- Cardinal Health (Doral, FL)
- …things done. **The Accounts Receivable Specialist is responsible for processing insurance claims and billing. They will work within the scope of responsibilities as ... and support from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and properly resolves by follow-up &… more
- Sedgwick (Orlando, FL)
- …General Adjuster - Southeast Region **PRIMARY PURPOSE** **:** To handle losses or claims nationally regardless of size, including having the ability to address any ... Account. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Examines insurance policies, claims , and other records to determine insurance coverage. + Administers… more
- Cardinal Health (Tallahassee, FL)
- …and transmitting claims using billing software including electronic and paper claim processing + Following up on unpaid claims within standard billing ... **Remote Hours : Monday - Friday, 7:00 AM - 3:30...for verifying patient insurance and benefits, preparing and submitting claims to payers, correcting rejected claims , following… more
- CVS Health (Tallahassee, FL)
- …solutions that meet the evolving needs of our business. The Commercial Claim team handles complex project work that crosses many Aetna Technology ... highly skilled and experienced Engineer to join our Commercial Claim Adjudication team. As a Release Manager, you will...Will consider 100% remote in the US **Must work hours based on Eastern Time Zone.** **Required Qualifications** +… more
- CVS Health (Tampa, FL)
- …partners, product owners, architecture and other IT partners. As part of the AT Claim Organization, you will be responsible for code deliverables on both long and ... collaboratively in inter-departmental settings to accomplish tasks and goals. The Claim Organization is accountable for CVS Health's Health Care Benefits division… more
- Sedgwick (Tampa, FL)
- …Rec Marine Adjuster **PRIMARY PURPOSE** **:** To investigate and process marine claims adjustments for clients; to handle complex losses locally unassisted up to ... documentation, and issues settlement. + Receives and reviews new claims and maintains data integrity in the claims...+ Prepares settlement documents and requests payment for the claim and expenses. + Assists in preparing loss experience… more
- Humana (Tallahassee, FL)
- …community and help us put health first** Design and maintain Medicaid claims analytics dataset using Databricks. Conduct in-depth analysis of healthcare claims ... Identify cost drivers, utilization patterns, and anomalies in Medicaid medical claims data. Maintain dashboards to communicate key trends to stakeholders. The… more
- CVS Health (Tallahassee, FL)
- …a highly skilled and experienced Senior Product Owner to join our Commercial Claim Adjudication engineering team. As a Senior Product Owner, you will contribute to ... by: + Leading the development and enhancement of Commercial Claim products or services. + Conducting market research. +...Will consider 100% remote in the US **Must work hours based on Eastern Time Zone.** **Required Qualifications** +… more
- Elevance Health (Tampa, FL)
- **Location:** Atlanta GA, Norfolk VA, Indianapolis IN, Mason OH, Tampa FL ** Hours :** Monday - Friday **Travel:** This role requires associates to be in-office 1 - 2 ... recover corporate and client funds paid on fraudulent Medicaid claims . **How You Will Make an Impact:** + Responsible...company health plan, line of business and/or state + Claim reviews for appropriate coding, data mining, entity review,… more
- Sedgwick (Orlando, FL)
- …payments and/or adjustments for client paid leave plans ensuring that on-going claim management is within company service standards and industry best practices. ... and solution-focused. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Establishes FMLA claims ; tracks and codes documentation in accordance with internal workflow… more