- HCA Healthcare (Palm Harbor, FL)
- …acquisitions as needed. + Manage and approve all Provider Enrollment Claims , on Hold write-offs, and administrative adjustments regularly. + Create outstanding ... practice leadership to improve Division A/R Days (charge Lag, claims on hold, insurance denial issues, and training). +...coding, to charge entry to billing to back end claim follow up is required. + A comprehensive knowledge… more
- Sedgwick (Orlando, FL)
- … for multiple lines of business, including but not limited to, expediting the claims process, and providing detailed claim notes on all calls, resolving issues ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… more
- Sedgwick (Orlando, FL)
- …payments and/or adjustments for client paid leave plans ensuring that on-going claim management is within company service standards and industry best practices. ... and solution-focused. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Establishes FMLA claims ; tracks and codes documentation in accordance with internal workflow… more
- Ankura (Miami, FL)
- …in research and analysis project cost records and financial statements + Reconcile claim amounts to accounting systems and to insurers' calculations + Use Ankura's ... proprietary tools and industry standards in the development of claim methodology and work product + Develop computer models of schedules, contractor production rates… more
- MyFlorida (Jacksonville, FL)
- …business hours. JOB DUTIES: General: Designs, implements, and coordinates the claims processing financial information management systems for Florida Department of ... sponsors. Receives, reviews, processes, and pays all FDACS Child Nutrition Program claims correctly and promptly. Prepares and files United States Department of… more
- USAA (Tampa, FL)
- …**Injury Examiner** , you will be responsible to adjust complex bodily injury claims , UM/UIM, and small business claims to include confirming coverage, ... determining liability, investigating, evaluating, negotiating, and adjudicating claims in compliance with state laws and regulations. Responsible for delivering a… more
- Acosta Group (Jacksonville, FL)
- …The Director will manage a team including the Sr. Risk Claims Analysts and collaborate closely with internal stakeholders, third-party administrators, brokers, ... and insurers to ensure effective claims management, litigation, risk financing, and compliance. **RESPONSIBILITIES** **Essential Functions of this Position:** +… more
- Akumin (Tampa, FL)
- **The Medical Biller** is responsible for submitting medical claims to government and private payers. Ensures that service date, CPT code, necessary modifiers, ... has been entered correctly into the billing system. Distributes claims into electronic and paper billing queues and transmits...include, but are not limited to:** + Submits medical claims to payers via electronic data interchange (EDI,) paper… more
- Cardinal Health (Tallahassee, FL)
- …and transmitting claims using billing software including electronic and paper claim processing + Following up on unpaid claims within standard billing ... cycle time frame + Calling insurance companies regarding any discrepancy in payment if necessary + Reviewing insurance payments for accuracy and completeness **_Qualifications_** + HS, GED, bachelor's degree in business related field preferred, or equivalent… more
- MyFlorida (Tallahassee, FL)
- …and preparation of bank deposits. + Assists with daily and weekly Fortune claim processes including review of problem claims submitted, contacting PAS for ... assistance, assisting customers with completion of claims , voiding DCW checks, mailing prize payment checks to...and processes tickets for payments. + Validates and processes claims using the applicable system. + Performs routine clerical… more