){.css-h3h32j{font-size:40px;line-height:52px;}}@media (min-width: 576px){.css-h3h32j{width:60%;}}Bill Review Complex Analyst, Risk Management.css-15x201q{font-size:16px;letter-spacing:0.003em;line-height:28px;color:var(--grey-900);}@media(min-width: 576px){.css-15x201q{letter-spacing:0;}}@media(min-width: 993px){.css-15x201q{font-size:18px;line-height:26px;}}

Location: Lakeland, FL
Job ID: 28751BR
Department: Risk Management
Working Hours: Monday - Friday, 8:00 am to 4:30 pm
Pay Frequency: Weekly
Date Posted: May 06, 2024

.css-469dw3{display:-webkit-box;display:-webkit-flex;display:-ms-flexbox;display:flex;gap:var(--spacer-xxs);margin-bottom:var(--spacer-s);}.css-y21zu0{display:inline-block;padding:4px 10px 6px;border-radius:4px;background:var(--grey-300);color:var(--grey-900);font-size:12px;font-weight:400;}$39 - 54kOnsiteFull Time - RegularApply Description

Processing of workers compensation medical claims, including adjudication of claims to meet state laws, data entry of bills, filing of bills, correspondence, and all other duties to make sure that bills are handled and paid in a timely manner.

Required Qualifications Associate’s degree Or equivalent experience 1-year general office with experience with Windows based programs National Certification for CPT Coding Knowledge of CPT and ICD-9 codes Knowledge of multiple state Worker’s Compensation Fee Schedules for the states in which Publix does business in Knowledge of Medical Terminology Basic knowledge of Microsoft word, excel, power point, access and Outlook Must have excellent attendance and punctuality record Professional telephone etiquette Excellent verbal and written communication skills Must have strong organizational skills Ability to handle a large volume of work in a fast paced environment Ability to manage multiple tasks Data entry experience preferred Basic knowledge of office equipment and their operation Good human relation skills (the ability to work well with others and to be a team player) Must show enthusiasm, initiative and pride in work, and Commitment to Publix and our mission Preferred Qualifications BS degree or certificate of completion of a medical terminology or medical billing program 1 year in medical or insurance services, with advanced knowledge of CPT and ICD-9 codes, and knowledge of medical terminology Bilingual in English and Spanish Benefits Employee stock ownership plan that contributes Publix stock to associates each year at no cost An opportunity to purchase additional shares of our privately-held stock 401(k) retirement savings plan Group health, dental and vision plans plan Paid Time Off Paid Parental Leave Short- and long-term disability insurance Tuition reimbursement Free hot lunches (buffet-style) at facilities with a cafeteria Visit our website to see all of our benefits: Benefits – Jobs (publix.com) Year End Bonus

To reward associates for their contributions to the company for the calendar year, Publix provides a Holiday Bonus in November. In the first year of continuous employment the bonus is equal to 15 hours of pay, and in the second year of continuous employment the bonus is equal to one week’s pay if associate remains employed through issue date of the bonus check. In subsequent years, the bonus is equal to two weeks’ pay.

Additional Information

Your application may have additional steps that you will need to complete in order to remain eligible for consideration. Please be sure to monitor your email, including your spam folder, on a daily basis for critical, time-sensitive emails that could require action within 24-48 hours.

Please do not use your Publix email address when applying. Once your application has been successfully submitted you will receive a confirmation email.

.css-1ob4p82{position:relative;width:100%;padding-left:calc(var(--grid-gap) / 2);padding-right:calc(var(--grid-gap) / 2);}.css-1l2fezh{margin-bottom:var(--spacer-xl);padding-left:var(--spacer-xs);padding-right:var(--spacer-xs);color:var(--color-1);text-align:center;font-family:var(--primary-font);font-weight:var(--fw-normal);letter-spacing:-0.02em;font-size:28px;line-height:40px;}@media(min-width: 993px){.css-1l2fezh{font-size:40px;line-height:52px;}}Featured Jobs.css-1ijjwfu{font-family:var(--primary-font);font-weight:var(--fw-normal);display:grid;grid-template-columns:repeat(1, minmax(0, 1fr));gap:var(--grid-gap);padding-left:calc(var(--grid-gap) / 2);padding-right:calc(var(--grid-gap) / 2);width:100%;max-width:1280px;margin-bottom:var(--spacer-s);margin-top:var(--spacer-s);position:relative;z-index:10;}@media(min-width: 576px){.css-1ijjwfu{grid-template-columns:repeat(2, minmax(0, 1fr));}}@media(min-width: 993px){.css-1ijjwfu{grid-template-columns:repeat(4, minmax(0, 1fr));}}[class*='wp-block'] .css-1ijjwfu{padding-left:0;padding-right:0;}.css-18ueffy{-webkit-text-decoration:none;text-decoration:none;display:inline-block;}.css-18ueffy:hover h1,.css-18ueffy:hover h2,.css-18ueffy:hover h3,.css-18ueffy:hover h4,.css-18ueffy:hover h5,.css-18ueffy:hover h6{-webkit-text-decoration:underline;text-decoration:underline;text-underline-offset:4px;}.css-18ueffy:focus{outline:2px solid var(--color-2);outline-offset:6px;}.css-18ueffy:focus h1,.css-18ueffy:focus h2,.css-18ueffy:focus h3,.css-18ueffy:focus h4,.css-18ueffy:focus h5,.css-18ueffy:focus h6{-webkit-text-decoration:underline;text-decoration:underline;text-underline-offset:4px;}.css-1ddbeur{font-size:11px;letter-spacing:0.003em;line-height:16px;color:var(--grey-900);display:block;}@media(min-width: 993px){.css-1ddbeur{font-size:12px;}}Risk Management.css-1biejt2{font-size:16px;letter-spacing:0.003em;line-height:28px;font-weight:900;color:var(--color-1);margin-top:var(--spacer-xxs);margin-bottom:0;}@media(min-width: 576px){.css-1biejt2{letter-spacing:0;}}@media(min-width: 993px){.css-1biejt2{font-size:18px;line-height:26px;}}Bilingual Customer Claims Unit Adjuster, HS6, Risk Management – LAK.css-1o8tcmj{display:-webkit-inline-box;display:-webkit-inline-flex;display:-ms-inline-flexbox;display:inline-flex;-webkit-box-flex-wrap:wrap;-webkit-flex-wrap:wrap;-ms-flex-wrap:wrap;flex-wrap:wrap;gap:10px;margin-top:var(--spacer-xxs);}$48 - 67kOnsiteFull Time .css-6bkp73{font-size:14px;letter-spacing:0.003em;line-height:24px;color:var(--grey-900);margin-top:var(--spacer-xs);margin-bottom:0;}

This position performs the customer event intake function by investigating all reported customer events (approximately 21,000 annually), making initial contact with customers reporting a general liability event, communicating Publix’s liability assessment, settling the appropriate customer events, and securing physical evidence related to customer events. Primary duties include:Contacting injured customers by telephone and/or in writing to…

Risk ManagementBill Review Complex Analyst, Risk Management$39 - 54kOnsiteFull Time

Processing of workers compensation medical claims, including adjudication of claims to meet state laws, data entry of bills, filing of bills, correspondence, and all other duties to make sure that bills are handled and paid in a timely manner.

PharmacyPharmacist – 30-hour PharmacistOnsiteReduced Hr

As a Publix Pharmacy Associate, you’ll see how very satisfying it is to work for a company that is passionately devoted to its customers, to its associates, and to the wellness of the communities it serves. What sets our pharmacy departments apart is a genuine patient-centric environment with clinical services such as immunizations, MTM (medication…

Distribution MaintenanceMaintenance Lead Person, AM, Deerfield Fresh Kitchen$66 - 91kOnsiteFull Time

Responsibilities include:Leading and guiding the productivity of internal and external labor resources in the absence of the Maintenance Manager/Assistant Maintenance Manager or as assignedAssisting managers in the execution of the Safety Plan and facilitating safety related activities Assisting managers in the development of associates Configuring new operations, equipment, or processes in SAP andRepairing and maintaining…

Confirm your E-mail: Send Email