- Humana (Tallahassee, FL)
- …operations for higher quality and operational efficiency. + Ensure enrollment and claims processes comply with regulatory requirements and guidelines. + Partner with ... Enrollment Period (AEP). + Utilize tools such as Availity to streamline claims submission, eligibility verification, and authorization processes. + Directly lead a… more
- Walgreens (Alachua, FL)
- …the pharmacist, including those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- MyFlorida (Fort Lauderdale, FL)
- …and trial. Responsible for representation in defense of the Department in claims of inverse condemnation, as assigned. The Difference You Will Make: Through ... and trial. Responsible for representation in defense of the Department in claims of inverse condemnation, as assigned. This attorney is required to travel… more
- Molina Healthcare (Jacksonville, FL)
- …models to support analytical and operational use cases, including healthcare claims and utilization data. * Collaborate with cross-functional teams, including data ... * Prior experience working in the healthcare industry with familiarity in clinical, claims , or care management data. * Experience with cloud platforms (AWS, Azure)… more
- University of Miami (Miami, FL)
- …Hospital Billing Administration along with proficiency in Charging, Contracts, and Claims /Remittance + Configure, build, and maintain Epic HB applications to support ... Hospital Billing Expected Reimbursement Contracts Administration, Resolute Hospital Billing Claims , and Electronic Remittance Administration) preferred. + Strong understanding… more
- Aston Carter (Medley, FL)
- …queries, manage AR aging, and inform management about collections and outstanding claims status. The role involves interfacing with customers regarding past due ... for accounts. This position requires reviewing and processing invoices and claims , resulting in payment applications, credits, denials, and the collection of… more
- Elevance Health (Tampa, FL)
- …requirements. + Develop and analyze business performance reports (eg, for claims data, provider data, utilization data) and provides notations of performance ... Microsoft Excel experience. + Facets systems knowledge considered a plus. + Claims and/or Encounters experience preferred. + Experience with Medicaid data preferred.… more
- HCA Healthcare (Jacksonville, FL)
- …or billing errors from EOBs and work to correct them + You will monitor insurance claims and contact insurance companies to resolve claims + You will update the ... patient account record to identify actions taken + You will assign bad debt accounts to the collection agency + You will act as a liaison and administer contracts in collection of third party accounts (Medicare and Medicaid) + You will complete account… more
- Saia, Inc (Miami, FL)
- …overages, shortages, and damages to reduce or eliminate loss and damage claims . **Major Tasks and Responsibilities** + Researches and investigates reported freight ... issues. + Follows established claims processes and procedures. + Communicates between internal and external customers to resolve shipping and freight issues. +… more
- Insight Global (Boca Raton, FL)
- …foundation and proven track record in Commercial Healthcare Insurance including claims processing, products, and benefits management. The Product Owner may cover ... of experience working within the Commercial Healthcare Insurance industry, including claims processing, products, and benefits management 5+ years of experience… more