- Sedgwick (Jacksonville, FL)
- …customer service and service delivery to our clients and patients through processing referrals in the delivery of medical goods and services. **ESSENTIAL FUNCTIONS ... + Reaches out to patients in relation to new or already processing referrals confirming patient demographic information, providing updates on the referral, and/or… more
- Sedgwick (Orlando, FL)
- …customer service and service delivery to our clients and patients through processing referrals in the delivery of medical goods and services. **ESSENTIAL ... + Reaches out to patients in relation to new or already processing referrals confirming patient demographic information, providing updates on the referral, and/or… more
- Molina Healthcare (Miami, FL)
- …managed care or payer environment. + In-depth knowledge of medical and hospital claims processing , including CPT/HCPCS, ICD, and modifier usage. + Strong ... requirements related to but not limited to coverage, reimbursement, and processing functions to support systems solutions development and maintenance. This role… more
- Elevance Health (Miami, FL)
- …payment integrity, or consulting highly preferred. + Strong understanding of claims processing , coding practices, reimbursement policies, and payer-provider ... drive real savings. This position plays a critical role in uncovering claims overpayments and guiding clients through implementation of data-driven insights. This… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …+ Transact and document inventory movements and reconciliations, return and claim approvals, and product destructions. + Manage inventory reporting and communicate ... offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed,...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Convey Health Solutions (Fort Lauderdale, FL)
- …They will work with a wide array of healthcare data for ingestion, processing and consumption including but not limited to eligibility, claims , payments ... relational databases (eg, PostgreSQL, MySQL) and file-based databases to support data processing requirements. + Design and implement ETL processes using Python and… more
- MyFlorida (Largo, FL)
- …System and to other Accounts Receivable billing software systems. + Perform third party claims processing and collection activities for all payors of the State ... must be verifiable. Please attach your resume and any credentials you claim (degrees, certifications, etc.) to your application. *Other Accountant III positions may… more
- City of Lakeland (Lakeland, FL)
- …claims activity, providing a forum for discussion and adjustment of the processing of all insurance and self-insured claims in workers' compensation, property ... the following areas: risk determination and evaluation, oversight of claims administration, city-wide contract administration regarding insurance requirements and… more
- NextEra Energy (Miami, FL)
- …Quality targets daily. * Receives inbound calls and responds to customer requests, inquiries, claims processing inquires, billing or claim disputes. * Handle ... FPLES team, you will be responsible for assisting customer with filing claims , providing detailed explanations of services or products, listening to customers… more
- Kemper (West Palm Beach, FL)
- …investigates customer reported damages. This position will also assist in the processing of Total Loss claim documentation. Position Responsibilities: + Receive ... estimates with customers and shops. + Issue payments on appropriate claims as well as document claims system and communicate with inside adjusters. + Work with… more