- University of Miami (North Miami, FL)
- …Office - UHealth SoLe Mia has an exciting opportunity for a full-time Insurance Verification Representative to work remotely. CORE JOB SUMMARY The individual in this ... position is part of the Central Insurance Verification (CIV) department and will be responsible for...patient's account with accurate subscriber information, policy number, and claims address and plan order. + Completes the checklist… more
- Kemper (Lake Mary, FL)
- …Attend internal and external training programs to advance knowledge in the area of insurance claims . + Work closely with the Litigation Manager and/or Director ... Litigation Adjuster will investigate, evaluate and handle to conclusion attorney represented injury claims , complex injury claims , and litigated claims . The… more
- University of Miami (Medley, FL)
- …Central Business Office has an exciting opportunity for a full-time Insurance Verification Representative to work remotely. CORE RESPONSIBILITIES + Accounts are ... of service + Verification of eligibility and benefits via RTE in UChart, online insurance websites, telephone or other source of automated services + Add and/or edit… more
- Walmart (Orlando, FL)
- …(for example, systems, insurance , stock); processing information for third-party insurance claims ; coordinating with insurance companies to resolve ... rejections; interpreting third-party return messages, reject codes, and insurance problem descriptions; reprocessing third-party claims using the correct… more
- Cardinal Health (Tallahassee, FL)
- …right things done. **_Responsibilities_** + Submitting medical documentation/billing data to insurance providers + Researching and appealing denied and rejected ... claims + Preparing, reviewing, and transmitting claims ... within standard billing cycle time frame + Calling insurance companies regarding any discrepancy in payment if necessary… more
- Highmark Health (Tallahassee, FL)
- …all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the ... supervisory direction and oversight for all enrollment, premium billing, claims and/or customer service telephone and written correspondence inquiries (routine,… more
- The Hartford (Lake Mary, FL)
- …- LM07DE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every ... and co-counsel with professional diplomacy and discretion. + Participate in claims file reviews. + Independently conduct trials, depositions, arbitration, and… more
- Elevance Health (Tampa, FL)
- …+ Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and to ... prevention and control. + Review and conducts analysis of claims and medical records prior to payment. + Researches...dealing with Healthcare Fraud Please be advised that Elevance Health only accepts resumes for compensation from agencies that… more
- Elevance Health (Tampa, FL)
- Network Data Specialist IA proud member of the Elevance Health family of companies, Carelon Behavioral Health , formerly Beacon Health Options, offers ... for accurate and timely maintenance of provider information on claims and provider databases. **How You Will Make an...Locations: New York In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package,… more
- Elevance Health (Miami, FL)
- …eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical editing ... to system inquiries and appeals. + Conducts research of claims systems and system edits to identify adjudication issues...CEMC and CEDC encouraged. Please be advised that Elevance Health only accepts resumes for compensation from agencies that… more