- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …+ Excellent oral and written communication skills + 1 - 3 years of Health claims processing experience + Working knowledge of COB and MSP preferably + Medical ... Claims Examiner is responsible for providing expertise and/or claims support in reviewing, researching, investigating, processing ...Ensure that the proper benefits are applied to the claim using the appropriate tools (eg CMS guidelines) +… more
- Humana (Tallahassee, FL)
- …Initial Claims has oversight of and drives for continuous improvement in initial claims processing for all medical lines of business. The role will focus on ... and offshore support + Monitors performance and operational reporting in the Claims Processing space, with regular executive summary roll-up to leadership… more
- HCA Healthcare (Port Charlotte, FL)
- …As an **Insurance Follow up Representative** , you will be responsible for processing insurance accounts to address claim issues and thereby affect payment ... organization that invests in you as a Medical Insurance Claims Specialist? At Parallon, you come first. HCA Healthcare...difference. We are looking for a dedicated Medical Insurance Claims Specialist like you to be a part of… more
- TEKsystems (Daytona Beach, FL)
- Claims Processor Daytona Beach, FL 32114 Pay Rate:... on their homeowner's insurance. + Manages the loss claim from the point of reporting through completion of ... quickly and accurately. + All activity pertaining to the claim must be documented and draws are issued for...draws are issued for the repairs as needed. + Processing must meet all compliance requirements. + Demonstrate the… more
- CHS (Clearwater, FL)
- …guidelines, and reporting requirements; Federal and state regulations; and timeliness of claims processing . + Utilize Excel, prepares tracking and trending ... up-to-date working knowledge on regulatory requirements associated with billing and claims processing , as well as HIPAA guidelines/established Encryption… more
- Prime Therapeutics (Tallahassee, FL)
- …or submit claims and adjustments as required. + Implementation and maintenance of claims processing programs and procedures + Verify that claims are ... our passion and drives every decision we make. **Job Posting Title** Lead Claims Processor, Government Programs **Job Description** Adjudicate or submit claims … more
- Modernizing Medicine (Tampa, FL)
- …for all inbound and outbound patient calls regarding patient balance inquiries, claims processing , insurance updates, and payment collections + Initiate outbound ... the US, Chile, and Germany. ModMed (https://www.modmed.com/company/) is hiring a driven Patient Claim Specialist who will play a pivotal role in shaping a positive… more
- Aston Carter (Deerfield Beach, FL)
- The Claims Payment Analyst is responsible for reviewing, analyzing, and processing claims payment requests for automotive repairs. The individual will ... to internal policies and procedures. Responsibilities + Review and process claims payment requests for automotive repairs. + Determine the appropriate payment… more
- LogixHealth (Dania, FL)
- Location: On-Site in Dania, FL This Role: As a Claims Specialist, you will work with internal teams to provide cutting-edge solutions that will directly improve the ... and carry out processes on all out of network claims . The ideal candidate will have strong technological skills,...+ Ability to create routine reports + Prior word processing , spreadsheet and internet software experience including p roficiency… more
- USAA (Tampa, FL)
- …and implementation of multiple Data and Analytics sub-functions for Claims that may include: Information Strategy and Architecture, Information Management, ... and long-term strategy and vision of the assigned sub-functions for the CoSA Claims working with peers to set objectives across the different sub-functions that… more