• Utilization Management RN

    AdventHealth (Orlando, FL)
    …loss of reimbursement, including the management of concurrent and pre-bill denials . + Ensuring all benefits, authorization requirements, and collection notes are ... the pursuit of timely reimbursement within established timeframes to avoid denials . + Works collaboratively and maintains active communication with physicians,… more
    AdventHealth (08/28/25)
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  • RN Registered Nurse Utilization Management

    AdventHealth (Tampa, FL)
    …loss of reimbursement, including the management of concurrent and pre-bill denials . Ensuring all benefits, authorization requirements, and collection notes are ... in the pursuit of timely reimbursement within established timeframes to avoid denials . Qualifications **The expertise and experiences you'll need to succeed:** RN… more
    AdventHealth (08/27/25)
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  • Account Manager -Bill/Coll/Den

    AdventHealth (Maitland, FL)
    **Account Representative Manager Billing/Collections/ Denials -Advent Health** **Location Address:** **900 WINDERLEY PL, Maitland, 32751** **Top Reasons to work at ... hospital. Works with Insurance payers to ensure proper follow up on billing/ denials /variances takes place on all assigned patient accounts. Compiles the Accounts… more
    AdventHealth (08/27/25)
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  • Chief Medical Officer

    HCA Healthcare (Port St. Lucie, FL)
    …of managed care issues. Offers clinical support for appeals and denials process, discharge planning, case management, and utilization review/management. + Consults ... consultant to hospital case managers and hospital staff in the reduction of payer denials and in the denial and appeals process, as requested by the Case Management… more
    HCA Healthcare (08/26/25)
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  • REMOTE Inpatient Acute Coder

    Insight Global (Jacksonville, FL)
    …by accurately assessing and correcting issues regarding medical necessity, claims denials , bundling issues and charge capture. - Efficiently uses available reference ... and resolving coding issues or errors * Ability to analyze and resolve claim denials that are rejected by edits from the revenue cycle * Ability to maintain… more
    Insight Global (08/23/25)
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  • Contracts Coordinator

    Robert Half Accountemps (Orlando, FL)
    …accounts and resolving payment discrepancies. * Review and address medical denials , identifying root causes and implementing corrective actions. * Prepare and ... the ability to negotiate and resolve payment issues. * Knowledge of medical denials and appeals processes. * Expertise in hospital billing systems and procedures. *… more
    Robert Half Accountemps (08/22/25)
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  • Oncology Prior Authorization Case Manager, Non-RN…

    University of Miami (Miami, FL)
    …optimal and efficient patient outcomes, while avoiding treatment delays and authorization denials . They are accountable for a designated patient caseload and provide ... reviews in accordance with established criteria and guidelines + Facilitates communication of denials and or Peer to Peer requests between payers and the healthcare… more
    University of Miami (08/21/25)
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  • Product Experience Design Lead

    Cardinal Health (Tallahassee, FL)
    …products leverage data analysis and workflow automation to prevent claim denials , streamline enrollment in patient assistance programs, and optimize hospital-managed ... to medications. They also help healthcare systems minimize claim rejections and denials , navigate patient assistance programs, and reduce the cost of providing care… more
    Cardinal Health (08/14/25)
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  • Accounts Receivable Representative…

    Surgery Care Affiliates (Jacksonville, FL)
    …POS, Worker's Com., self-pay and third-party reimbursement issues. + Works all denials and corrected claims collaborating with the biller and/or Business Office ... and independently handles second level reimbursement issues, contracted and non-contracted denials for serviced before and after procedures This is a fast-paced… more
    Surgery Care Affiliates (08/10/25)
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  • Medical Billing Specialist Not a Remote Position

    National Health Transport (Miami, FL)
    …with the appropriate payer or their governing authority. + Identify and separate denials by code and payer + Follow through with payers correspondence in a ... as required for each payer type; minimum of 20 days. + Identify recurring denials and make necessary system changes to resolve them. + Assist customers with their… more
    National Health Transport (07/23/25)
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