- Molina Healthcare (Miami, FL)
- …abuse and fraudulent billing practices, waste, overpayments, and processing errors of claims . ( _Use for claims specific positions only_ ) * Prepares, tracks ... to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of...days of error issuance. * Evaluates the adjudication of claims using standard principles and state specific policies and… more
- HCA Healthcare (Ocala, FL)
- …relates to researching, analyzing, and resolving outstanding clinical denials and insurance claims . This job requires regular outreach to payors and Practices. **In ... Benefits (EOB) information + Update patient accounts as appropriate + Submit uncollectible claims for adjustment timely and correctly + Resolve claims impacted… more
- Akumin (FL)
- …concepts, practices, and policies including but not limited to patient and insurance billing . **Specific duties include, but are not limited to:** + Ensure inbound ... and collect payment from patients + Review patient information to determine why claims were not paid, update accordingly and resubmit. Notate accounts with current… more
- Sedgwick (Miami, FL)
- …and government entities. The auditor will apply client specified billing guidelines and/or Generally Accepted Principles and Standards ("GAPS"). **ESSENTIAL ... RESPONSIBILITIES** + Ability to understand and apply clients' billing guidelines and standards. + Work with client to develop or enhance billing protocol. +… more
- Sedgwick (Orlando, FL)
- …confirming delivery of said goods or service. + Communicates with vendor partners, claims adjusters and nurse case managers providing updates on new referrals as ... necessary and approved by the claim's adjuster. + Confirms all required and relevant billing information exists in each referral as it relates to the workflow and … more
- HCA Healthcare (Sarasota, FL)
- …and contributing to the company's mission, vision, and values by accurately billing all diagnosis and procedures from medical records with proper ICD-10 and ... will be responsible for daily charges, preparing and submitting claims to third party payers, applying contractual adjustments, credit...will you need: + One year of experience in billing in a medical business office Consider a fulfilling… more
- CenterWell (Tampa, FL)
- …and coordinating with the administrative team at the branch to ensure other billing requirements are satisfied to release claims timely. + Adhere to ... is to provide clerical support for the branch medical records and billing department. Also, responsible for day-to-day coordination of telephone / personnel… more
- HCA Healthcare (Orlando, FL)
- …research/resolution + Escalates alert/edit resolution issues as appropriate to minimize final billing delays + Monitors the aging of accounts held by an alert/edit, ... 2 Job Description + Works with team members in billing , revenue integrity and/or the Medicare Service Center to...abstracts as necessary (eg, combining the codes for outpatient claims subject to the payment window) + Assists the… more
- ChenMed (Miami, FL)
- …incumbent in this role assists with the strategic alignment and oversight of claims assembly and submission processes. In close collaboration with Billing , ... revenue recovery throughout the organization by identifying operational, coding, billing , and reimbursement problems then recommending solutions. + Evaluates and… more
- Highmark Health (Tallahassee, FL)
- …the ability to identify issues related to professional and facility provider claims data including determining appropriateness of code submission, analysis of the ... of effective Payment Integrity strategies on a pre-payment and retrospective claims review basis. Review process includes a review of medical documentation,… more