- CVS Health (Tallahassee, FL)
- …met. Ensures resolution of escalated issues related, but not limited to, claims payment, contract interpretation and parameters, or accuracy of provider contract or ... state of Florida. **Preferred Qualifications** + Provider Data Management + Claim and/or Customer Service Experience **Education** + Bachelor's Degree or equivalent… more
- HUB International (Davie, FL)
- …interpretation and experience-based judgment to resolve except when an established claim servicing protocol exists + Manages, organizes, and conducts client meetings ... including stewardship reports, delivery of risk control services, carrier meetings, claims reviews, preparation of coverage outlines, and marketing of emergent and… more
- University of Miami (Medley, FL)
- …completed batches to appropriate billing offices daily. + Follows up on claims submitted routinely to monitor payment status. + Transmits coded patient treatment ... demographic information, guarantor and insurance information, place of service, referrals, claim info record, and managed care authorization requirements. + Runs… more
- Evolent (Tallahassee, FL)
- …to ensure clean and consistent tracking of Evolent's covered membership and claims + Synthesize complex analyses into succinct presentations for communication to key ... credentials with Group Health track **(Preferred)** + Familiarity with healthcare claim processing **(Preferred)** + 5+ years experience at payer or management… more
- Kubicki Draper (Jacksonville, FL)
- …have 2+ years of experience. This role focuses on handling claims before litigation, conducting thorough investigations, developing evidence, responding to demands, ... supportive team. Responsibilities + Conduct initial client consultations and evaluate claim viability + Review medical records, insurance policies, photographs, and… more
- AdventHealth (Maitland, FL)
- …accounts discharged but not final billed and ensure we are billing clean claims . The APC Coordinator will assist in overseeing the outpatient coding queues, ... and/or director. + Reviews and resolves accounts in work queues, including claim edits, Discharged Not Billed (DNB) edits, combined accounts, and simple visit… more
- Centene Corporation (Tallahassee, FL)
- …not limited to reimbursement strategy, contracting strategy, unit cost management, claims configuration and network operations. + Oversee network development staff ... product lines to network costs and provider contracts. + Oversee analysis of claim trend data and/or market information to derive conclusions to support contract… more
- Towne Park (Tampa, FL)
- …- 10% Explains parking rates and retrieval procedures to guests upon arrival. Issues claim checks only after receiving vehicle keys and collects claim checks ... information including key tag, guest folio, location of vehicle, damage survey and claim check receipt from all vehicles taken into the valet system. Consistently… more
- Towne Park (Fort Lauderdale, FL)
- …the work shift if business conditions dictate, using an approved method.-15% + Issues claim checks to guests only after receiving vehicle keys and collects vehicle ... claim checks from all guests prior to issuing keys....guest folio, and location of vehicle, damage surveys and claim check receipt for all vehicles taken into the… more
- Datavant (Tallahassee, FL)
- …and optimizing service outcomes in both hospitals and alternative care settings. ** Claim edit experience is required; Must be proficient in resolving claim ... complex coding edits efficiently and accurately to ensure timely and compliant claim processing.** **What You Will Do:** + Review medical records and assign… more