- Cardinal Health (Tallahassee, FL)
- …and transmitting claims using billing software including electronic and paper claim processing + Following up on unpaid claims within standard billing ... is responsible for verifying patient insurance and benefits, preparing and submitting claims to payers, correcting rejected claims , following up on unpaid… more
- MyFlorida (West Palm Beach, FL)
- …other duties necessary related to the criminal appellate process. + Analyze victims' compensation claims through the VAN and VANNext systems in order to assist ... - 41000605 Date: Nov 17, 2025 The State Personnel System is an E-Verify employer. For more information click...in social work or victim services, probation and parole, claims or benefits eligibility determination. + A Bachelor's degree… more
- BayCare Health System (Tampa, FL)
- …compliance related activities and services provided by the BayCare Health System HIM Coding Department. + Interacts directly with coders, clinical personnel ... Clinic, etc. + Performs special audits for specific issues within facility Inpatient claims . + Acts as the Liaison for coding issues with the BayCare Compliance… 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
- Sedgwick (Tallahassee, FL)
- …and change logs and JURIS EDI technical mapping; existing workers' compensation claim systems , workers compensation adjuster job functions, client parameter ... them to the technical EDI mapping in JURIS identifying system defects and managing escalation and resolution with the...to include two (2) years of workers' compensation or claims related experience and three (3) years of EDI… more
- Naval Air Systems Command (Jacksonville, FL)
- …from the following Office of Personnel Management website: Federal Wage System Qualifications (opm.gov) Experience refers to paid and unpaid experience, including ... when selecting individuals under this specific hiring authority. However, if you claim veteran's preference, you will be required to submit supporting documentation… more
- Molina Healthcare (St. Petersburg, FL)
- …operations, health plan representatives, and other business teams involved in claim processing. Maintains expertise in all forms of reimbursement methodologies ... pricers including: + Reviewing pricing software vendor specifications. + Identifying system changes needed to accommodate state-specific logic. + Assisting with… 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
- Elevance Health (Tampa, FL)
- …**How you will make an impact:** + Reviews and validates paid claims for overpayments using various techniques including system -based queries, specialized ... **Financial Operations Recovery Specialist** is responsible for setting up and adjusting claims overpayments that have been previously identified. May do all or some… 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