- HUB International (Davie, FL)
- …judgment to resolve. May also negotiate with underwriters and carriers. Troubleshoots claims and billing issues. + Responsible for overall retention of accounts in ... assigned book of business. + Develops new business from existing accounts and assigned leads and contributes to meeting departmental production goals. Identifies and follows-up on cross-selling opportunities when appropriate. + Manages, organizes, and conducts… more
- Convey Health Solutions (Fort Lauderdale, FL)
- …+ Minimum 2 years Health Plan Operations experience including; Enrollment (preferred), Claims processing or Customer Service. + Working knowledge of MSOffice (Word, ... Excel, Outlook) Pay: $17.75 per hour About Us WHO WE ARE Convey Health Solutions manages a myriad of administrative needs and make it easier for health plans to operate and provide valuable experiences for their members. How so? We focus on building specific… more
- PCL Construction (Orlando, FL)
- …sites. + Manages complex project organizational structure. + Oversees and negotiates claims /disputes with owner and trade contractors with senior project manager and ... project managers. + Understands, communicates, and proactively manages contract and documents. + Ability to travel 70% of the time. **Qualifications** + Postsecondary education or training in engineering, construction management, or related discipline. + 15+… more
- CVS Health (Tallahassee, FL)
- …in a prepayment environment - Investigates to prevent payment of fraudulent claims committed by insured's, providers, claimants, etc. - Researches and prepares cases ... for clinical and legal review. - Documents all appropriate case activity in case tracking system. - Prepares and presents referrals, both internal and external, in the required timeframe. - Facilitates the recovery of company lost as a result of fraud matters.… more
- Trinity Health (Fort Lauderdale, FL)
- …and HCPCS level II coding guidelines, along with CCI edits and Medicare claims processing manual contents in a multi-facility, integrated health care delivery system ... or revenue cycle or consulting experience** **,** **as normally obtained through an associate degree in related field and three (3) to five (5) years of professional coding experience or equivalent combination of education and professional coding experience.**… more
- Suddath (Jacksonville, FL)
- …including conducting ride behinds, Quality Control checks in customer homes, claims resolution, and driver performance and management. + Ensures customer ... requirements and expectations are adhered to in both customer facilities and customer homes. Ensures professionalism is maintained within team and across customer interactions. + Conducts onsite evaluations of assigned-to locations to establish standard task… more
- Elevance Health (Tampa, FL)
- …rates of reimbursement, as applicable. + Assists in problem solving with providers, claims or service issues. **Minimum Requirements:** + Requires BA/BS in a health ... related field and minimum of 3 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. + Current, unrestricted RN license in applicable state(s) required. + Multi-state licensure is required… more
- Walmart (The Villages, FL)
- …in accordance with Company policies and procedures by properly handling claims and returns zoning the area arranging and organizing merchandisesupplies identifying ... shrink and damages and ensuring a safe work environment Maintains merchandise presentation in the Pharmacy by stocking and rotating merchandise removing damaged or outofdate goods setting up cleaning and organizing product displays signing and pricing… more
- University of Miami (Medley, FL)
- …and refers accounts to collection agencies. + Processes third-party insurance claims , requests and submits claim forms, and processes insurance requests for ... refunds. + Makes corrections to accounts, updates patient demographic information, and reviews medical codes for correctness. + Reviews, sorts, and distributes incoming third-party payor correspondence. + Takes appropriate measures to resolve past due accounts… more
- Black & Veatch (Orlando, FL)
- …+ Participates in the resolution/processing of backcharges and claims , as needed **Management Responsibilities** Individual Contributor **Minimum Qualifications** ... All applicants must be able to complete pre-employment onboarding requirements (if selected) which may include any/all of the following: criminal/civil background check, drug screen, and motor vehicle records search, in compliance with any applicable laws and… more