- Molina Healthcare (Jacksonville, FL)
- …vendor, and internal COB leads. + Updates the other insurance table on the claims transactional system and COB tracking database. + Review of claims identified ... for overpayment recovery. **Job Qualifications** **REQUIRED QUALIFICATIONS:** + At least 1 year of administrative support experience, or equivalent combination of relevant education and experience. + Strong organizational and time management skills; ability to… more
- TEKsystems (Tampa, FL)
- …maintain strong customer relationships and ensure fair and effective resolution of claims and complaints, in alignment with consumer laws. Responsibilities : + ... ensuring a seamless customer experience + Investigate and resolve customer claims and complaints with fairness, accuracy, and professionalism + Foster positive… more
- MyFlorida (Miami, FL)
- …but are not limited to fraud against the Medicaid Program, false claims against the Medicaid program, investigating possible criminal violations of any applicable ... but are not limited to: fraud against the Medicaid Program, false claims against the Medicaid program, investigating possible criminal violations of any applicable… more
- Healthpeak Properties, Inc. (Tampa, FL)
- …capability of portfolio increases through vendor partnerships and training + Manage insurance claims on behalf of the owner + Collaborate with facility operators to ... and representatives to ensure accurate documentation and alignment throughout the claims process + Budgeting and Forecasting + Participate in preparation of… more
- UIC Government Services and the Bowhead Family of Companies (Miami, FL)
- …and other protected characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq., and federal contractual ... based on the provisions contained within The Alaska Native Claims Settlement Act. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities. All… more
- MyFlorida (Pensacola, FL)
- …to the district office. + Pay/validation operator and assist players in completing claims . + Primary or secondary ticket sales redemption. + Validates and processes ... claims and pay prizes. + Performs daily and weekly cash procedures including reconciliation and documentation, deposits, and adjustments. + Assists with general… more
- Humana (Tallahassee, FL)
- …timely and accurate submission of mandated reports, leveraging their understanding of claims data and Medicaid program requirements to drive accurate and timely ... pivot tables and summarizing data into reports and dashboards + Experience working with claims data + Experience working with big and complex data sets within large… more
- Mass Markets (FL)
- …to complete account management tasks + Accurately document and process customer claims in appropriate systems + Follow all required scripts, policies, and procedures ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more
- Owens & Minor (Tallahassee, FL)
- …The collections representative follows-up with insurance companies to resolve unpaid claims . _The anticipated hourly range for this position is $15-17/hourly. Remote ... carriers or customers on delinquent payments. + Reviews unpaid and underpaid claims . Resubmits or appeals as necessary. + Verifies payment information adjustments to… more
- Ankura (FL)
- …and serve as the primary testifying expert on high-profile construction disputes, claims , and litigation matters, focusing on design and construction defect analysis ... dedicated disputes/forensic consulting experience focused on construction defects, liability, and claims . + Proven history as an Active Testifying Expert (deponent… more