- Allied Universal (Jacksonville, FL)
- Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and ... Investigations Unit (SIU) Investigator. Special Investigations Unit (SIU) Specialists investigate claims with red flags that suggest fraudulent behavior In relation… more
- Cardinal Health (Tallahassee, FL)
- …- 3:30 PM PST (or based on business need)** **_What Accounts Receivable Specialist contributes to Cardinal Health_** Account Receivable Specialist is responsible ... for verifying patient insurance and benefits, preparing and submitting claims to payers, correcting rejected claims , following up on unpaid and denied claims… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- …Remote Position Type Full Time Job Category Pharmaceutical Description PRIOR AUTHORIZATION SPECIALIST (REMOTE) WHO WE ARE At Polaris Pharmacy Services, we're more ... it most, we invite you to grow with us. OVERVIEW The Prior Authorization Specialist is responsible for managing and identifying a portfolio of rejected pharmacy … more
- Cardinal Health (Doral, FL)
- …skills and prioritizes getting the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. ... and support from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and properly resolves by follow-up &… more
- Elevance Health (Tampa, FL)
- …is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and ... you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines...Health Information Technician and/or CCS as a Certified Coding Specialist and/or CIC as a Certified Inpatient Coder. +… more
- Elevance Health (FL)
- …and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims ... applicable state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5… more
- AdventHealth (Apopka, FL)
- …for all activities regarding Rx Plus Pharmacy's state licensed data entry, claims adjudication, prior authorization, pharmacy specialist , and technician quality ... prescription order intake of various media, technician quality assurance, claims adjudication and copay assistance, prior authorization, and prescription… more
- HCA Healthcare (Pensacola, FL)
- …to join an organization that invests in you as a Medical Insurance Collections Specialist ? At Parallon, you come first. HCA Healthcare has committed up to $300 ... + Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident,… more
- AIG (Miami, FL)
- …are established and maintained for the Energy division. + Work with Claims , Finance, Operational, Accounting, Legal, and Actuarial support teams to support portfolio ... to monitoring of submission flow by distribution channels and analysis of losses/ claims behaviors, among others. + Support in the preparation of presentations to… more
- Insight Global (Miami, FL)
- …policies and procedures. - Report any coding related denial to the Coding Specialist . - Performs other duties including but limited to faxing information as ... verifying medical eligibility. Conducts necessary research to ensure proper reimbursement of claims . We are a company committed to creating diverse and inclusive… more