- HCA Healthcare (Palm Harbor, FL)
- …and Qualifications** Serves as the central point of contact for revenue cycle operations in the PHY Division for our Parallon business partners. Directs and ... company reimbursement analysis. The objective of this position is to streamline operations and improve revenue cycle metrics through detailed analysis and process… more
- MyFlorida (Jacksonville, FL)
- …quality care experience at every customer encounter for the day-to-day front desk operations , office related duties and billing of medical services provided by the ... Center. Performs front desk operations according to established policies and procedures (DOH-Duval Health...in course of billing reviews of clinics + Resubmits claims when needed, manually completes claims when… more
- Prime Therapeutics (Tallahassee, FL)
- …for additional services that address unmet customer needs. + Provides clinical operations input and support of client specific claims processing programs, ... the strategic plan for their accounts in conjunction with sales and operations . **Responsibilities** + Performs customer centric pharmacy services. + Owns overall… more
- Elevance Health (Miami, FL)
- …with external accreditation and regulatory requirements, internal policies and claims events requiring adaptation of written response in clear, understandable ... conduct extensive research and analyze the grievance and appeal issue(s) and pertinent claims and medical records to either approve or summarize and route to nursing… more
- MyFlorida (Tallahassee, FL)
- …issues and the chargeability of employer accounts for benefit payments on claims . This may be accomplished telephonically, through written correspondence, or through ... of first payments when potential issues are detected on initial or additional claims . This is accomplished through tracking the assigned claim load and utilizing the… more
- MyFlorida (Fort Lauderdale, FL)
- …issues and the chargeability of employer accounts for benefit payments on claims . This may be accomplished telephonically, through written correspondence, or through ... of first payments when potential issues are detected on initial or additional claims . This is accomplished through tracking the assigned claim load and utilizing the… more
- MyFlorida (Orlando, FL)
- …applying laws and policies to determine the eligibility of reemployment assistance claims using the CONNECT system. This includes gathering claimant and employer ... information, reviewing documentation, assessing claims , knowledge and application of Florida Reemployment Assistance Program Rules and State/Federal Laws, and… more
- Orlando Utilities Commission (Orlando, FL)
- …+ Support open enrollment, new hire orientations, and day-to-day benefits operations . + Assist with audits, reconciliations, and continuous process improvements. + ... and applicable federal and state laws. + Support benefits daily operations , processes, and procedures, in partnership with any third-party outsourcing vendors.… more
- MyFlorida (Deland, FL)
- …conveyance documents. Responsible for representation in defense of the Department in claims of inverse condemnation, as assigned. The Difference You Will Make: ... documents. Responsible for representation in defense of the Department in claims of inverse condemnation, as assigned. Responsible for thoroughly researching all… more
- Molina Healthcare (St. Petersburg, FL)
- …Manager is responsible for overseeing all aspects of healthcare subrogation operations across Medicaid, Medicare, and Marketplace lines of business. This includes ... across a wide range of subrogation case types-including automobile-related claims (eg, no-fault/PIP), workers' compensation, general liability, medical malpractice,… more