- Highmark Health (Tallahassee, FL)
- …Business Process Analyst role or experience in a related operational area (eg claims , billing , customer service, etc.) **Preferred** + Experience in a financial ... analysis, underwriting support, or actuarial support role is highly desired. Strong understanding of financial concepts, risk assessment, and insurance product lifecycles. **LICENSES OR CERTIFICATIONS** **Required** + None **Preferred** + None **SKILLS** +… more
- Highmark Health (Tallahassee, FL)
- …Analyst or Business Process Analyst role or experience in a related operational area (eg claims , billing , customer service, etc.) **Preferred** + 0 - 1 year in ... the Health Insurance Industry **LICENSES AND CERTIFICATION** **Required** + None **Preferred** + None **SKILLS** + Analysis of business problems/needs + Written & Oral Presentation Skills + Business Analysis + Business Process Design + Business Process… more
- Molina Healthcare (Tampa, FL)
- …made, or is likely to be made, to ensure medical necessity and appropriate/accurate billing and claims processing. + Reevaluates medical claims and ... **Job Duties** + Facilitates clinical/medical reviews of retrospective medical claim reviews, medical claims and previously denied cases in which an appeal has been… more
- ZOLL Medical Corporation (Leesburg, FL)
- …is provided to intake and reimbursement to ensure appropriate and timely filing of billing claims + Maintain credentialing/access to all assigned accounts at all ... of patients indicated for a WCD and all essential ordering and billing requirements.Essential Functions + Provide customers with relevant clinical data that supports… more
- Sedgwick (Orlando, FL)
- …or GED required **Experience** One (1) year of general office experience required. Claims or medical records/ billing industry experience preferred. Two (2) years ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… more
- Centene Corporation (Tallahassee, FL)
- …management and provider data management, credentialing or healthcare operations (ie claims processing, billing , provider relations or contracting) experience, ... preferably in a managed care or insurance environment.Pay Range: $55,100.00 - $99,000.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off… more
- HUB International (Tallahassee, FL)
- …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… more
- HUB International (Gainesville, 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,… more
- Pearle Vision (Lakeland, FL)
- …Optometrist. * Assists patients with self-pay process verifying insurance eligibility generating claims for billing insurance plans. * Other duties as assigned. ... * Medical terminology preferred * Able to operate a variety of medical equipment such as autorefractor, tonometer, fundus photography, and lensometer. * Ability to multi-task and have high attention to detail. * Bilingual (English/Spanish) preferred. PRINCIPAL… more
- CHS (Clearwater, FL)
- …Education:** + High school graduate or equivalent. + Knowledge of medical terminology, billing , claims and the health insurance industry is strongly preferred ... inbound Customer Service Center focused on health insurance or provider billing . + Strong organizational, interpersonal and motivational skills. + Excellent… more