- Akumin (Tampa, FL)
- …medical claims to government and private payers. Ensures that service date, CPT code, necessary modifiers, patient type (inpatient vs. outpatient, retail ... has been entered correctly into the billing system. Distributes claims into electronic and paper billing queues and transmits...include, but are not limited to:** + Submits medical claims to payers via electronic data interchange (EDI,) paper… more
- Sedgwick (Orlando, FL)
- …and making timely payments/approvals and adjustments, medically managing disability claims including comorbidities, concurrent plans, and complex ADA accommodations; ... coordinates investigative efforts, thoroughly reviews contested claims , negotiates return to work with or without job accommodations, and evaluates and arranges… more
- Sedgwick (Orlando, FL)
- …physical, financial and professional needs. **PRIMARY PURPOSE OF THE ROLE:** To process claims and determine benefits due pursuant to a disability plan; to make ... (SSDI), and other disability offsets; and to ensure the ongoing processing of claims . **ARE YOU AN IDEAL CANDIDATE?** We are looking for enthusiastic and empathetic… more
- Sedgwick (Orlando, FL)
- …and making timely payments/approvals and adjustments, medically managing disability claims including comorbidities, concurrent plans, and complex ADA accommodations; ... coordinates investigative efforts, thoroughly reviews contested claims , negotiates return to work with or without job accommodations, and evaluates and arranges… more
- CVS Health (Tallahassee, FL)
- …Provide excellent customer services for high volume inbound provider calls for the Claims Inquiry/ Claims Research Medicaid team. Extensive claims research on ... questions, eg, additional plan details, benefit plan details, provider self- service tools, etc. + Use customer service ...provider self- service tools, etc. + Use customer service threshold framework to make financial decisions to resolve… more
- Truist (Orlando, FL)
- …guidelines. 2. Independently analyze, research, and support electronic payment cases/ claims /inquiries escalated by internal departments and client service ... exceptions, fraud, or banking experience. 7. Two years of customer service experience. 8. Excellent written and oral communication skills that support… more
- Sedgwick (Jacksonville, FL)
- …**PRIMARY PURPOSE** : To serve as the first point of contact for customer service incoming calls; to handle standard calls with normal supervision; and to provide ... and RESPONSIBILITIES** + Answers incoming calls for the customer service unit including calls from clients, claimants, and physicians....or payment information to clients and claimants. + Enters claims data into claims management system upon… more
- Walgreens (Naples, FL)
- …cash register, provides customers with courteous, fair, friendly, and efficient checkout service . + In accordance with state and federal regulations, assists the ... a positive customer experience. + Models and shares customer service best practices with all team members to deliver...those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a… more
- Walgreens (Miami, FL)
- …register, provides customers with courteous, fair, friendly, and efficient checkout service . In accordance with state and federal regulations, assists the ... a positive customer experience. + Models and shares customer service best practices with all team members to deliver...those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a… more
- Sedgwick (Jacksonville, FL)
- …PURPOSE** **:** To manage claim caseload of basic to highly complex claims within granted authority level including related financial implications, along with ... such as subrogation, fraud evaluation or case management review to resolve claims . + Establishes and maintains effective relationship with internal and external… more