- AdventHealth (Altamonte Springs, FL)
- …to appropriately reconcile patient accounts. Resolves and resubmits rejected claims appropriately as necessary. Processes daily and special reports, unlisted ... and medical appeals, refunds, reinstatements, and rejections of insurance claims . + Consistently communications with team members to foster...and effectively in + Cerner Patient Accounting + SSI Claims Scrubber + Epic + Certified Revenue Cycle Rep… more
- Carnival Cruise Line (Miami, FL)
- …planning in compliance with regulations and employment obligations. + Support disability claims and benefits review for crew unable to return to duty. + ... to assess fitness for duty per International Maritime Health guidelines. + **Crew Medical Claims Management** + Review crew cases of high risk and escalate to the… more
- Suddath (Jacksonville, FL)
- …**General position summary:** This position involves assisting and monitoring the claims resolution process, ensuring fair and accurate settlements based on carrier ... for Auto Accidents + Review and maintain data for Workers' Compensation claims and additional information gathering + Claim services such as reviewing estimates,… more
- Robert Half Office Team (Bradenton, FL)
- …analytical and administrative skills, along with the ability to manage claims and insurance-related processes effectively. Responsibilities: * Develop and implement ... across all departments. * Oversee the processing and resolution of claims , including workers' compensation, general liability, and auto liability, ensuring timely… more
- Molina Healthcare (Tampa, FL)
- …for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims ... and provider databases. Synchronizes data among multiple claims systems and application of business rules as they apply to each database. Validate data to be housed on provider databases and ensure adherence to business and system requirements of… more
- Elevance Health (Tampa, FL)
- …I** is responsible for accurate and timely maintenance of provider information on claims and provider databases. **How You Will Make an Impact** Primary duties may ... but are not limited to: + Assists in synchronization of data among multiple claims systems and application of business rules as they apply to each database. +… more
- Elevance Health (Tampa, FL)
- …healthcare fraud in order to recover corporate and client funds paid on fraudulent claims . **How you will make an impact:** + Claim reviews for appropriate coding, ... and claim systems for review of facility, professional and pharmacy claims . + Responsible for independently identifying and developing enterprise-wide specific… more
- Robert Half Accountemps (Orlando, FL)
- …revenue cycle processes, ensuring the accuracy of medical billing, and managing claims with diligence. This is an excellent opportunity for professionals with a ... * Manage medical billing functions and oversee the accurate processing of claims . * Review and resolve collections issues, ensuring compliance with financial… more
- Molina Healthcare (FL)
- …executive decision-making + Mine and manage information from large data sources. + Analyze claims and other data sources to identify early signs of trends or other ... of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical Management, Network, and other departments to enable critical decision… more
- Molina Healthcare (Orlando, FL)
- …analytics and reporting solutions that help track, measure, and optimize automated claims processing solutions. The role will leverage tools like Power BI, Azure ... reporting to track solution effectiveness and surface potential issues + Creating claims impact reporting to assess automation potential, issues or financial impact… more