- Kemper (Tampa, FL)
- …for account products as well as liaison for resolving policy service and billing issues for assigned accounts and products. + Manages accounts on a consultative ... and state requirements. + Works directly with strategic partners like Product, Claims , and Operations on issues impacting the account. + Performs other duties… more
- Zelis (St. Petersburg, FL)
- …who you are. Position Overview The Manager, DRG Validation of the Expert Claims Review (ECR) department is responsible for daily operations and team management of ... 5 - 7 years reviewing and/or auditing ICD-10 CM, MS-DRG and APR-DRG claims required + Supervisory experience preferred + Solid understanding of audit techniques and… more
- LogixHealth (Dania Beach, FL)
- …individual providers and monitor contract termination dates and make sure that claims are processed based on the contracted rates. Key Responsibilities: + Assigning ... social events. About LogixHealth: At LogixHealth we provide expert coding and billing services that allow physicians to focus on providing great clinical care.… more
- Molina Healthcare (St. Petersburg, FL)
- …responsible for the holistic management of the external vendor relationships for Claims and Enrollment activities (along with other Core Ops areas of ... and benefit realization + Demonstrates deep understanding of Core Operations, Claims and Enrollment processes, deliverables, vendor partners and technology platforms… more
- Evolent (Tallahassee, FL)
- …CPT Codes, RVUs, bundled payments, etc. + Working knowledge of healthcare claims ; specifically, differences between institutional vs professional billing and ... + Lead in-depth analyses of healthcare data - including authorizations, claims , membership, and clinical outcomes to identify cost drivers, utilization patterns,… more
- Evolent (Tallahassee, FL)
- …or related healthcare consulting entity + Extensive knowledge of healthcare claims ; specifically, differences between institutional vs professional billing and ... public health, biology) + At least 5 years of professional experience in claims -based healthcare analytics with a payer, provider, vendor, managed care,… more
- HCA Healthcare (Sarasota, FL)
- …up activities on accounts to ensure prompt payment + You will identify coding 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 to the… more
- Graybar (Pinellas Park, FL)
- …+ Coordinate customer service requests including order entry, pricing, expediting, billing , order maintenance, credit and claims **Skills & Requirements** ... + Strong communication skills + Ability to handle a variety of customer situations with enthusiasm and tact + Some retail or counter sales experience preferred + High School education + 2 year or 4 year degree preferred **Shift and Hours:** Monday - Friday; 8… more
- CVS Health (Tallahassee, FL)
- …monthly invoices in accounting system. + Enter and process monthly fee claims for ancillary product offerings via claim system. **Required Qualifications** + 2+ ... an accounting system, including accounts receivable, accounts payable, auditing, and billing . **Preferred Qualifications** + Resides in Amherst, New York, with the… more
- Suddath (Tampa, FL)
- …shipments) if applicable, and managing all Warehouse Customer's invoices and billing documents. **Essential Duties and Responsibilities:** Operate all equipment in a ... technology and will be expected to successfully negotiate and resolve customer claims . Mathematical Skills: Ability to apply concepts such as fractions, percentages,… more