- Percepta (Melbourne, FL)
- …request * Provide real-time technical assistance to reduce the total number of claims requiring technical escalation and reduce the total number of contacts per ... claim * Provide real-time technical subject matter expertise to...outbound calls to dealerships regarding the status of submitted claims within client-specified timeframes * Communicate with dealers and… more
- AdventHealth (Tampa, FL)
- …and procedures to reduce denials, maximize reimbursements, and promote faster payment. Resolves claim edits within the EPIC management billing system to ensure ... billed as well as ensure we are billing clean claims . The APC Coordinator will assist in the oversight...**ue you'll bring to the team:** Review and analyze claim denials to perform the appropriate resolution, rebilling, and/or… more
- Cardinal Health (Tallahassee, FL)
- …and transmitting claims using billing software including electronic and paper claim processing + Following up on unpaid claims within standard billing ... Rep is responsible for verifying patient insurance and benefits, preparing and submitting claims to payers, correcting rejected claims , following up on unpaid… more
- The Hartford (Lake Mary, FL)
- …to meaningful work at The Hartford. The Senior Ability Analyst primarily investigates claims to make timely, accurate and customer focused initial and ongoing Long ... Term Disability benefit determinations using vocational, medical, and financial claim management. The Senior Ability Analyst supports our mission of helping our… more
- Molina Healthcare (Miami, 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
- CVS Health (Tallahassee, FL)
- …and key litigation activities. + Utilizing legal skills to oversee and manage claims against CVS from the initiation of suit through resolution. + Managing all ... identify the litigation strategy in every case assigned. + Creating a plan for claim evaluation to most efficiently resolve or defend cases against CVS while working… more
- BrightSpring Health Services (Fort Lauderdale, FL)
- …of the pharmacy. + Identifies and resolves issues of denials or follow-up of claims . + Maintains current knowledge of Medicaid claim regulations and processes. + ... Produces reports and keeps management informed of unpaid claims and claims pending follow-up. + Understands all dispensing systems used in the pharmacy and… more
- CVS Health (Tallahassee, FL)
- …+ Enter and process monthly fee claims for ancillary product offerings via claim system . **Required Qualifications** + 2+ years of experience working in an ... customers and accounts. + Balance deposits in the accounting system . + Follow systems of checks and...own accountability for open items. + Collect and post claim payments against monthly invoices in accounting system… more
- Suddath (Jacksonville, FL)
- …carrier for Auto Accidents + Review and maintain data for Workers' Compensation claims and additional information gathering + Claim services such as reviewing ... **General position summary:** This position involves assisting and monitoring the claims resolution process, ensuring fair and accurate settlements based on carrier… more
- Ryder System (Miami, FL)
- …Risk Management . Coordinate and collaborate with actuarial specialists, captive broker and claims system vendor 1 . Conduct in-depth financial analysis to ... provide insights for senior management and facilitate data-driven decision making . Lead, mentor, and develop a team of accounting professionals . Coordinate and manage internal and external audit activities for the insurance area **Skills and Abilities** +… more