- Molina Healthcare (Jacksonville, FL)
- …models to support analytical and operational use cases, including healthcare claims and utilization data. * Collaborate with cross-functional teams, including data ... * Prior experience working in the healthcare industry with familiarity in clinical, claims , or care management data. * Experience with cloud platforms (AWS, Azure)… more
- University of Miami (Miami, FL)
- …Hospital Billing Administration along with proficiency in Charging, Contracts, and Claims /Remittance + Configure, build, and maintain Epic HB applications to support ... Hospital Billing Expected Reimbursement Contracts Administration, Resolute Hospital Billing Claims , and Electronic Remittance Administration) preferred. + Strong understanding… more
- Aston Carter (Medley, FL)
- …+ Communicate with retailer accounting teams and internal stakeholders. + Process invoices, claims , and apply payments accurately. What We're Looking For + 4+ years ... of AR/Accounting experience. + Strong background in collections and claims management. + Advanced proficiency in Microsoft Excel and Office Suite. + Excellent… more
- Elevance Health (Tampa, FL)
- …requirements. + Develop and analyze business performance reports (eg, for claims data, provider data, utilization data) and provides notations of performance ... Microsoft Excel experience. + Facets systems knowledge considered a plus. + Claims and/or Encounters experience preferred. + Experience with Medicaid data preferred.… more
- HCA Healthcare (Jacksonville, FL)
- …or billing errors from EOBs and work to correct them + You will monitor insurance claims and contact insurance companies to resolve claims + You will update the ... patient account record to identify actions taken + You will assign bad debt accounts to the collection agency + You will act as a liaison and administer contracts in collection of third party accounts (Medicare and Medicaid) + You will complete account… more
- Saia, Inc (Miami, FL)
- …overages, shortages, and damages to reduce or eliminate loss and damage claims . **Major Tasks and Responsibilities** + Researches and investigates reported freight ... issues. + Follows established claims processes and procedures. + Communicates between internal and external customers to resolve shipping and freight issues. +… more
- Insight Global (Boca Raton, FL)
- …foundation and proven track record in Commercial Healthcare Insurance including claims processing, products, and benefits management. The Product Owner may cover ... of experience working within the Commercial Healthcare Insurance industry, including claims processing, products, and benefits management 5+ years of experience… more
- Evolent (Tallahassee, FL)
- …You Will Be Doing:** + **Data Analytics & Insights** : Analyze healthcare claims and authorization data to identify cost drivers, utilization trends, and population ... with diverse teams and stakeholders. + Familiarity with healthcare claims , reimbursement methodologies, and cost/utilization KPIs, including prior authorization data… more
- HCA Healthcare (West Palm Beach, FL)
- …The Risk Management Coordinator is responsible for the maintenance of the risk and claims process on a day to day basis insuring that information flows between ... exposure. Responsible for coordinating activities that focus on the management of claims and pre trial preparation. Also responsible for the grievance process… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …completion, Hospital privileges verification, System Award Management (SAM), Claims history, Accreditation (ancillary facilities), Site Visits and obtaining ... OIG reports, SAM report, Board certification, Hospital privileges verification, claims history, Accreditation (ancillary facilities), and obtaining additional information… more