- MyFlorida (Fort Lauderdale, FL)
- …determinations received from claimants and employers or the Office of RA Appeals and the Reemployment Assistance Appeals Commission. Issues written ... is maintained and available to the Office of RA Appeals for lower level appeals hearings. Required...is an OPS Employment Security Representative II- Employment Review Specialist position in the Department of Commerce's Reemployment Assistance… more
- MyFlorida (Orlando, FL)
- …This is an OPS Employment Security Representative II- Employment Review Specialist position in the Department of Commerce's Reemployment Assistance Programs ... from claimants and employers or the Office of RA Appeals and the Reemployment Assistance Appeals Commission....of RA Appeals and the Reemployment Assistance Appeals Commission. Issues written redeterminations relative to the information… more
- BrightStar Care (Naples, FL)
- …We are looking for the an experienced medical Billing and Payroll Specialist . Responsibilities include weekly processing of billing and payroll.. Managing ... Authorizations , appeals and re- submission of claims . Posting cash etc. Must be detail oriented and organized . Ability to work in a fast paced environment and can… more
- TEKsystems (Tampa, FL)
- …and report documentation trends, coding errors, or compliance risks. * Assist with appeals and denials related to coding or medical necessity. * Maintain current ... school diploma or equivalent. * Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent coding credential. * Minimum 2 years of medical… more
- Cardinal Health (Tallahassee, FL)
- …skills and prioritizes getting the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will ... the appropriate system. + Manages and resolves complex insurance claims, including appeals and denials, to ensure timely and accurate reimbursement. + Processes… more
- AdventHealth (Tampa, FL)
- …analyze claim denials to perform the appropriate resolution, rebilling, and/or appeals steps. Assists with developing and implementing strategies and procedures to ... or + Certified Pension Consultant (CPC) Required or + CCS-Certified Coding Specialist Required This facility is an equal opportunity employer and complies with… more
- AdventHealth (Tampa, FL)
- …the mortality/risk adjustment reviews when assigned. . Assists with post-payment DRG appeals . . Maintains 98% accuracy rate. . Assists manager in maintaining goals ... work experience required + 1-2 years of auditing experience preferred + Certified Coding Specialist (CCS) required. Will accept RHIA or RHIT in lieu of CCS This… more
- Evolent (Tallahassee, FL)
- …Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in interventional cardiology to help ensure the ... of best practices. + Provides clinical rationale for standard and expedited appeals . + Discusses determinations (peer to peer phone calls) with requesting physicians… more
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