- Raymond James Financial, Inc. (St. Petersburg, FL)
- …Provide operational support by performing a range of routine activities using existing systems and protocols. + Produce, update, and provide best practice support on ... wide range of Microsoft documents, databases, and other departmental systems . + Prepare moderately complex documents using a variety...data for reports. + Create a local document management system for an office or department. + Build effective… more
- HD Supply (Jacksonville, FL)
- …of accounts receivable calculations and records, including cash receipts, claims , overdue invoices, interest charges, refunds, and related items. Maintains ... entry and general research of data within the department systems necessary to update and maintain account information. Supports...promotes equity, respect, and advocacy for every HD Supply associate . We value the diversity of our people. **Equal… more
- Polk County Public Schools (Bartow, FL)
- …in administering the various insurance plans. Develops and supervises loss and claim processing procedures for all types of losses, accidents, and injuries. Reviews ... and audits all policies and invoices for payment of premiums/ claims . Investigates and reviews accidents involving School Board personnel, students, and public.… more
- Highmark Health (Tallahassee, FL)
- …inquiries concerning oral, injectable and infusion medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly ... information system . + Enter all authorizations into the Argus IPNS information system to allow claim adjudication. + Complete other assigned duties as… more
- City of Lakeland (Lakeland, FL)
- …maintaining related files and records, and performing various insurance, claims processing, safety, and loss prevention functions. Work involves processing ... records, reporting risk management statistics, and handling property and casualty claims . This position is responsible for maintaining litigated files and… more
- Guidehouse (Tampa, FL)
- …of assigned Medicare and third-party payer accounts that are subject to pre-bill claim edits, hospital billing scrubber bill hold edits, and claim denials. ... include: + Responsible for the daily resolution of assigned claims with applicable Revenue Integrity pre-bill edits and/or specific...Unlikely Edits (MUE) + Medical Necessity edits + Other claim level edits as assigned + As needed, review… more
- Humana (Tallahassee, FL)
- …cost reduction, by increasing the accuracy of provider contract payments in our payer systems , and by ensuring correct claims payment for appropriate CPT/ HCPCS ... cost reduction, by increasing the accuracy of provider contract payments in our payer systems , and by ensuring correct claims payment for appropriate CPT/ HCPCS… more
- Elevance Health (Lake Mary, FL)
- …them against the member/groups benefits. + Updates all of the company's membership system components with investigation results for claim coordination. + Ensures ... provided to assist members enrolling in Medicare. + Reviews claim history to identify claims requiring reconciliation,...or pended, as well as recovered in error. + Associate must identify the correct formulas in order to… more
- The Hartford (Lake Mary, FL)
- …yeas of experience providing quality customer service is required + 2+ years of claim experience is preferred + Associate or Bachelor's Degree is preferred but ... helping people? Then you belong here. We currently have an excellent claims professional career opportunity available. Join our Short-Term Disability and Absence… more
- Allied Universal (Wellington, FL)
- Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and ... Investigation Services is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim … more
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