- IQVIA (Miami, FL)
- **Patient Support Medical Claims Processing Representative** _Contract Remote Role - Location (Open to Remote US)_ As the only global provider of commercial ... 100% remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative** to join our team....+ High School Diploma or equivalent + Experience in claim processing required + Medical Billing Certification… more
- Sedgwick (Miami, FL)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim ...directions in a professional and timely manner. + Communicates claim activity and processing with the claimant… more
- NTT DATA North America (Orlando, FL)
- NTT DATA is seeking to hire a **Remote Claims Processing Associate** to work for our end client and their team. **$18/hour W2** **Long Term Temporary** **Start: ... this Role the candidate will be responsible for:** + Processing of Professional claim forms files by...schedule **Requirements:** + 1-3 year(s) hands-on experience in Healthcare Claims Processing + 2+ year(s) using a… more
- CVS Health (Tallahassee, FL)
- … claim or reconsideration. **Required Qualifications** + 2+ years of medical claim processing experience. + Previous experience in a production environment. + ... competently, accurately and efficiently. **Preferred Qualifications** + Self funded medical claim processing experience. + DG system knowledge. + Associate's… more
- Travelers Insurance Company (Tampa, FL)
- … professionals in multiple departments to assist with the timely resolution of claims , which may include: Properly documents claim files, including notes and ... documents for legal and medical reviews. Reports and assigns claims , and transitions closed files to and from off-site...mail. Orders, receives and distributes supplies and/or equipment. + CLAIM PAYMENTS AND EXPENSE PROCESSING : Ensures the… more
- AssistRx (Orlando, FL)
- …to implement and support all operational and financial processes related to claim processing activities. In addition, manager will ensure effective day-to-day ... and external business review meetings. Responsible for forecasts and analyzing claims data to determine Copay utilization, establish escrow account minimum balances… more
- CVS Health (Tallahassee, FL)
- …competently, accurately and efficiently. **Preferred Qualifications** - 18+ months of medical claim processing experience - Self-Funding experience - DG system ... every day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a… more
- CVS Health (Plantation, FL)
- …- Performs claim rework calculations. **-** Ensures accurate and timely claims processing **The hours for this position are Monday-Friday from ... expert by providing members and providers with high quality claim adjudication. May handle customer service inquiries and problems....medical terminology. - Hands on experience in end-to-end medical claims processing . - Knowledge of the ACAS… more
- Ascension Health (Jacksonville, FL)
- **Details** + **Department:** Billing and Claims + **Schedule:** Full-Time, Days Mon. - Fri. 8AM-5PM + **Hospital:** Ascension St. Vincent's + **Location:** 3 ... party payers in an out-patient or medical office environment. + Prepare insurance claims for submission to third party payers and/or responsible parties. + Review … more
- Publix (Lakeland, FL)
- **33789BR** **Position Title:** PROFIT Plan Claims Processing Specialist, Retirement - Lakeland **Department:** Benefits Administration **Location:** Lakeland, ... System + 2 years retirement related experience and 2 years of claims processing experience, or 4 years customer service experience in retirement related field… more