- AdventHealth (Maitland, FL)
- …Produces written correspondence to payers and patients regarding status of claim , requesting additional information, etc. Participate in insurance claim ... on volumes, dollars, and related systemic issues. Reviews daily assigned electronic claims and submission reports. Maintains a strong working relationship with HIM,… more
- AdventHealth (Tampa, FL)
- …discharged but not final billed as well as ensure we are billing clean claims . The APC Coordinator will assist in the oversight of the outpatient coding queues, ... **ue you'll bring to the team:** Review and analyze claim denials to perform the appropriate resolution, rebilling, and/or...accounts within 72 hours of being routed to the claims edit work queue and coding review needed work… more
- Dycom (West Palm Beach, FL)
- …for quarterly claims review + Monitor and analyze monthly and quarterly claim variances. Provide claims data as needed to Finance and outside actuaries, ... function and assist with renewal of insurance policies, collateral review, claim trending and analysis, insurance accrual analysis, cost allocations, subcontractor… more
- Butterfly Effects (Deerfield Beach, FL)
- …You'll manage assigned accounts, research and resolve denied or underpaid claims , and maintain compliance with payer guidelines and HIPAA regulations. This ... mindset. Key Responsibilities + Verify client demographics, authorizations, CPT codes, and claim details related to denials or underpayments. + Research claims … more
- Elevance Health (Tampa, FL)
- …in order to recover corporate and client funds paid on fraudulent claims . Health insurance experience required with understanding of health insurance policies, ... health insurance claims handling and provider network contracting. **How will you...network contracting. **How will you make an impact:** + Claim reviews for appropriate coding, data mining, entity review,… more
- Butterfly Effects (Deerfield Beach, FL)
- …You Be Doing? + Accurately input patient demographics, authorizations, CPT codes, and claim details before submission. + Process claims using the First-In / ... deadlines. + Identify and resolve billing errors to reduce claim denials. + Correct and resubmit denied claims... claim denials. + Correct and resubmit denied claims for billing errors. + Review and address immediate… more
- MyFlorida (Bay Pines, FL)
- …Operation Manager I SES FLORIDA DEPARTMENT OF VETERANS' AFFAIRS Bureau of Veterans' Claims VA Regional Office Bay Pines, Pinellas County Annual Salary: $45,500 - ... and employment history must be verifiable. Please attach any credentials you claim (degrees, certifications, etc.) to your application. SPECIAL NOTE: The Office… more
- Prime Therapeutics (Tallahassee, FL)
- …to elicit, define, and document the requirements for changes to Prime's claims systems. **Responsibilities** + Ensure understanding of business requirements and IT ... and serve as subject matter expert and mentor for other members of Claims IT team, including cross-training assigned BSAs on system requirements phase of assigned… more
- American Express (Sunrise, FL)
- …Members and non-Card Members. This exciting opportunity will reside in the Claim and Servicing Operations department of AAC, and primary responsibilities will ... and operational support for teams handling adjudication of insurance policies and claims ; this role provides an exciting opportunity to contribute to the operational… more
- Chewy (Plantation, FL)
- …the team to effectively manage its complex insurance portfolio, oversee claims , maintain regulatory insurance compliance, and scale risk management processes in ... insurance policy schedule and support accurate renewal data collection for renewal cycles. ** Claims & Reporting** + Collect, review, and report claims from… more