- Datavant (Tallahassee, FL)
- …realize our bold vision for healthcare. The purpose of the Denial Prevention Specialist is to effectively defend utilization of available health services, review of ... Nurse or Registered Nurse well versed in DRG downgrade denials and appeal writing for inpatient admission. Experience with...as it relates to job function as delegated by management Ideal candidate should be a Licensed Practical Nurse… more
- HCA Healthcare (Ocala, FL)
- …We want your knowledge and expertise! **Job Summary and Qualifications** The Clinical Denials Coding Review Specialist is responsible for applying correct coding ... Do you have the career opportunities as a Clinical Denial Coding Review Specialist you want with your current employer? We have an exciting opportunity for… more
- MyFlorida (Pensacola, FL)
- ENVIRONMENTAL SPECIALIST II - 64082230 Date: Nov 14, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 865198 Agency: Department of Health Working Title: ENVIRONMENTAL SPECIALIST II - 64082230 Pay Plan: Career Service Position Number: 64082230… more
- Molina Healthcare (FL)
- …and eligibility criteria. * Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory guidelines for appeals ... and denials . * Customer service experience. * Strong organizational and time management skills; ability to manage simultaneous projects and tasks to meet… more
- Molina Healthcare (Miami, FL)
- …and eligibility criteria. * Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory guidelines for appeals ... and denials . * Customer service experience. * Strong organizational and time management skills; ability to manage simultaneous projects and tasks to meet… more
- United Therapeutics (Melbourne, FL)
- …which transplant is not currently an option. The Access & Support Specialist provides limited reimbursement support services to healthcare providers and patients in ... assistance program + Ensure accurate reporting of calls and activities to management . Ensure all department records are current, accurate, and well maintained +… more
- Carrington (Jacksonville, FL)
- …and work remote from home!** The Claims Recovery & Loss Analysis Specialist is responsible for performing financial reconciliation on all liquidated loans. Identify ... informed of all trends and problems including, but not limited to, claim denials /curtailments and claim payment offsets. + Moderate working knowledge of all Default… more
- Carrington (Jacksonville, FL)
- …team and work from home!** The Loss Mitigation Underwriting Quality Control Specialist primary responsibilities consist of reviewing the accuracy of work performed ... by the Loss Mitigation Underwriters including the review of approvals, denials , income calculations and final conversion calculations. Incumbent will review… more
- Molina Healthcare (FL)
- …for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Enters denials and requests for appeals into information system and prepares documentation for ... education and experience. * Customer service experience. * Organizational and time management skills; ability to manage simultaneous projects and tasks to meet… more
- AdventHealth (Tampa, FL)
- …**The val** **ue you'll bring to the team:** Review and analyze 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 edits within the EPIC … more