- LogixHealth (Dania Beach, FL)
- …benefits (EOB) statement + Analyze A/R (Accounts Receivable) reports to follow up on unpaid claims + Send out appeals on claims that require an appeal + Submit ... required documentation to insurance companies as requested + Research claims for information in order to process bills in...+ Correct errors and resubmit all unprocessed or returned claims to insurance companies + Create UB92 and HCFA… more
- Kemper (Miami, FL)
- …you will be responsible for building rapport with customers. You handle claims involving unrepresented injured claimants, from start to finish. We are offering ... handle multiple vehicle accidents + In some instances, handle claims where claimant is injured and at fault party...have a minimum of 1 year of auto liability claims handling experience + Prior bodily injury experience a… more
- Wounded Warrior Project (Jacksonville, FL)
- …resource allocation and improve service delivery for warrior referrals and claims . + Establish and maintain standardized policies, processes, and procedures across ... providing timely, accurate, and comprehensive support across all phases of the benefits claims process. + Create and manage annual training plans to address skill… more
- Cognizant (Tallahassee, FL)
- …processes, training, continuous improvement, system automation. + System health monitoring of: Claim adjudication jobs, ASP alerts, CPU alerts, Claims queue ... monitoring, Storage monitoring, Connect Direct subsystem. + Contact different teams if requested by on-call + For application upgrade events, place job queues on HOLD for MOD and Patch instances + Responsible for performing and monitoring all backups on the… more
- Towne Park (Lake Buena Vista, FL)
- …- 15% Understands and drives business metrics for forecasting, productivity, claims , customer service, and turnover. Ensures all associates accurately identify and ... for use in a safe and efficient manner + Knowledge of Towne Park's claim check, ticketing and key box training, policies and procedures + Knowledge of Towne… more
- Performance Food Group (Tampa, FL)
- …MVR Checks, and more. + File Auto Liability and Worker's Compensation claims , maintain AL/WC files, interface with AL/WC carrier, including the attendance of ... Quarterly Claim Review meetings with TPA. + Support Corporate direction pertaining to Environmental regulatory requirements and initiatives. + Lead incident… more
- Humana (Tallahassee, FL)
- …PowerPoint, and Lucid. **Preferred Qualifications** + Minimum 1 year of experience medical claims payment and processing in a medical claim 's environment + ... Experience creating pivot tables and consumable information within Excel + Knowledgeable in regulations governing health care industries or related adjacent industries **Additional Information** **Work-At-Home Requirements:** + WAH requirements: Must have the… more
- CVS Health (Tallahassee, FL)
- …Summary** The Negotiator Analyst is responsible for negotiating out-of-network (OON) medical claims valued at $10,000 and above. This role involves learning the ... **Required Qualifications** + 3-5 years of experience in a medical claim background with understanding of benchmarking costs for medical services, supplies,… more
- CenterWell (Crestview, FL)
- …HCHB and computer programs as appropriate. + Complete End of Period claim workflow as part of Billing Specialist responsibilities. This includes confirming all ... team at the branch to ensure other billing requirements are satisfied to release claims timely. + Adhere to and participate in Agency's mandatory HIPAA / Privacy… more
- ManTech (Jacksonville, FL)
- …while packages go missing or are not scanned into their system + Ensure a claim is put in where needed to track these discrepancies + Update the master list ... Experience with shipping, and tracking using FedEx. + Experience in filing FedEx claims for missing packages + Experience with entering data into databases and… more