- Sedgwick (Tallahassee, FL)
- …for absence from work. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Performs clinical review of referred claims ; documents decision rationale; and completes ... Best Workplaces in Financial Services & Insurance Disability Clinical Specialist **PRIMARY PURPOSE** : To perform clinical evaluations, consult...medical review of all claims to ensure information substantiates disability. + Provides clear… more
- Sysco (Maitland, FL)
- **Job Summary** The Operations & Process Support Specialist supports two major transition projects within the FreshPoint Business Unit, focusing on intercompany ... claims processing and pricing automation. This role ensures seamless...Sysco by bridging business operations and technical processes. The specialist will manage cross-functional stakeholders, drive process improvements, and… more
- HCA Healthcare (Pensacola, FL)
- …satisfaction and personal growth, we encourage you to apply for our Billing Specialist opening. We promptly review all applications. Highly qualified candidates ... integrity. We care like family! Jump-start your career as a(an) Billing Specialist today with HCA Florida West Cardiology Specialists. **Benefits** HCA Florida West… more
- LogixHealth (Dania Beach, FL)
- Location: On-Site in Dania Beach, FL This Role: As a Billing Specialist at LogixHealth, you will work with a team of fellow medical billers, administrators, and ... communication, and experience in third-party billing. Key Responsibilities: + Review /work denials on an explanation of benefits (EOB) statement...A/R (Accounts Receivable) reports to follow up on unpaid claims + Send out appeals on claims … more
- Butterfly Effects (Deerfield Beach, FL)
- …Time | Full benefit package available for full-time employees Medical Collections Specialist Make a Difference. Grow Your Career. Join a Mission-Driven Team. Are ... Effects, a national ABA-informed therapy provider, is seeking a dedicated Medical Collections Specialist to join our team. This role plays a vital part in ensuring… more
- Prime Therapeutics (Tallahassee, FL)
- …results with limited supervision. + Demonstrated strategic and analytical abilities to review and evaluate information such as claims data, suspicious patterns ... drives every decision we make. **Job Posting Title** SIU Specialist - Pharmacy Tech - Remote in the California...Experience Level 2+ years + Required Fraud Investigations and Claims experience Must be eligible to work in the… more
- Boar's Head Brand/Frank Brunckhorst Co., LLC (Sarasota, FL)
- Hiring Company: Delicatessen Services Co., LLC Overview:The Regulatory Compliance Specialist is responsible for maintaining and managing regulatory compliance ... to document requests and associated regulatory requirements. The Regulatory Compliance Specialist is responsible for ensuring the accuracy and completeness of data,… more
- USAA (Tampa, FL)
- …us special and impactful. **The Opportunity** As a dedicated **Quality Assurance Specialist I** , you will support USAA's financial strength through measurement, ... analysis, and review of quality assurance and compliance related business processes....accuracy and compliance; conducts quality control reviews on non-complex claims processed by vendors. + Drives improved member service… more
- MyFlorida (Panama City, FL)
- ELIGIBILITY SPECIALIST II - 60052529 1 Date: Aug 19, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... No: 859263 Agency: Children and Families Working Title: ELIGIBILITY SPECIALIST II - 60052529 1 Pay Plan: Career Service...or collecting accounts, checking credit, processing insurance policies or claims or providing customer service. + OR have an… more
- HCA Healthcare (Sarasota, FL)
- …and personal growth, we encourage you to apply for our Collections Specialist opening. We promptly review all applications. Highly qualified candidates ... integrity. We care like family! Jump-start your career as a(an) Collections Specialist today with Surgery Ventures. **Benefits** Surgery Ventures, offers a total… more