- Robert Half Technology (Clearwater, FL)
- …from team members during project execution. Requirements * Proven experience in claims processing and related systems. * Strong analytical and problem-solving ... collaborate with stakeholders to deliver effective business solutions, focusing on claims systems and processes. Your work will involve gathering requirements,… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- …is responsible for managing and identifying a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial ... + Manage and identify a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing...needs + Prepare and maintain reports and records for processing + Perform other tasks as assigned. + Follow… more
- Akumin (Tampa, FL)
- …as needed, including correction of missing/inaccurate data, and appeals of denied claims with appropriate documentation for processing and payment. Identifies ... The **Collector I** contacts payers for status of payment of outstanding claims , including commercial and government carriers, and patient liabilities in the… more
- MyFlorida (Orlando, FL)
- …of alcoholic beverage and tobacco products in Florida, including receipt and processing of license applications; collection and auditing of taxes and fees paid ... oversees the functions and regulatory activities of an office processing team for the review of applications and the...also established an email where people can electronically file claims or ask questions. The email is ###@fdva.state.fl.us. The… more
- MyFlorida (Tallahassee, FL)
- …+ Special catergory payments - Real Estate Recovery claims , Construction Recovery claims , etc. + Back up for processing travel reimbursements in STMS when ... necessary + Back up for processing purchasing card charges in Works when necessary +...also established an email where people can electronically file claims or ask questions. The email is ###@fdva.state.fl.us. The… more
- MyFlorida (Daytona Beach, FL)
- …including: recording services; billing for services; monitoring accounts receivable/billing reports; processing of payments and denials; and processing client ... making necessary determination as to the correct insurance and processes all claims accordingly; researching claims for Medicaid, Medicare and other third… more
- Robert Half Management Resources (Jacksonville, FL)
- …and accuracy. * Manage medical billing operations, ensuring timely and accurate processing . * Handle medical claims by reviewing, validating, and resolving ... closely with healthcare revenue cycle processes to ensure accurate medical billing and claims management. If you have experience in healthcare revenue cycles and a… more
- Sedgwick (Orlando, FL)
- …applications and data flow between external systems via API/SFTP, middleware processing servers and Salesforce. Salesforce Maps, Salesforce Field Service Lightning, ... Gain deep familiarity with key application modules, including reports, parameters, claims management, intake services, IIS Servers, SQL Servers and Salesforce… more
- Molina Healthcare (Pensacola, FL)
- …billing, or equivalent combination of relevant education and experience. * Claims processing experience, including coordination of benefits, subrogation, and/or ... and timely validation and maintenance of critical provider information on all claims and provider databases, and ensures adherence to business and system… more
- Prime Therapeutics (Tallahassee, FL)
- …and documenting relevant information relating to the case in both the claims processing system and case management systems within pre-determined timelines ... cases, including entering, reviewing, and documenting requests in both the claims processing system and case management system + Handle phone, email, and… more