- HCA Healthcare (Sarasota, 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 to the collection agency + You will act as a liaison accounts and administer contracts in collection of third party accounts (Medicare and Medicaid) + You will complete account… more
- Legacy Parking Company (Miami, FL)
- …of Assistant Managers and Team Leaders + Monitor and review all damage claims . Recommend and implement plans or programs to improve safety of operations to ... prevent the occurrence or reoccurrence of similar claims + Monitor facility maintenance for cleanliness standards and make recommendations to improve the overall… more
- UIC Government Services and the Bowhead Family of Companies (Avon Park, 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
- UIC Government Services and the Bowhead Family of Companies (Avon Park, 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
- Molina Healthcare (Jacksonville, FL)
- …or Economics **PREFERRED EXPERIENCE:** Experience working with medical and pharmacy claims , authorization data, benefits design, medical management as well as ... knowledge of business functions and impact on financials (underwriting, sales, product development, network management.) To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina… more
- Molina Healthcare (St. Petersburg, FL)
- …organized and analytical thinking. Experience with Medicare/Medicaid, MS 365 and familiarity with claims is highly preferred. The Case Manager must be able to work ... in a high-volume environment. Bilingual candidates that speak Spanish are encouraged to apply. Further details to be discussed during our interview process. Remote with 10% travel to member's home or facility Work schedule Monday through Friday 8:30 AM to 5:00… more
- CVS Health (Tallahassee, FL)
- …regarding confidentiality. * May assist in the research and resolution of claims payment issues -Supports the administration of the hospital care, case management ... and quality management processes in compliance with various laws and regulations, URAQ and/or NCQA standards, Case Management Society of America (CMSA) standards where applicable, while adhering to company policy and procedures. * Demonstrated ability to… more
- HUB International (Jacksonville, FL)
- …to resolve. . May also negotiate with underwriters and carriers. . Troubleshoots claims and billing issues. . Responsible for overall retention of accounts in ... assigned book of business. . Develops new business from existing accounts and assigned leads, and contributes to meeting departmental production goals. . Identifies and follows-up on cross-selling opportunities when appropriate. . Manages, organizes, and… more
- Molina Healthcare (Orlando, FL)
- …or team leadership experience + 10 years' work experience preferable in claims processing environment and/or healthcare environment + Strong knowledge of SQL ... 2005/2008 SSRS report development + Familiar with relational database concepts, and SDLC concepts **Preferred Education** Masters' Degree in Finance, Economics, Math, Computer Science, Information Systems, or related field. **Preferred Experience** 3 - 5 years… more
- Surgery Care Affiliates (Bonita Springs, FL)
- …selected for Primary insurance. + Utilize the centers selected vendor for claims and eligibility and/or individual payer websites to obtain eligibility, benefits ... and/or pre-certs and authorization information. + Enter the patient insurance information into patient accounting system ensuring the selection is the appropriate payer and associated financial class. + When the patient's insurance is Out of Network notify the… more