- CVS Health (Tallahassee, FL)
- …team by providing strategic leadership and overseeing the operations of the claims processing team(s). Directs workflow to ensure the efficient and accurate ... processing of medical claims by establishing and monitoring productivity and quality metrics, managing and developing a team of claims support individuals,… more
- AdventHealth (Maitland, FL)
- …sources using knowledge of healthcare managed care contracts and healthcare administrative claims data Reviews existing complex models and implements them on new ... reimbursement structures. Produce prospective analyses an new venture, products, and service offerings Prepare and effectively present analytics or project results… more
- LogixHealth (Dania Beach, FL)
- …environment and will bring your expertise to process all denied and unpaid claims submitted to insurance carriers to ensure payment is received. The ideal candidate ... A/R (Accounts Receivable) reports to follow up on unpaid claims + Prepare and submit out appeals on ...LogixHealth was founded in the 1990s by physicians to service their own practices and has grown to become… more
- MyFlorida (St. Petersburg, FL)
- …of Health Working Title: ACCOUNTANT II - 64086016 Pay Plan: Career Service Position Number: 64086016 Salary: $43,309.50 Annually plus Annual CAD $644.80 Posting ... Bill File Creation. + Generates daily Bill File Creation (BFC), submits clean claims to the appropriate Clearinghouse, (electronically and/or paper claims if… more
- Sedgwick (Tallahassee, FL)
- …rapidly growing, industry-leading global company known for its excellence and customer service . + Leverage Sedgwick's broad, global network of experts to both learn ... and strategically manages a complex claim inventory by assessing complex claims issues, utilizing jurisdictional expertise to provide oversight, and directs the… more
- AdventHealth (Maitland, FL)
- …well as payers in all markets. Actively participates in outstanding customer service and maintain relationships with clients who include AH Managed Care Directors, ... understanding of medical coding systems affecting the adjudication of claims to include ICD-9/10, CPT, HCPCS II, DRG and...+ 3 years Healthcare, Managed Care, Hospital or Ancillary claims analysis, Hospital or Ancillary claims payment,… more
- Sedgwick (Tallahassee, FL)
- …you have just started your career, you are a leader in the industry, or a claims management expert looking for a new challenge, this is your chance to showcase your ... of clients across the globe, handling complex cases and claims + Collaborate with a talented and supportive team...able to communicate accurately important. Providing an excellent customer service with our clients in mind. Able to approach… more
- Sedgwick (Miami, FL)
- …and meetings internationally, working closely with policy holders, insurers, brokers, and service providers to investigate and report on claims , whilst building ... + Work with a diverse range of clients internationally, handling complex cases and claims + Collaborate with a talented and supportive team of professionals who are… more
- MyFlorida (Tallahassee, FL)
- …858625-EMPLOYMENT SECURITY REPRESENTATIVE II-LW - 40034208 Pay Plan: Career Service Position Number: 40034208 Salary: $35,317.26 Posting Closing Date: 08/26/2025 ... to apply the law in making initial determinations on claims . The individual in this position must be able...individuals with disabilities. (TTY/TDD ### or the Florida Relay Service - 711.) Let our mission become yours. To… more
- CVS Health (Tallahassee, FL)
- …with heart, each and every day. **Mission:** To manage and maximize Aetna sales, service and retention efforts for all Consumer Fund Services or New Product Business ... strong relationships and execution of seamless product administration and service delivery. Position Summary/Mission Builds and maintains strong relationships with… more