- Molina Healthcare (Tampa, FL)
- …and test assumptions through data, and leads with contextual knowledge of claims processing , provider contracts, and operational realities. * Creates succinct ... all payment integrity (PI) solutions. * Independently leads efforts to improve claim payment accuracy, claim referrals, adjustment analysis and financial… more
- Molina Healthcare (Miami, FL)
- …Networx. + Experience with QNXT is preferred. + Advanced experience using a claims processing system. + Advanced experienced verifying documentation related to ... * Applies experience and knowledge to research and resolve claim /encounter issues and pended claims , and updates...updates/changes within a claims processing system. + Advanced experience validating… more
- Molina Healthcare (St. Petersburg, FL)
- …combination of relevant education and experience. * Advanced experience using a claims processing system. * Advanced experienced verifying documentation related ... * Applies experience and knowledge to research and resolve claim /encounter issues and pended claims , and updates...to updates/changes within a claims processing system. * Advanced experience validating… more
- MyFlorida (Tallahassee, FL)
- …liaison with VA outpatient staff regarding case development and treatment to support claims processing and advocacy issues. Confer with clinic, service center ... and employment history must be verifiable. Please attach any credentials you claim (degrees, certifications, etc.) to your application. Other vacant positions… 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
- MyFlorida (Largo, FL)
- …portals and websites. The Accountant IV incumbent is responsible for performing claims processing , posting payments and collection activities of the State ... year of experience in medical billing (billing third-party health insurance) and processing electronic claims . + Experience in accounts receivables and… more
- Cognizant (Tallahassee, FL)
- …will make an impact by configuring and maintaining QNXT systems to ensure accurate claims processing and compliance with client requirements. You will be a ... + Perform **back-end queries** and validate configuration setups to ensure accurate claim processing . + Advise clients on **configuration decisions** in… more
- CVS Health (Tampa, FL)
- …is accountable for CVS Health's Health Care Benefits division (Aetna) commercial claim processing and the surrounding ecosystem of commercial claim ... and other IT partners. As part of the AT Claim Organization, you will be responsible for code deliverables...experience in one or more of these areas: + Claim Adjudication + Claim Payment/Banking, Electronic Funds… more
- CVS Health (Tampa, FL)
- …is accountable for CVS Health's Health Care Benefits division (Aetna) commercial claim processing and the surrounding ecosystem of commercial claim ... and other IT partners. As part of the AT Claim Organization, you will be responsible for code deliverables...experience in one or more of these areas: + Claim Adjudication + Claim Payment/Banking, Electronic Funds… 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