- HCA Healthcare (Jacksonville, FL)
- …collections for patient services. Under the supervision of the Business Office Manager /Business Office Supervisor, you will obtain payment from third party payers ... 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… more
- Elevance Health (Altamonte Springs, FL)
- …and Collection Specialist** is responsible for collection activities related health insurance claims and patient balances. **How You Will Make an Impact** Primary ... past due insurance premiums and/or past due health insurance claims . + Researches validity of past due and/or disputed...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Tampa, FL)
- …+ Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and to ... prevention and control. + Review and conducts analysis of claims and medical records prior to payment. Researches new...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- CVS Health (Tallahassee, FL)
- …work with a collaborative, close-knit team on pharmacy and member specific claims data including, but not limited to, financial and operational information ... and the team is highly collaborative. You will report to the Senior Reporting Manager within the Compliance Pharmacy Payments team. To be successful in this role,… more
- Molina Healthcare (Tampa, FL)
- …of a formal appeal being submitted. + Independently re-evaluates medical claims and associated records by applying advanced clinical knowledge, knowledge of ... the specific programs supported by the plan such as Utilization Review, Medical Claims Review, Long Term Service and Support, or other specific program experience as… more
- Humana (Tallahassee, FL)
- …closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid ... APR-DRG and/or EAPG grouper logic + Experience processing or reviewing facility claims + Prior professional experience utilizing Microsoft Excel (eg performing basic… more
- Duke Energy (Lake Buena Vista, FL)
- …to coordinate field changes, extra work authorizations, material request, etc. with Project Manager + Knowledgeable of labor contracts and able to analyze and adjust ... daily in reaction to emergent work (storms, escalated customer issues, customer claims , outages) and daily crew unavailability + Validates material requirements for… more
- Marriott (Longboat Key, FL)
- …required OSHA programs and statistical data. * Assists in the management of claims by ensuring proper procedures are followed and documented. * Brings issues to ... the attention of the department manager and Human Resources as necessary. * Report all...Report all employee accidents and guest liability incidents to Claims Reporting Service in a timely manner. * Administer… more
- The Robison Group (Pensacola, FL)
- …the position will be expected to perform investigations of workers compensation claims , liability investigations, multi-line insurance claims , criminal and civil ... WITHIN THE COMPANY INCLUDE: SIU work, Field Supervisor, Field Operations Manager , Case Management, etc. Department Surveillance Employment Type Part time Minimum… more
- Utilities Service, LLC (Palm Bay, FL)
- …the crew. + May be delegated the authority to investigate incident reports, damage claims , etc., and to settle minor damage claims . + Maintains accurate records, ... benefits available for this role, please contact the recruiter or hiring manager . **Individuals with a disability who desire a reasonable accommodation can contact… more