- MyFlorida (Pensacola, FL)
- …liaison with VA outpatient staff regarding case development and treatment to support claims processing and advocacy issues. Confer with clinic, service center ... employment history must be verifiable. Please attach any credentials you claim (degrees, certifications, etc.) to your application. MINIMUM QUALIFICATIONS: +… more
- Molina Healthcare (St. Petersburg, FL)
- …pricing configuration, claim adjudication or reimbursement processes + Experience processing or reviewing facility claims + Prior professional experience ... vendor, operations, health plan representatives, and other business teams involved in claim processing . Maintains expertise in all forms of reimbursement… more
- TEKsystems (Jacksonville, FL)
- …helps streamline administrative and clinical workflows by enabling eligibility checks, claims processing , prior authorizations, and secure data sharing. These ... a blend of technical acumen, payment accuracy (payment integrity, claims processing ) knowledge, strong problem-solving skills and...expertise in payment accuracy use cases. + Proficiency in claim data processing and data standards (eg,… more
- Molina Healthcare (Miami, FL)
- …and tests assumptions through data, but leads with contextual knowledge of claims processing , provider contracts, and operational realities. + Creates succinct ... operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to...SAI targets are met. + Leads efforts to improve claim payment accuracy and financial performance without needing extensive… more
- Cardinal Health (Tallahassee, FL)
- …reviewing, and transmitting claims using billing software including electronic and paper claim processing + Following up on unpaid claims within standard ... for verifying patient insurance and benefits, preparing and submitting claims to payers, correcting rejected claims , following...and submitting claims to payers, correcting rejected claims , following up on unpaid and denied claims… more
- Elevance Health (Tampa, FL)
- …+ Requires a HS diploma or equivalent and a minimum of 1 year of claims processing and/or customer service experience; or any combination of education and ... **Financial Operations Recovery Specialist** is responsible for setting up and adjusting claims overpayments that have been previously identified. May do all or some… more
- Cardinal Health (Tallahassee, FL)
- …administration, customer and vendor pricing, rebates, billing (including dropships), processing charge backs and vendor invoices, developing and negotiating customer ... the integrity and accuracy of revenue cycle operations. By auditing payments, claim history, and beneficiary documentation, this function helps validate claim … more
- Cognizant (St. Johns, FL)
- …play a crucial role in designing and implementing solutions that enhance our claims processing systems. This hybrid role requires strong technical skills and ... scalable solutions using FileNet P8 + Workplace XT to optimize claims processing systems. + Collaborate with cross-functional teams to integrate FileNet P8… more
- BrightSpring Health Services (Gainesville, FL)
- …Inform operations of worker's compensation claims process. Assist as needed with claim processing . Keep supervisors and management team informed of open ... areas of employee recruitment, hiring, retention, and evaluation + Processing , verifying, and maintaining documentation relating to personnel activities...claims and return-to-work status + Conduct workplace investigations, as… more
- MyFlorida (Bay Pines, FL)
- …FLORIDA DEPARTMENT OF VETERANS' AFFAIRS VA Regional Office - Bureau of Claims Services Bay Pines, Pinellas County Starting Annual Salary: $34,760.18 Paid Bi-Weekly ... employment history must be verifiable. Please attach any credentials you claim (degrees, certifications, etc.) to your application. MINIMUM QUALIFICATIONS: + Must… more
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