- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …or GED + Excellent oral and written communication skills + 1 - 3 years of Health claims processing experience + Working knowledge of COB and MSP preferably ... Purpose: The Claims Examiner is responsible for providing expertise and/or claims support in reviewing, researching, investigating, processing and adjusting … more
- Elevance Health (Miami, FL)
- …and experience possible. The ** Claims Representative III** is responsible for keying, processing and/or adjusting health claims in accordance with ... **Job Title:** Claims Representative III **Schedule:** Monday-Friday 7am-3:30pm EST **Virtual**...50,000 members, HealthSun is one of the fastest growing health plans in South Florida. As a local plan,… more
- AdventHealth (Maitland, FL)
- … claims analytics strongly preferred. + Managed Care, Patient Financial services, health insurance claims processing , contract management, or medical ... Repayment Program - Career Development - Whole Person Wellbeing Resources - Mental Health Resources and Support **Our promise to you:** Joining AdventHealth is about… more
- CVS Health (Tallahassee, FL)
- …plan travel on the company's site in a cost effective manner - Knowledge of CVS Health (or other PBM) claims processing - Knowledge of retail pharmacy ... At CVS Health , we're building a world of health...based from your home and travel onsite to conduct claims audits at pharmacies throughout multiple states by reviewing… more
- IQVIA (Miami, FL)
- **Patient Support Medical Claims Processing Representative** _Contract Remote Role - Location (Open to Remote US)_ As the only global provider of commercial ... are looking for a 100% remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative** to join our team. In this position, you… more
- Ascension Health (Jacksonville, FL)
- **Details** + **Department:** Billing/ Claims + **Schedule:** Full-Time, Days Mon. - Fri. 8AM-5PM + **Hospital:** Ascension St. Vincent's + **Location:** 3 Shircliff ... Florida 32204-4757 United States **Benefits** Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match… more
- Datavant (Tallahassee, FL)
- …+ Experience in the following fields would be beneficial: Data Entry, Medical Records, Health Care, Insurance Claims Processing and Proof Reading/Editing of ... a data platform company and the world's leader in health data exchange. Our vision is that every healthcare...* Comfortable working in a high-volume production environment. * Processing medical record requests by taking calls from patients,… more
- Highmark Health (Tallahassee, FL)
- …**Required** + 5 years of relevant, progressive experience in health insurance claims + 3 years of prior experience processing 1st dollar health ... activities; disseminates necessary information to the management. Follows up on pended claims in accordance with department standards. HNAS ( Health Now… more
- Molina Healthcare (Jacksonville, FL)
- …functionality through project inclusion and documentation review to understand proper claims processing for the applicable solution. Validates data received ... claims to identify billing issues that will impact claims processing and payment. Monitor new solutions...in the implementation and conversion of new and existing health plans. + Manage projects from requirements to deployment,… more
- Sedgwick (Tallahassee, FL)
- …growth, and inclusion. **ESSENTIAL RESPONSIBILITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate ... Best Workplaces in Financial Services & Insurance Bodily Injury Claims Examiner | Remote | Dedicated Client | Complex... within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting… more