- MyFlorida (Tallahassee, FL)
- …Office of Workforce Management Employee Relations Consultant (Human Resource Specialist /LR - SES) Tallahassee This position was previously advertised. Applicants ... Reemployment Tax Reimbursement Invoices for payment; and identifies and reports incorrect claims and potential fraud. + Coordinates and prepares fitness for duty and… more
- Highmark Health (Tallahassee, FL)
- …work will directly impact millions of lives. As our Lead Graph Intelligence specialist , you will be the spearhead of cutting-edge research projects. This means ... leverage comprehensive healthcare knowledge graphs, integrating diverse patient, provider, claims , and clinical data to uncover hidden patterns, propagate insights… more
- BrightStar Care (Naples, FL)
- …We are looking for the an experienced medical Billing and Payroll Specialist . Responsibilities include weekly processing of billing and payroll.. Managing ... Authorizations , appeals and re- submission of claims . Posting cash etc. Must be detail oriented...to produce a statement or claim. * Investigate rejected claims , verify this information with the health provider, and… more
- AdventHealth (Tampa, FL)
- …discharged but not final billed as well as ensure we are billing clean claims . The APC Coordinator will assist in the oversight of the outpatient coding queues, ... accounts within 72 hours of being routed to the claims edit work queue and coding review needed work...Certified Pension Consultant (CPC) Required or + CCS-Certified Coding Specialist Required This facility is an equal opportunity employer… more
- Molina Healthcare (Tampa, FL)
- …of a formal appeal being submitted. + Independently re-evaluates medical claims and associated records by applying advanced clinical knowledge, knowledge of ... the specific programs supported by the plan such as Utilization Review, Medical Claims Review, Long Term Service and Support, or other specific program experience as… more
- Mass Markets (FL)
- …partner in the industry. We are seeking a Licensed Life and Health Insurance Specialist who will play a vital role in educating and guiding customers to select ... and retention. + Respond to customer inquiries regarding coverage, benefits, claims , and other insurance-related questions. + Maintain accurate and up-to-date… more
- AdventHealth (Altamonte Springs, FL)
- **Support Center Specialist - AdventHealth LOCATION** **Location Address:** 351 S STATE RD 434, Altamonte Springs, 32714 **Top Reasons to work at AdventHealth** ... issues. + Troubleshoots plastic card related issues; including activations, fraud claims , processing errors, and new or replacement orders. + Responsible for… more
- HSBC (Miami, FL)
- …and the planet we all share. The Ultra High Net Worth Insurance Specialist /Producer will be accountable for sales revenue within assigned client segments. Develops ... of insurance needs As ourUltra High Net Worth Insurance Specialist /Produceryou will: + Identify new business opportunities through trusted partnerships… more
- Molina Healthcare (Orlando, FL)
- …activities with other departments in Molina including Finance, Revenue analytics, Claims and Encounters, and Medical Directors + Maintains professional and technical ... Association** + Certified Professional Coder (CPC) + Certified Coding Specialist (CCS) **Preferred Education** Bachelor's Degree in related field **Preferred… more
- AssistRx (Maitland, FL)
- …from the Specialty Pharmacies + Relays status updates and challenges to Program Specialist as appropriate + Provide support as needed in managing cases escalated ... reimbursement issues by working closely with Specialty Pharmacies, and Program Specialist . Job Details Snapshot: + Compensation: $22-25/hr + Location(s): 495 N.… more