- Molina Healthcare (Tampa, FL)
- …member inquiries, questions and concerns in all areas including enrollment, claims , benefit interpretation, and referrals/authorizations for medical care. + Provides ... exemplary customer service to customers including members, co-workers, vendors, providers, government agencies, business partners, and general public. + Achieves individual performance goals as it relates to call center objectives. + Demonstrates personal… more
- Sedgwick (Tallahassee, FL)
- …Services & Insurance Claims Examiner | General Liability BI | Captive | Remote As a Claims Examiner at Sedgwick, you'll have the opportunity to take ... daily work and your career path. This is a remote , work-at-home, telecommuter position. + Be a part of...and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans… more
- Sedgwick (Tallahassee, FL)
- …Financial Services & Insurance Claims Examiner | Multi-Line | Public Entity | Remote Are you looking for an opportunity to join a global industry leader where ... by investigating and gathering information to determine the exposure on the claim ; assesses damages; manages claims through well-developed action plans to an… more
- Zelis (St. Petersburg, FL)
- …the personal interests that shape who you are. Position Overview The Sr. Supervisor , Clinical Chart Review is focused on supervising a team of Clinician's performing ... clinical reviews of facility claims , including UB's, Itemized Bills and medical records, to...records, to verify billing accuracy and clinical appropriateness. The Supervisor will be responsible for monitoring the Clinical Reviewer's… more
- CVS Health (Tallahassee, FL)
- …do it all with heart, each and every day. **Position Summary** **This is a remote work from home role anywhere in the US with virtual training.** American Health ... including co-morbid and multiple diagnoses that impact functionality. + Consults with supervisor and others in overcoming barriers in meeting goals and objectives,… more
- Mass Markets (FL)
- …services. Our contact centers are powered by both on-site and remote agents, leveraging advanced technologies to enhance customer journeys, drive scalability ... you are sure to succeed. We offer many advancement opportunities, including Supervisor , Trainer, Talent Acquisition, and Operations Management. To be considered for… more
- National Health Transport (Miami, FL)
- …Specialist answers inquiries from insurance companies, patients, and processes claims accordingly. Essential duties and responsibilities: + Promotes, develops, and ... most efficient billing process. + Directs patient complaints to the Billing Operations Supervisor for completion and filing. + Manages workload in an ethical manner… more
- Sedgwick (Tallahassee, FL)
- …and support systems. + Effectively communicates and builds relationships with the claims ' examiner, client, injured worker, attorney and supervisor . + Identifies ... career making an impact on the health and lives of others, and a remote work environment. + Enjoy flexibility and autonomy in your daily work, your location,… more
- Cardinal Health (Tallahassee, FL)
- …to patient care + Consults with appeals department for disputed / denied claims . + Works / Understands electronic claim interchange + Understands life ... of 50 to 100 denials per day based on supervisor requirements and accounts assigned + Works closely with...cycle of primary and secondary claims + Maintains front office support relationship + Takes… more
- Veterans Affairs, Veterans Health Administration (Tampa, FL)
- …restriction on moonlighting Telework: Applicant's Note: This position is eligible for remote work and is exempted from return to office requirements. Remote ... positions are reviewed annually and do not imply permanent remote work status. Duties include, but are not limited...(Note: Work schedules are determined and approved by the supervisor . The incumbent may be required to work various… more