- 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. ... needed + 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
- CVS Health (Tallahassee, FL)
- …monthly invoices in accounting system. + Enter and process monthly fee claims for ancillary product offerings via claim system. **Required Qualifications** ... each and every day. **Position Summary** The **Senior Accounts Receivable Specialist ** prepares accounting and financial records and reports, including general… more
- Centene Corporation (Tallahassee, FL)
- …As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. **Candidates must live ... up accurately in the provider information system for state reporting, claims payment, and directories. Responsible for multiple state deliverables, network reporting… more
- Molina Healthcare (Tampa, FL)
- …and prepares written response to incoming provider reconsideration request is relating to claims payment and requests for claim adjustments or to requests from ... experience (call center, appeals or claims environment). + Health claims processing background, including coordination of benefits , subrogation, and… more
- Sedgwick (Tallahassee, FL)
- …area of employment, ie, training or education needed, physical demands, wages and benefits , and availability. + Thoroughly reviews contested claims . + Assists as ... advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall.… more
- Sedgwick (Tampa, FL)
- …advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Housing Specialist **PRIMARY PURPOSE:** Booking and extending Airbnb reservations in a quick and… more
- Deloitte (Jacksonville, FL)
- …environment. As an experienced Epic Resolute Hospital Billing Analyst Project Delivery Specialist , you will have the ability to share new ideas and collaborate ... their role on a project, and they are eligible for a benefits package that is competitive for project delivery-focused professionals Work you'll do/Responsibilities… more
- J&J Family of Companies (Jacksonville, FL)
- …payer policies; reimbursement regulations and processes (ie, eligibility and benefit verification, pre-authorization, billing, coding, claims , and ... We are searching for the best talent for Neuroscience Area Business Specialist to be in Jacksonville, FL. **About Neuroscience** Our expertise in Innovative… more
- HCA Healthcare (Jacksonville, FL)
- …individual is recognized. Submit your application for the opportunity below:Collections Specialist with HCA Surgery Ventures Group at the Jacksonville Central ... Billing Office ** Benefits ** Surgery Ventures offers a total rewards package that...may vary by location._** We are seeking a Collections Specialist for our team to ensure that we continue… more
- Sedgwick (Orlando, FL)
- …advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. ... Fortune Best Workplaces in Financial Services & Insurance Disability Clinical Specialist **PRIMARY PURPOSE** : To perform clinical evaluations, consult providers and… more