- CDM Smith (Orlando, FL)
- …**Business Unit:** FSU **Job Description:** CDM Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical ... in evaluating and analyzing financial data related to disaster-related claims , including property damage, business interruption, and other loss categories. The … more
- Molina Healthcare (FL)
- …and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed ... for all PI solutions. + Lead efforts to improve claim payment accuracy, claim referrals, adjustment analysis...a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. +… more
- Elevance Health (Tampa, FL)
- …claim identification, and documentation purposes (eg, letter writing). + Identifies new claim types by identifying potential claims outside of the concept ... auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all...Health Information Technician and/or CCS as a Certified Coding Specialist and/or CIC as a Certified Inpatient Coder. +… more
- MyFlorida (Tallahassee, FL)
- …or additional claims . This is accomplished through tracking the assigned claim load and utilizing the benefit payment system. + Answers inquiries from claimants, ... issues and the chargeability of employer accounts for benefit payments on claims . This may be accomplished telephonically, through written correspondence, or through… more
- MyFlorida (Fort Lauderdale, FL)
- …or additional claims . This is accomplished through tracking the assigned claim load and utilizing the benefit payment system. + Answers inquiries from claimants, ... issues and the chargeability of employer accounts for benefit payments on claims . This may be accomplished telephonically, through written correspondence, or through… more
- MyFlorida (Orlando, FL)
- …or additional claims . This is accomplished through tracking the assigned claim load and utilizing the benefit payment system. + Answers inquiries from claimants, ... This is an OPS Employment Security Representative II- Employment Review Specialist position in the Department of Commerce's Reemployment Assistance Programs… more
- The Hartford (Lake Mary, FL)
- Sr Ability Analyst - C409ANAbility Specialist - C409BN We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages ... to meaningful work at The Hartford. The Senior Ability Analyst primarily investigates claims to make timely, accurate and customer focused initial and ongoing Long… more
- AdventHealth (Tampa, FL)
- …discharged but not final billed as well as ensure we are billing clean claims . The APC Coordinator will assist in the oversight of the outpatient coding queues, ... **ue you'll bring to the team:** Review and analyze claim denials to perform the appropriate resolution, rebilling, and/or...accounts within 72 hours of being routed to the claims edit work queue and coding review needed work… more
- Cardinal Health (Tallahassee, FL)
- …skills and prioritizes getting the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. ... and support from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and properly resolves by follow-up &… more
- Molina Healthcare (Tampa, FL)
- …and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed ... SAI targets are met. + Leads efforts to improve claim payment accuracy and financial performance without needing extensive...a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. +… more