- Cognizant (Tallahassee, FL)
- …duties as assigned by management. **Qualifications:** + A minimum of 2 years' claims processing experience is required. + Knowledge of physician practice and ... + 1 year of Facets experience. + Experience in the analysis and processing of claims for payments, utilization review/quality assurance procedures. + Excellent… more
- CHS (Clearwater, FL)
- …guidelines, and reporting requirements; Federal and state regulations; and timeliness of claims processing . + Utilize Excel, prepares tracking and trending ... up-to-date working knowledge on regulatory requirements associated with billing and claims processing , as well as HIPAA guidelines/established Encryption… more
- Prime Therapeutics (Tallahassee, FL)
- …or submit claims and adjustments as required. + Implementation and maintenance of claims processing programs and procedures + Verify that claims are ... our passion and drives every decision we make. **Job Posting Title** Lead Claims Processor, Government Programs **Job Description** Adjudicate or submit claims … more
- CHS (Clearwater, FL)
- …medical terminology **Qualifications** **Qualifications:** + Minimum two (2) years of medical claims processing experience + Must have reliable and secure ... **Overview** **Health Insurance Medical Claims Examiner** **Monday-Friday Schedule with daytime hours** **Responsibilities** **Summary:** The Medical Claims … more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …+ Excellent oral and written communication skills + 1 - 3 years of Health claims processing experience + Working knowledge of COB and MSP preferably + Medical ... Purpose: The Claims Examiner is responsible for providing expertise and/or claims support in reviewing, researching, investigating, processing and adjusting … more
- Insight Global (Deerfield Beach, FL)
- …in Microsoft Office applications (Email, Teams, Outlook, etc.) and programs used for claims processing , as well as the ability to navigate multiple software ... Job Description Key Responsibilities: The automotive claims adjuster handles inbound calls from dealerships and...from dealerships and mechanics, reviewing and deciding on warranty claims . They manage up to 40-60 calls per day.… more
- Modernizing Medicine (Tampa, FL)
- …for all inbound and outbound patient calls regarding patient balance inquiries, claims processing , insurance updates, and payment collections + Initiate outbound ... or related experience required + Basic understanding of medical billing claims submission process and working with insurance carriers required (eg, Medicare,… more
- Healthfirst (FL)
- …contract reimbursement terms, code sets (HCPCS, ICD10, DRGs, CPT, etc.), and claims processing practices WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants ... and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital… more
- Elevance Health (Tampa, FL)
- …The **Clinical Document Improvement Director** is responsible for leading encounter processing , diagnostic documentation and claims integrity across CareBridge. ... / revenue cycle management (RCM) organizations, with specific understanding in end-to-end claims / encounter processing , as well as ensuring compliance with… more
- TEKsystems (Deerfield Beach, FL)
- …stability, and excellent benefits, we encourage you to apply. Key Responsibilities + Claims Evaluation & Processing + Use your automotive knowledge to assess ... Mechanical Claims Specialist - Job Description Are you an...to a dynamic office environment? We're seeking a Mechanical Claims Specialist to join our growing customer contact team,… more