- MyFlorida (Orlando, FL)
- … Medicaid , and Refugee Assistance) as a result of pre- eligibility and eligibility investigations for Public Assistance applicants/recipients, community ... INVESTIGATION SPECIALIST I - 60060474 Date: Oct 1, 2025...to promote strong and economically self-sufficient communities by determining eligibility for food, cash and medical assistance for individuals… more
- Molina Healthcare (Jacksonville, FL)
- …of benefits, subrogation, and eligibility criteria. + Familiarity with Medicaid and Medicare claims denials and appeals processing, and knowledge ... and requirements established by the Centers for Medicare and Medicaid **KNOWLEDGE/SKILLS/ABILITIES** + Responsible for the comprehensive research and resolution… more
- HCA Healthcare (Sarasota, FL)
- …integrity. We care like family! Jump-start your career as a(an) Collections Specialist today with Surgery Ventures. **Benefits** Surgery Ventures, offers a total ... on income. Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards) **_Note: Eligibility for benefits may vary by location._** Come join… more
- Molina Healthcare (Orlando, FL)
- … claims processing background, including coordination of benefits, subrogation, and eligibility criteria. + Familiarity with Medicare claims and appeals ... Responsible for reviewing and resolving Medicare member appeals and Medicare claims in communicating resolution to members and provider (or authorized… more
- MyFlorida (Tallahassee, FL)
- …tests queries to obtain and summarize data from the Agency's iConnect system, the Medicaid paid claims database (FMMIS), and other agency data systems as ... Operational Review Specialist Date: Oct 6, 2025 The State Personnel...the US APD participates in the US government's employment eligibility verification program (E-Verify), which electronically confirms an employee's… more
- Cognizant (Tallahassee, FL)
- …accounts. . Maintain working knowledge of applicable health insurers' internal claims , appeals, and retro-authorization as well as timely filing deadlines and ... based on the review of clinical documentation in accordance with Medicare, Medicaid , and third-party guidelines. . Effectively document and log claims /appeals… more
- Cardinal Health (Doral, FL)
- …skills and prioritizes getting the right things done. **The Accounts Receivable Specialist is responsible for processing insurance claims and billing. They ... and support from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and properly resolves by follow-up &… more