- CDM Smith (Sarasota, FL)
- …expertise may be needed throughout the program delivery process. * Supports the claims process by reviewing and validating damage details, scopes of work, and costs ... by providing updates on work status and may evaluate claims and make recommendations to FEMA as to whether...and make recommendations to FEMA as to whether the claim is eligible. Assists with the development of the… more
- Centene Corporation (Orlando, FL)
- …to external provider related issues + Investigate, resolve and communicate provider claim issues and changes + Initiate data entry of provider-related demographic ... + Educate providers regarding policies and procedures related to referrals and claims submission, web site usage, EDI solicitation and related topics + Perform… more
- MUFG (Tampa, FL)
- …US compliance regulation checks/screening/data entry; and (h) acceptances/payments, Reimbursement claims . To assist the Section in achieving its planned objectives, ... Laws)/FEFTA /Red flags/vessels/shipping lines/ports/country violations relating to trade finance documents/ claims /transactions. **Transaction Processing in Trade 360 System** : Prepare… more
- BrightStar Care (Naples, FL)
- …into a database using this set medical protocol to produce a statement or claim . * Investigate rejected claims , verify this information with the health provider, ... of billing and payroll.. Managing Authorizations , appeals and re- submission of claims . Posting cash etc. Must be detail oriented and organized . Ability… more
- MUFG (Tampa, FL)
- …US compliance regulation checks/screening/data entry; and (c) acceptances/payments, Reimbursement claims . To assist the Section in achieving its planned objectives, ... Laws) /Red flags/vessels/shipping lines/ports/country violations relating to trade finance documents/ claims /transactions. **Transaction Processing in Trade 360 System** : Prepare… more
- AON (FL)
- …a timely manner. + Maintains awareness of all large and potentially complicated claim -related matters and assists in the negotiation of equitable claim ... a timely manner. + Maintains awareness of all large and potentially complicated claim -related matters and assists in the negotiation of equitable claim … more
- Elevance Health (Miami, FL)
- …to determine root cause and appropriate resolution. + Must work with Claims Operations to remediate impacted claims . **Minimum Requirements:** + Requires ... or GED and a minimum of 3 years of claims research and/or issue resolution or analysis of reimbursement...of business a plus. + Previous experience within Commercial Claims is a plus. + Experience using Claims… more
- AdventHealth (Maitland, FL)
- …sources using knowledge of healthcare managed care contracts and healthcare administrative claims data Reviews existing complex models and implements them on new ... Applies detailed understanding of medical coding systems affecting the adjudication of claims to include ICD-9/10 CPT, CPT, HCPCS II, DRG and revenue codes… more
- LogixHealth (Dania Beach, FL)
- …environment and will bring your expertise to process all denied and unpaid claims submitted to insurance carriers to ensure payment is received. The ideal candidate ... A/R (Accounts Receivable) reports to follow up on unpaid claims + Prepare and submit out appeals on ...claims + Prepare and submit out appeals on claims that require additional review or reconsideration + Provide… more
- AdventHealth (Maitland, FL)
- …+ Applies significant understanding of medical coding systems affecting the adjudication of claims to include ICD-9/10, CPT, HCPCS II, DRG and revenue codes + ... + 3 years Healthcare, Managed Care, Hospital or Ancillary claims analysis, Hospital or Ancillary claims payment, or related field with bachelors degree + 5… more