- Sedgwick (Tallahassee, FL)
- …assess Property Damage estimates, total loss evaluations, and related expenses to effectively negotiate first and third party claims . + Knowledge of total ... + Processes auto property damage and lower level injury claims ; assesses damage, makes payments, and ensures claim...benefits package is offered including but not limited to, medical , dental, vision, 401k and matching, PTO, disability and… more
- AssistRx (Orlando, FL)
- …other sources. Required engagement is with pharmacy claim adjudicators, third party medical claim administrators, merchant vendors, finance for manual ... Sites of Care and Health Care Providers. The Copay Support/ Claims Processing Specialist will adjudication, troubleshoot claim ...+ Subject Matter Expert on reviewing and processing of medical claims submitted for copay programs where… more
- Philadelphia Insurance Companies (Lake Mary, FL)
- …JOB SUMMARY Investigate, evaluate and settle more complex first and third party commercial insurance auto claims . JOB RESPONSIBILITIES + Evaluates each ... to the Philadelphia Insurance Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii, Ltd.) is… more
- USAA (Tampa, FL)
- …may be substituted in lieu of degree. + 4 years work experience handling liability and first party claims or progressive experience in litigation. + 2 years ... truly makes us special and impactful. **The Opportunity** As a dedicated Claims Litigation Manager- Auto, you will be responsible for managing moderately complex… more
- Butterfly Effects (Deerfield Beach, FL)
- …demographics, authorizations, CPT codes, and claim details before submission. + Process claims using the First -In / First -Out method to prevent backlogs ... makes a difference! Butterfly Effects is looking for a Medical Billing Specialist to support our national billing needs....deadlines. + Identify and resolve billing errors to reduce claim denials. + Correct and resubmit denied claims… more
- Highmark Health (Tallahassee, FL)
- …requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly defines the medical necessity of non-formulary and ... ensures effective and efficient delivery of Pharmacy call center services. Serves as first line reviewer in monitoring and ensuring adherence to the health plan's… more
- MyFlorida (Port Charlotte, FL)
- …. Set up of veteran residents' accounts . Timely posting of payments for all third- party payers . Research and resubmitting denied claims . Monthly review of ... history must be verifiable. Please attach any credentials you claim (degrees, certifications, etc.) to your application. *Other Business...of five (5) years of experience in accounting or medical billing or related field. . Proficiency in the… more
- LogixHealth (Dania Beach, FL)
- …Billing Specialist at LogixHealth, you will work with a team of fellow medical billers, administrators, and coders to provide cutting edge solutions that will ... environment and will bring your expertise to deliver exceptional third- party billing services. The ideal candidate will have strong...A/R (Accounts Receivable) reports to follow up on unpaid claims + Send out appeals on claims … more
- LogixHealth (Dania Beach, FL)
- …enable individuals with disabilities to perform the duties. Required: + Knowledge of third party medical billing for all major carriers + Prior word processing, ... a Senior Billing Specialist at LogixHealth, you will work with a team medical billers, administrators, and coders to provide cutting edge solutions that will… more
- USAA (Tampa, FL)
- …requirements and settlement value. + Evaluates and negotiates settlement of automobile first and third- party physical damage claims within established ... As a dedicated Complex Auto Adjuster, you will adjust highly complex auto insurance claims presented by or against our members to include the end-to-end claims … more