• Remote Healthcare Claims Processing

    NTT DATA North America (Orlando, FL)
    NTT DATA is seeking to hire a **Remote Claims Processing Associate** to work for our end client and their team. **$18/hour W2** **Long Term Temporary** **Start: ... fee schedule **Requirements:** + 1-3 year(s) hands-on experience in Healthcare Claims Processing + 2+ year(s) using a computer with Windows applications using… more
    NTT DATA North America (08/08/25)
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  • Patient Support Medical/Biller Claims

    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
    IQVIA (07/29/25)
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  • PROFIT Plan Claims Processing

    Publix (Lakeland, FL)
    **33789BR** **Position Title:** PROFIT Plan Claims Processing Specialist, Retirement - Lakeland **Department:** Benefits Administration **Location:** Lakeland, ... System + 2 years retirement related experience and 2 years of claims processing experience, or 4 years customer service experience in retirement related field… more
    Publix (07/16/25)
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  • Copay Manager - Support Program/ Claims

    AssistRx (Orlando, FL)
    …and support all operational and financial processes related to claim processing activities. In addition, manager will ensure effective day-to-day operations and ... and external business review meetings. Responsible for forecasts and analyzing claims data to determine Copay utilization, establish escrow account minimum balances… more
    AssistRx (07/02/25)
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  • Assistant of Claims Processing

    Ascension Health (Jacksonville, FL)
    **Details** + **Department:** Billing and Claims + **Schedule:** Full-Time, Days Mon. - Fri. 8AM-5PM + **Hospital:** Ascension St. Vincent's + **Location:** 3 ... 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
    Ascension Health (08/01/25)
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  • Claims Processor

    Highmark Health (Tallahassee, FL)
    …**Required** + 1 year of related experience **Preferred** + 1 year of claims processing experience + Inquiry resolution system, OCWA, Oscar, Outlook experience ... guidelines. + Knowledge of operating systems specific to claim processing . + Ability to review claims and...to claim processing . + Ability to review claims and analyze critical data. + Reading benefits, investigating… more
    Highmark Health (08/15/25)
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  • Director, Initial Claims

    Humana (Tallahassee, FL)
    …Initial Claims has oversight of and drives for continuous improvement in initial claims processing for all medical lines of business. The role will focus on ... and offshore support + Monitors performance and operational reporting in the Claims Processing space, with regular executive summary roll-up to leadership… more
    Humana (08/09/25)
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  • Marine Liability Claims Consultant

    The Hartford (Lake Mary, FL)
    …high exposure claims , involving complex issues and/or litigation. Responsibilities: + Claims Processing and Administration + Ensures that claims are ... team as a Marine Claims Consultant. The Marine Claims Consultant is responsible for maintaining and processing Marine claims . You will be handling a wide… more
    The Hartford (08/15/25)
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  • Medical Claims Processor - Remote

    Cognizant (Tallahassee, FL)
    …School Diploma or equivalent is required + A minimum of 1 years of medical claims processing is required + Facets experience is highly preferred + Knowledge of ... payment and coverage guidelines and regulations + Experience in the analysis and processing of claims , utilization review/quality assurance procedures + Must be… more
    Cognizant (08/12/25)
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  • Director, Appeals & Grievances (Medicare…

    Molina Healthcare (Jacksonville, FL)
    …Contracted Provider disputes and appeals to ensure adherence with Molina claims processing standards and provider contractual agreements. Includes responsibility ... and IPA. + 2 years supervisory/management experience with appeals/grievance and/or claims processing within a managed care setting. **Preferred Education**… more
    Molina Healthcare (07/18/25)
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