- Truist (Orlando, FL)
- …guidelines. 2. Independently analyze, research, and support electronic payment cases/ claims /inquiries escalated by internal departments and client service centers to ... resolution. Claims /inquiries related to Regulation E are met in accordance...tools. 9. Support extended hours for same day wire processing for all channels. 10. Under minimal supervision, perform… more
- Public Consulting Group (Tallahassee, FL)
- … claim issue research. Additional this position will assist in performing claims processing , medical record audits for all implemented agencies, and assist ... support through internal claim errors and denied claim research results, final remittance advice processing ,...issue research. Additional this position will assist in performing claims processing , medical record audits for all… more
- Voltyx (FL)
- …or third party recruiting agencies, and will not recognize claim to any unsolicited resumes or candidate information.** \#WEEMPOWERPOSSIBLE ... (https://www.linkedin.com/company/voltyx/mycompany/) **Job Locations** _US-FL_ **Posted Date** _2 weeks ago_ _(12/29/2025 8:47 PM)_ **_ID_** _2025-6393_ **_\# of Openings_** _1_ **_Category_** _Field Service Supervisor_ more
- MyFlorida (Fort Lauderdale, FL)
- …and determining managed care compliance with the SMMC contract as it relates to claims processing . Examples of work include: Analyzes programmatic reports of ... monitoring of Medicaid Managed Care Plan claim submission protocols and standard claim processing procedures through the review of claim complaints, … more
- ICW Group (Orlando, FL)
- …injured workers. + Communicates with insureds to obtain information necessary for processing claims . + Contacts and/or interviews injured workers, doctors, ... attorneys, and employers to get additional information. + Communicates claim activity and processing with the injured...and providing benefits as prescribed by law. + Ensures claim files are properly documented and claims … more
- Sedgwick (Orlando, FL)
- …system documentation.** **Coordinates investigative efforts to ensure thorough and appropriate claim reviews.** **Identifies when claims require external support ... **_caring counts-and so do you._** **We're not just a global leader in claims management; we're a team driven by empathy, expertise, and impact. Right now,… more
- MyFlorida (Tallahassee, FL)
- … claim files, and other available sources for periodic reports. + Responsible for processing phone requests for claim information and claim forms, and for ... CLASS TITLE:RECORDS SPECIALIST DIVISION:RISK MANAGEMENT BUREAU:STATE LIABILITY AND PROPERTY CLAIMS CITY:TALLAHASSEE COUNTY:LEON SPECIAL NOTES: Requirements: + High School… more
- Molina Healthcare (St. Petersburg, FL)
- …concisely, accurately and in accordance with regulatory requirements. * Researches claims processing guidelines, provider contracts, fee schedules and systems ... or equivalent combination of relevant education and experience. * Health claims processing experience, including coordination of benefits (COB), subrogation… more
- Molina Healthcare (Miami, FL)
- …is likely to be made, to ensure medical necessity and appropriate/accurate billing and claims processing . + Reevaluates medical claims and associated records ... care. **ESSENTIAL JOB DUTIES:** + Facilitates clinical/medical reviews of retrospective medical claim reviews, medical claims and previously denied cases in… more
- Community Health Systems (Naples, FL)
- …roles.** **Job Summary** The Billing Specialist I is responsible for performing insurance claim processing , billing, and follow-up to ensure timely and accurate ... or Coding preferred + 0-2 years of experience in medical billing, insurance claims processing , or revenue cycle management required **Knowledge, Skills and… more