- 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
- Ryder System (Tallahassee, FL)
- …claims within Ryder's self-insured, self-administered liability program. Oversees claim -handling processes performed by a professional staff. Handles complex ... action plans if deficiencies are noted. Monitors staff's workflow to ensure accurate processing of claims , timely establishment of reserves, reviews and logs… more
- Sedgwick (Tallahassee, 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
- CVS Health (Tallahassee, FL)
- …we do it all with heart, each and every day. **Job Summary** Reviews and adjudicates claims in accordance with claim processing guidelines. Claim Benefit ... and retention by providing accurate and timely resolution in processing medical claims . You will be a...applications at one time. **Preferred qualifications** - Prior medical claim processing experience is a plus. -… more
- Travelers Insurance Company (Orlando, 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
- Ascension Health (Jacksonville, FL)
- **Details** + **Department:** Claims Processing + **Schedule:** Full Time, Days + **Facility:** Ascension Medical Group + **Location:** Jacksonville, FL ... 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
- Sedgwick (Jacksonville, FL)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... and provides report of investigation pertaining to new events, claims and legal actions. + Negotiates claim ...depositions, mediations, and trial monitoring as needed. + Communicates claim activity and processing with the client;… more
- Sedgwick (Tallahassee, FL)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... and provides report of investigation pertaining to new events, claims and legal actions. + Negotiates claim ...depositions, mediations, and trial monitoring as needed. + Communicates claim activity and processing with the client;… more
- Sedgwick (Tallahassee, FL)
- …asbestos) by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate ... + Calculates and assigns timely and appropriate reserves to claims ; monitors reserve adequacy throughout claim life....depositions, mediations, and trial monitoring as needed. + Communicates claim activity and processing with the client;… more
- Molina Healthcare (St. Petersburg, FL)
- …recovery application. * Follows department processing policies and procedures including, claims processing ( claim reversals and adjustments), claim ... JOB DESCRIPTION Job Summary Provides support for claims recovery activities including researching claim ...and Human Services (DSHS) and Medicare billing guidelines, Molina claims processing policies and procedures, and other… more
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