- AdventHealth (Altamonte Springs, FL)
- …appropriately reconcile patient accounts. This position resolves and resubmits rejected claims , processes daily and special reports, and reviews previous account ... Works with insurance payers to ensure proper billing, collections, or denial management on patient accounts. + Examines contracts to ensure proper reimbursement,… more
- Elevance Health (Miami, FL)
- …eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical editing ... DUTIES: + Review medical record documentation in support of Evaluation and Management CPT codes. + Reviews company specific, CMS specific, and competitor specific… more
- Butterfly Effects (Deerfield Beach, FL)
- …to support our national billing needs. In this role, you'll ensure clean claims and accurate submissions, allowing our field teams to focus on what matters ... demographics, authorizations, CPT codes, and claim details before submission. + Process claims using the First-In / First-Out method to prevent backlogs and meet… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …execution and provide feedback to optimize performance at all levels + **Compliance Management :** + Must comply with all state and federal laws, regulations and ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Allegion (Orlando, FL)
- …and approving of branch personnel expense reports + Manage all workman's comp claims and participate in depositions pertaining to claims against the branch ... policies are being followed and manage all vehicle damage claims . + Participate in the weekly Field Manager's Call,...Bachelor's Degree required + 5+ years of experience in management of people + 5+ years of experience owning… more
- Zelis (St. Petersburg, FL)
- …clinical criteria plan, and policy exclusions. Conduct reviews on inpatient DRG claims as they compare with medical records ICD-10 Official Coding Guidelines, AHA ... specific coverage policies. Conduct prompt claim review to support internal inventory management to achieve greatest savings for clients. What you'll do: + Perform… more
- Molina Healthcare (Tampa, FL)
- …for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims ... requirements of customers as it pertains to contracting, network management and credentialing. **KNOWLEDGE/SKILLS/ABILITIES** + Audits loaded provider records for… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …related updates, strategies, and initiatives to key stakeholders and senior management . + Develop and manage comprehensive budgets for various projects ensuring ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Norstella (Tallahassee, FL)
- …offerings leveraging Norstella's unified Real World Data asset, NorstellaLinQ, a combination of claims , lab, SDOH and EMR data. You will be joining an organization ... accuracy and quality. *Perform in-depth analyses on healthcare data sources, including claims , lab, EMR/EHR, and SDOH data, to uncover actionable insights and drive… more
- Butterfly Effects (Deerfield Beach, FL)
- …You'll manage assigned accounts, research and resolve denied or underpaid claims , and maintain compliance with payer guidelines and HIPAA regulations. This ... CPT codes, and claim details related to denials or underpayments. + Research claims using insurance portals, Central Reach, and EOBs to determine resolution paths. +… more