- University of Miami (Miami, FL)
- …with operational stakeholders, IT teams, and Epic representatives to deliver high- quality solutions that enhance revenue cycle performance. + Experience in ... Hospital Billing Administration along with proficiency in Charging, Contracts, and Claims /Remittance + Configure, build, and maintain Epic HB applications to support… more
- Elevance Health (Tampa, FL)
- …in encounter data and provide actionable insights. + Assist in developing data quality management processes and procedures. + Provide support for CMS audits and ... requirements. + Develop and analyze business performance reports (eg, for claims data, provider data, utilization data) and provides notations of performance… more
- HCA Healthcare (Jacksonville, FL)
- …for our team to ensure that we continue to provide all patients with high quality , efficient care. Did you get into our industry for these reasons? We are an ... and work to correct them + You will monitor insurance claims and contact insurance companies to resolve claims + You will update the patient account record to… more
- Insight Global (Boca Raton, FL)
- …foundation and proven track record in Commercial Healthcare Insurance including claims processing, products, and benefits management. The Product Owner may cover ... Collaborate with cross-functional teams, including developers and business stakeholders, ensuring high- quality product delivery. This position pays a salary range of… more
- Evolent (Tallahassee, FL)
- …You Will Be Doing:** + **Data Analytics & Insights** : Analyze healthcare claims and authorization data to identify cost drivers, utilization trends, and population ... : Partner with internal stateside and global teams to deliver high- quality analyses. **Qualifications:** **Required** + Bachelor's degree in a quantitative field… more
- Walgreens (Lauderdale Lakes, FL)
- …to Company policies and procedures in relation to pharmacy errors and the Quality Improvement Program. + Strictly adheres to the Walgreen Co. policy regarding Good ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
- AdventHealth (Tampa, FL)
- …accurate reimbursement under OPPS. The APC Coordinator may assist with monthly quality reviews, RAC and post-payment audits. Will routinely monitor the Federal ... billed as well as ensure we are billing clean claims . The APC Coordinator will assist in the oversight...accounts within 72 hours of being routed to the claims edit work queue and coding review needed work… more
- USAA (Tampa, FL)
- …and/or process engineering/optimization. + Experience in successfully applying quality management, process improvement, and problem-solving tools and methodologies. ... analyze data. **What sets you apart:** + Broad experience and expertise in Claims Investigations to include enabling new or enhanced capabilities. + Familiarity with… more
- Ankura (Miami, FL)
- …packages + Assist with data gathering activities including document review, and quality control of data entry activities + Demonstrating proper documentation of work ... fluency in both Spanish and English required + 2+ years of disputes/ claims experience in the construction and engineering industries + Experience in damages… more
- Walgreens (Wellington, FL)
- …to Company policies and procedures in relation to pharmacy errors and the Quality Improvement Program. + Strictly adheres to the Walgreen Co. policy regarding Good ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more