- Cognizant (Tallahassee, FL)
- …advanced level work related to clinical denial management and managing clinical denials from Providers to the Health Plan/Payer. The comprehensive process includes ... analyzing, reviewing, and processing medical necessity denials for resolution. You will be a valued member of the Cognizant team and work collaboratively with… more
- Datavant (Tallahassee, FL)
- …educational and life experiences to realize our bold vision for healthcare. The Specialist is responsible for identifying, analyzing, and resolving claim denials ... practices, and proficiency in multiple electronic systems and software tools. The specialist serves as a key liaison between coding, billing, utilization review,… more
- Molina Healthcare (Jacksonville, FL)
- …subrogation, and eligibility criteria. + Familiarity with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory guidelines for ... Responsible for the comprehensive research and resolution of the appeals , dispute, grievances, and/or complaints from Molina members, providers... appeals and denials . + Strong verbal and written communication skills To… 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 ... and experience in third-party billing. Key Responsibilities: + Review/work denials on an explanation of benefits (EOB) statement +...to follow up on unpaid claims + Send out appeals on claims that require an appeal + Submit… more
- United Therapeutics (Melbourne, FL)
- …information + Able to effectively handle questions pertaining to prior authorizations, denials and appeals + Essential telephone and electronic communication ... which transplant is not currently an option. The Access & Support Specialist provides limited reimbursement support services to healthcare providers and patients in… more
- Cardinal Health (Doral, FL)
- …in the appropriate system. + Manages and resolves complex insurance claims, including appeals and denials , to ensure timely and accurate reimbursement. + ... prioritizes getting the right things done. **The Accounts Receivable Specialist is responsible for processing insurance claims and billing....Processes denials & rejections for re-submission (billing) in accordance with… more
- AdventHealth (Tampa, FL)
- …claim denials to perform the appropriate resolution, rebilling, and/or appeals steps. Assists with developing and implementing strategies and procedures to ... reduce denials , maximize reimbursements, and promote faster payment. Resolves claim...Certified Pension Consultant (CPC) Required or + CCS-Certified Coding Specialist Required This facility is an equal opportunity employer… more