- AssistRx (Orlando, FL)
- The Copay Support/ Claims Processing Specialist is a critical role within the organization and is responsible for servicing inbound calls, EOB faxes, and mail ... Sites of Care and Health Care Providers. The Copay Support/ Claims Processing Specialist will adjudication,...care or health care providers that meet the program business rules for determination of approval, denial, or pending… more
- Publix (Lakeland, FL)
- **33789BR** **Position Title:** PROFIT Plan Claims Processing Specialist , Retirement - Lakeland **Department:** Benefits Administration **Location:** ... + Being a Subject Matter Expert (SME) for the Retirement business area, + Processing beneficiary claims for PROFIT Plan distributions, + Providing… more
- LogixHealth (Dania, FL)
- Location: On-Site in Dania, FL This Role: As a Claims Specialist , you will work with internal teams to provide cutting-edge solutions that will directly improve ... management services, offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting dashboards for… more
- Modernizing Medicine (Tampa, FL)
- …for all inbound and outbound patient calls regarding patient balance inquiries, claims processing , insurance updates, and payment collections + Initiate outbound ... positive impact on healthcare. Join Us! + South Florida Business Journal, Best Places to Work 2024 + Inc....Germany. ModMed (https://www.modmed.com/company/) is hiring a driven Patient Claim Specialist who will play a pivotal role in shaping… more
- Nestle (Palm Beach Gardens, FL)
- …and nutrition for patients and consumers. **POSITION OVERVIEW:** The Customer Solutions and Claims Specialist serves as the primary point of contact for the ... sales force throughout the customer order management process. The Specialist role manages high order volume on all NHS...for our customers, sales force and internal cross functional business partners. The incumbent is expected to be an… more
- Truist (Orlando, FL)
- …guidelines. 2. Independently analyze, research, and support electronic payment cases/ claims /inquiries escalated by internal departments and client service centers to ... resolution. Claims /inquiries related to Regulation E are met in accordance...provide internal departments with appropriate payment channel/solution to meet client/ business needs while mitigating associated risk. 7. Maintain extensive… more
- Molina Healthcare (FL)
- …communicate written and verbal + Knowledge of verifying documentation related to updates/changes within claims processing system . + Experience using claims ... to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system...coding, abuse and fraudulent billing practices, waste, overpayments, and processing errors of claims . ( _Use for… more
- BrightSpring Health Services (Gainesville, FL)
- …relations with staff and management + Inform operations of worker's compensation claims process. Assist as needed with claim processing . Keep supervisors ... working out of either our Gainesville office OR Jacksonville office The HR Specialist is responsible for providing support to operations for various human resources… more
- Molina Healthcare (Orlando, FL)
- …Provider Network Operations, Hospital or Physician Billing, or similar. + Claims processing background including coordination of benefits, subrogation, and/or ... **JOB DESCRIPTION** **This role will have standard EST business hours.** **Job Summary** Provider Network Administration is...claims and provider databases. Staff ensure adherence to business and system requirements of internal customers as it… more
- Molina Healthcare (Jacksonville, FL)
- …concisely, accurately and in accordance with regulatory requirements. * Researches claims processing guidelines, provider contracts, fee schedules and systems ... or equivalent combination of relevant education and experience. * Health claims processing experience, including coordination of benefits (COB), subrogation… more