- Robert Half Technology (Clearwater, FL)
- …from team members during project execution. Requirements * Proven experience in claims processing and related systems. * Strong analytical and problem-solving ... collaborate with stakeholders to deliver effective business solutions, focusing on claims systems and processes. Your work will involve gathering requirements,… more
- Healthfirst (FL)
- …+ Experience in Healthcare/Health Plan customer service, operations, vendor management, or claims processing . + Previous work experience in an auditing function ... understanding of healthcare Operations processes and supporting systems such as Claims Processing , Enrollment & Billing, and Member Services. + Knowledge of at… more
- CVS Health (Plantation, FL)
- …irregularities. - Performs claim rework calculations. **-** Ensures accurate and timely claims processing **The hours for this position are Monday-Friday from ... with medical terminology. - Hands on experience in end-to-end medical claims processing . - Knowledge of the ACAS system. **Education** **-** High School… more
- Molina Healthcare (Orlando, FL)
- …Provider Network Operations, Hospital or Physician Billing, or similar. + Claims processing background including coordination of benefits, subrogation, and/or ... and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system… more
- Molina Healthcare (Tampa, FL)
- …Ensure that provider information is loaded accurately to allow for proper claims processing , outbound reporting and directory processes. **JOB QUALIFICATIONS** ... for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims… more
- NextEra Energy (North Palm Beach, FL)
- …(First Notice of Loss), following up with TPAs (Third Party Administrators), manage claims BDXs (Bordereau), processing invoices, generate loss runs & reports, ... affiliated and non-affiliated risks. As the Operations Analyst for Claims & Finance, you will be assisting the ...Claims & Finance, you will be assisting the Claims and Finance team in their day-to-day activities. This… more
- Acosta Group (Jacksonville, FL)
- **DESCRIPTION** This position will be responsible for processing and handling any claims that are incomplete or escalated for validation. This person will also ... be responsible for analyzing claims and making decisions about their validity. The position...change to provide continuous improvements. **RESPONSIBILITIES** + Process escalated claims , assesses the reason for the escalation, and provides… more
- Healthfirst (FL)
- …Finance, or Business Administration from an accredited institution preferred. + Certification in claims processing or related area (eg, CPC, AIC) WE ARE AN ... Responsibilities:** + Oversee the enrollment process, ensuring timely and accurate processing of new and modified enrollments, renewals, and terminations. +… more
- Mass Markets (Tampa, FL)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... support inbound customer service, help desk, technical support, and back-office processing representatives for commercial and public sector support positions. In… more
- Mass Markets (FL)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... Federal Services (MFS), The Sydney Call Center, OnBrand24, and Valor Intelligent Processing (VIP). MCI provides products and services under the following NAICS… more