- MyFlorida (Tallahassee, FL)
- CLAIMS PROCESSING SUPERVISOR - 36000333 Date: Dec 3, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 866202 Agency: Department of Lottery Working Title: CLAIMS PROCESSING SUPERVISOR - 36000333 Pay Plan: Lottery Exempt Serv Position Number:… more
- IQVIA (Miami, FL)
- **Patient Support Medical Claims Processing Representative** _Contract Remote Role - Location (Open to Remote US)_ As the only global provider of commercial ... are looking for a 100% remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative** to join our team. In this position, you… more
- Ascension Health (Jacksonville, FL)
- **Details** + **Department:** Claims Processing + **Schedule:** Full Time, Days + **Facility:** Ascension Medical Group + **Location:** Jacksonville, FL ... party payers in an out-patient or medical office environment. + Prepare insurance claims for submission to third party payers and/or responsible parties. + Review … more
- Molina Healthcare (FL)
- …or legal requests. * Assists with reducing rework by identifying and remediating claims processing issues. * Locates and interprets claims -related regulatory ... claims using standard principles and applicable state-specific regulations to identify claims processing errors. * Applies claims processing … more
- Molina Healthcare (St. Petersburg, FL)
- …**Job Summary** The Senior Claims Research Analyst provides senior-level support for claims processing and claims research. The Sr. Analyst, Claims ... management, and strategic coordination across multiple departments to resolve systemic claims processing issues. The Sr. Analyst provides thought leadership,… more
- Molina Healthcare (St. Petersburg, FL)
- …Department of Health and Human Services (DSHS) and Medicare billing guidelines, Molina claims processing policies and procedures, and other resources to validate ... application. * Follows department processing policies and procedures including, claims processing (claim reversals and adjustments), claim recovery (refund… more
- Molina Healthcare (FL)
- …is involved in member enrollment, provider information management, benefits configuration and/or claims processing . + Responds to incoming calls from providers ... **Job Description** **Job Summary** The Provider Claims Adjudicator is responsible for responding to providers regarding issues with claims , coordinating,… more
- Molina Healthcare (FL)
- …with the member enrollment, provider information management, benefits configuration and claims processing teams to appropriately address provider claim issues. ... JOB DESCRIPTION **Job Summary** Provides support for provider claims adjudication activities including responding to providers to address claim issues, and… more
- CHS (Clearwater, FL)
- … claims prior to payment. * Oversight for the ongoing management of claims processing technology, including plan building and identification of new and ... **Overview** ** Claims Manager** **Servicing** **Health Insurance Policies or Benefits** **Summary:** Premier Administrative Solutions (PAS) is a Third-Party… more
- CHS (Clearwater, FL)
- …terminology **Qualifications** **Qualifications:** + Minimum two (2) years of medical claims processing experience- Payor/Carrier/TPA side + Must have reliable ... **Overview** **Health Insurance Medical Claims Examiner** **Monday-Friday Schedule with daytime hours** **Responsibilities** **Summary:** The Medical Claims … more