- Sedgwick (Orlando, FL)
- …total loss evaluations, and related expenses to effectively negotiate first and third party claims . + Knowledge of total loss processing , State salvage forms and ... a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative | Auto | Remote Are you looking for an opportunity to join… more
- Molina Healthcare (Orlando, FL)
- …concisely and accurately, in accordance with regulatory requirements. + Research claims processing guidelines, provider contracts, fee schedules and system ... years operational managed care experience (call center, appeals or claims environment). + Health claims processing...center, appeals or claims environment). + Health claims processing background, including coordination of benefits,… more
- Cardinal Health (Doral, FL)
- …+ Mails all paper claims . + Acts as a subject matter expert in claims processing . + Manages billing queue as assigned in the appropriate system. + Manages ... things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the scope of… more
- Molina Healthcare (Tampa, FL)
- …payment methodology & processing is essential + Understanding on hospital claims processing and configuration works + Medicare fee schedule knowledge is ... experience **Required Experience** 5-7 years in SQL, Medicare, Networx, QNXT, claims processing and hospital claims payment method. **Preferred Education**… more
- Intermountain Health (Tallahassee, FL)
- …**Essential Functions** + Oversees the day-to-day revenue cycle functions including claims processing , denials, payments, customer service, and follow up ... + Insurance Processing and Issues + Medical Terminology + Claims Processing + Collaboration + Time Management + Team Building **Qualifications** + High… more
- Sedgwick (Tallahassee, FL)
- …from an accredited college or university preferred. **Experience** 2-3 years experience processing work comp claims as an examiner. Familiar with CPT, ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Work Comp Claims Negotiator **PRIMARY PURPOSE** **:** To negotiate Out of Network bills that do… more
- Robert Half Accountemps (Tampa, FL)
- …extra follow-up tasks when required. Requirements * Previous experience in insurance, claims processing , or customer service is preferred. * Demonstrated ability ... with funeral homes and insurance representatives while ensuring timely document processing . As a contract position with potential for long-term collaboration, it… more
- MyFlorida (Bay Pines, FL)
- …liaison with VA outpatient staff regarding case development and treatment to support claims processing and advocacy issues. Confer with clinic, service center ... needed, interviewing veterans and family members, preparing and submitting claims for benefits to the US Department of Veterans'...and obtain information in order to prepare and submit claims for any / all federal and state benefits… more
- MyFlorida (Alachua, FL)
- …liaison with VA outpatient staff regarding case development and treatment to support claims processing and advocacy issues. Confer with clinic, service center ... needed, interviewing veterans and family members, preparing and submitting claims for benefits to the US Department of Veterans...and obtain information in order to prepare and submit claims for any and all federal and state benefits… more
- Elevance Health (Miami, FL)
- …within the enterprise. Included are processes related to enrollment and billing and claims processing , as well as customer service written and verbal inquiries. ... complex audits. + Participates in pre and post implementation audits of providers, claims processing and payment, benefit coding, member and provider inquiries,… more