- Elevance Health (Tampa, FL)
- …is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and ... you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- CDM Smith (Orlando, FL)
- …Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical in evaluating and analyzing financial data related ... to disaster-related claims , including property damage, business interruption, and other loss...Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or… more
- HCA Healthcare (Pensacola, FL)
- …to charitable organizations. Apply Today! **Job Summary and Qualifications** Processes claims electronically to insurance carriers. Mails claims to carriers ... to accounts. Communicates any charge related issues to Charge Master Manager /Analyst. + Works all identified insurance requirement edits through the electronic… more
- HCA Healthcare (Palm Harbor, FL)
- …acquisitions as needed. + Manage and approve all Provider Enrollment Claims , on Hold write-offs, and administrative adjustments regularly. + Create outstanding ... for follow up. + Collaborate with Parallon's Division Account Manager and practice leadership to improve Division A/R Days...practice leadership to improve Division A/R Days (charge Lag, claims on hold, insurance denial issues, and training). +… more
- Zurich NA (Maitland, FL)
- …talent at any Zurich office location. We may, at the sole discretion of the Hiring Manager , be open to hiring remote talent. This role will be filled at either the ... or Sr. Construction Property Underwriter (Leve III). The hiring manager will determine the appropriate level based upon the...and 6 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance… more
- Sedgwick (Orlando, FL)
- …from some of the world's most reputable brands. + An assigned mentor and manager who will guide you on your career journey. + Career development and promotional ... To provide excellent service displaying empathy to callers regarding claims for multiple lines of business, including but not...with a comprehensive curriculum. + An assigned mentor and manager that will support and guide you on your… more
- Sedgwick (Orlando, FL)
- …from some of the world's most reputable brands + An assigned mentor and manager who will guide you on your career journey + Career development and promotional ... and solution-focused. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Establishes FMLA claims ; tracks and codes documentation in accordance with internal workflow… more
- Elevance Health (Tampa, FL)
- …and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims ... Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Miami, FL)
- …with external accreditation and regulatory requirements, internal policies and claims events requiring adaptation of written response in clear, understandable ... and analyze the grievance and appeal issue(s) and pertinent claims and medical records to either approve or summarize...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- MyFlorida (Tallahassee, FL)
- …design and implement algorithms to effectively data-mine within various types of claims data utilizing a variety of software applications; compile research, data ... limited to, the following: * Identify suspicious patterns in claims data and other sources by applying your knowledge...collaboration with the team and the Program Integrity Unit Manager , draft investigative work plans and develop case strategies… more