- Molina Healthcare (Tampa, FL)
- …agencies to ensure that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine appeal and ... + Research claims processing guidelines, provider contracts, fee schedules and system configurations to determine root cause of payment error. + Resolves and… more
- BayCare Health System (Clearwater, FL)
- …+ Knowledge of health plan operations, benefit coverage, and claims processing. Familiarity with regulatory requirements governing grievance and appeal ... ERISA, HIPAA, and state-specific regulations. + Proficiency in using computer systems and software for case management and documentation. **Minimum Qualifications:**… more
- BayCare Health System (Safety Harbor, FL)
- …correction of charges, edits, and registration/insurance issues in order to provide clean claims for large volume areas. + Requires attention to detail as well as ... the ability to function in various information system platforms. Must discuss with provider when discrepancies present....individuals at all levels of the organization + Analyze systems and processes and problem solve solutions + Organizational… more
- Cardinal Health (Doral, FL)
- …Collector is responsible for the timely follow-up and resolution of insurance claims . This role ensures accurate and efficient collection of outstanding balances ... insurance companies via phone, portals, or email to check claim status, request reprocessing or escalate issues. + Analyze...payment. + Document all collection activities in the billing system according to departmental procedures. + Follow up on… more
- Travelers Insurance Company (Tallahassee, FL)
- …Imagine loving what you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided for this position is ... **What Is the Opportunity?** Lead the strategy and operations of Travelers Claim Medical initiatives focusing on how developments in the broader medical environment… more
- Army National Guard Units (St. Augustine, FL)
- Summary This National Guard position is for a SUPERVISORY IT SPECIALIST ( SYSTEMS ADMINISTRATION) (TITLE 32), Position Description Number D2490P02 and is part of the ... and long-term goals and objectives are met. Directs, manages, and monitors a system of internal controls that ensure effective and appropriate use of resources.… more
- Naval Air Systems Command (Jacksonville, FL)
- …including: 1) Operating test equipment such as oxygen test stands and oxygen system component test stands; 2) Replacing inlet valves, demand valves, aneroid and flow ... equipment and tooling are being used in the repair of oxygen systems ; 4) Disassembling, cleaning, overhauling, repairing, testing and installing aircraft oxygen and… more
- Naval Air Systems Command (Jacksonville, FL)
- …lines, and fuel cells. You will install, align, and adjust aircraft systems , assemblies, and components according to established guidelines. You will inspect, ... and accessories, including armament mounts, hydraulic components, and environmental control systems . You will use common hand tools, measuring devices, and test… more
- Centene Corporation (Tallahassee, FL)
- …group, ancillary, etc.) are set up accurately in the provider information system for state reporting, claims payment, and directories. Responsible for ... state deliverables, network reporting and directories as well as claims payment resolution as it relates to provider set...contract + Research and identify any processing inaccuracies in claim payments and route to the appropriate site operations… more
- Allied Universal (Miami, FL)
- Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and ... Investigation Services is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim … more