- 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
- CVS Health (Tallahassee, FL)
- …with key payers to discuss reimbursement issues and payer publication notices affecting claims processing changes + Ensure daily reconciliation of electronic ... are responsible for contacting payers to collect on unpaid claims in a timely and accurate manner, researching and...variances, and managing the accurate and timely filing of claims within payer function group. **Additional responsibilities of the… more
- Molina Healthcare (Miami, FL)
- …concisely and accurately 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
- ICW Group (Orlando, FL)
- …Administrations is adhering to regulatory and internal guidelines as they apply to claims processing and adjudication. This position will collaborate with other ... purpose of this job is to supervise functions of claims internal controls and to monitor team activities with...is responsible for the development and execution of the Claims audit program, identifying trends and promoting continuous improvement.… more
- Molina Healthcare (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
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …CMS and AHCA regulatory requirements + Expertise in FWA, Special Investigations and claims processing + Outstanding research and investigative skills + Proven ... with regulatory requirements + Maintain process integrity and ensure legitimate claims are processed efficiently + Implement and track corrective action plans… more
- MyFlorida (Kissimmee, FL)
- …plan reviews, utility work schedule reviews, alternative contracting development, claim analysis and negotiations, establishing contract time, reviewing Critical ... Path Method (CPM) schedules, contractor pre-bid questions, supplemental agreement processing , contractor sublet review and approvals, Construction Quality Assurance… more
- Sedgwick (Tampa, FL)
- …college or university preferred. **Experience** Four (4) years of experience in claims processing or related business experience, or equivalent combination of ... **Skills & Knowledge** + Working knowledge of billing and reconciliation systems, claim systems, financial services, and insurance products + Excellent oral 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. Your resume and any credentials you claim (degrees, certifications, etc.) must be attached to your...aging reports for all payers. + Maintain a clean claim billing average within timely filing guidelines. + Compile… more
- Intermountain Health (Tallahassee, FL)
- …**Essential Functions** + Oversees the day-to-day revenue cycle functions including claims processing , denials, payments, customer service, and follow up ... + Insurance Processing and Issues + Medical Terminology + Claims Processing + Collaboration + Time Management + Team Building **Qualifications** + High… more