- Trinity Health (Fort Lauderdale, FL)
- …a. Perform coding functions, including CPT, ICD-10 assignment, documentation review and claim denial review b. Responsible for proofing daily charges for accuracy ... and clean claim submission c. Responsible for balancing charges and adjustments...and charge entry. Other related responsibilities as assigned by manager . Minimum Qualifications: + High school diploma or equivalent… more
- HCA Healthcare (Pensacola, FL)
- …to charitable organizations. Apply Today! **Job Summary and Qualifications** Processes claims electronically to insurance carriers. Mails claims to carriers ... to accounts. Communicates any charge related issues to Charge Master Manager /Analyst. + Works all identified insurance requirement edits through the electronic… more
- MyFlorida (Jacksonville, FL)
- …Tool (https://compcalculator.myflorida.com/) INTERNAL Agency Only Contract Oversight Unit (COU) Manager Position Title:Contract Oversight Unit Manager - ... (DCF) Contract Oversight Unit (COU/Unit) seeks to hire a Manager (Government Operations Consultant III - SES) to lead...FS, Drug-Free Workplace Act. Applicants who are eligible to claim Veterans' Preference must specifically claim the… more
- The Cigna Group (Miami, FL)
- …to provide exemplary customer and client service of our Cigna products, benefits, and claim processes. As the Dedicated Client Service Partner - Onsite, you can take ... with products and service. + Coordinates with Client Service Executive(CSE) and/or Client Manager to ensure needs are met and potential problems are averted. +… more
- Sedgwick (Jacksonville, FL)
- …line's processes, functions, technology and regulatory compliance. + Serves as a project manager and process owner for all components of a new client implementation. ... combination of education and experience required to include two (2) years of claims management, managed care or other related experience. **Skills & Knowledge** + In… more
- Elevance Health (FL)
- …and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims ... Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- MyFlorida (Tallahassee, FL)
- …design and implement algorithms to effectively data-mine within various types of claims data utilizing a variety of software applications; compile research, data ... limited to, the following: * Identify suspicious patterns in claims data and other sources by applying your knowledge...collaboration with the team and the Program Integrity Unit Manager , draft investigative work plans and develop case strategies… more
- Elevance Health (Miami, FL)
- …with external accreditation and regulatory requirements, internal policies and claims events requiring adaptation of written response in clear, understandable ... and analyze the grievance and appeal issue(s) and pertinent claims and medical records to either approve or summarize...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Sysco (Auburndale, FL)
- …workplace hazards. Escalating resistance/challenges to leadership and direct line manager to facilitate problem solving. **Duties and Responsibilities:** + Execute ... on injury trends, KPIs, and risk assessments. + Support the workers' compensation claims process by completing OSHA determinations, identifying gaps in claims … more
- Zurich NA (Tallahassee, FL)
- …AVP, Underwriting Officer or VP Senior Underwriting officer level. The hiring manager will determine the appropriate level based upon the selected applicant's ... and 10 or more years of experience in the claims or underwriting support areaOR + Zurich approved Apprenticeship...and 8 or more years of experience in the Claims or Underwriting Support area. + Knowledge of Microsoft… more