- Ryder System (Miami, FL)
- …Buy-out. **Additional Responsibilities** + Provide SSC with titles for all insurance claims . + Cross-references title versus systems information for accuracy. + ... to respective state requirements. + Processing titles for Insurance claims while working closely with Ryder Claims ...Insurance claims while working closely with Ryder Claims Offices. Ensuring we have all Sarbanes documents in… more
- Guidehouse (Tampa, FL)
- …of assigned Medicare and third party payer accounts that are subject to pre-bill claim edits, hospital billing scrubber bill hold edits, and claim denials. ... needed + Responsible for the daily resolution of assigned claims with applicable Revenue Integrity pre-bill edits and/or specific...Unlikely Edits (MUE) + Medical Necessity edits + Other claim level edits as assigned + As needed, review… more
- Molina Healthcare (FL)
- …agencies to ensure that internal and/or regulatory timelines are met. * Researches claims appeals and grievances using support systems to determine appropriate ... Researches claims processing guidelines, provider contracts, fee schedules and systems configurations, to determine root causes of payment errors. * Resolves and… more
- Molina Healthcare (Tampa, FL)
- …maintain contract, benefit or reference table information into the claim payment system and other applicable systems . + Participates in defect resolution for ... claims databases. Synchronizes data among operational and claims systems and application of business rules...housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting,… more
- MetLife (Tampa, FL)
- …office for meetings Key Responsibilities: * Effectively manage a team of STD Claim Specialists in a fast-paced environment to ensure individual and team performance ... indicators and delivering on customer commitments through quality and timely claim determinations including compliance with ERISA and other state and regulatory… more
- Cardinal Health (Doral, FL)
- … claims processing. + Manages billing queue as assigned in the appropriate system . + Manages and resolves complex insurance claims , including appeals and ... in accordance with company policy, regulations, or third-party policy. + More challenging claim cases + Investigates and updates the system with all information… more
- Naval Air Systems Command (Jacksonville, FL)
- …such as subassemblies, printed circuit cards, and chassis to complete electronics systems . You will operate automatic and standalone test equipment which is used ... workers in the fabrication, overhaul, modification, installation, repair, and maintenance of systems , subsystems, and components as well as performing tasks such as… more
- Northwest Florida Community Hospital (Chipley, FL)
- …functions, capabilities and operation of computer-based billing and patient accounts management systems , including but not limited to CPSI (EHR), Quadax or similar ... and operation of computer-based registration, billing and patient accounts management systems . Requires sufficient knowledge in the use of basic computer software.… 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 ... or quality assurance environment preferred. + Broad knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement… more
- Molina Healthcare (Orlando, FL)
- …Maintains critical auditing and outcome information. Synchronizes data among operational and claims systems and application of business rules as they apply ... accuracy of configuration and ensure adherence to business and system requirements of customers as it pertains to contracting,...life cycle * Gains a deep understanding of Molina claims life cycle and all processes that affect … more