- Molina Healthcare (Tampa, FL)
- …benefits, subrogation, and eligibility criteria. + Familiarity with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory ... to ensure that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine appeal and grievance… more
- Butterfly Effects (Deerfield Beach, FL)
- …Verify client demographics, authorizations, CPT codes, and claim details related to denials or underpayments. + Research claims using insurance portals, Central ... Time | Full benefit package available for full-time employees Medical Collections Specialist Make a Difference. Grow Your Career. Join a Mission-Driven Team. Are… more
- Molina Healthcare (FL)
- …by the Centers for Medicare and Medicaid. **KNOWLEDGE/SKILLS/ABILITIES** + Enters denials and requests for appeal into information system and prepares documentation ... of appeals according to state and federal and Molina Healthcare guidelines. + Requests and obtains medical records, notes,...and grievances. + Elevates appropriate appeals to the Appeals Specialist . + Generates and mails denial letters. + Assists… more
- LogixHealth (Dania Beach, FL)
- …Required: + Minimum 1-2 years of A/R follow-up experience in professional healthcare billing + Familiarity with payer regulations, claims appeals processes, ... Location: On-Site in Dania Beach, FL This Role: As a Junior Medical Billing Specialist at LogixHealth, you will work with a team of fellow medical billers,… more
- LogixHealth (Dania Beach, FL)
- …Required: + Minimum 2-3 years of A/R follow-up experience in professional healthcare billing + Familiarity with payer regulations, claims appeals processes, ... in Dania Beach, FL This Role: As a Billing Specialist at LogixHealth, you will work with a team...provide cutting edge solutions that will directly improve the healthcare industry. You'll contribute to our fast-paced, collaborative environment… more
- LogixHealth (Dania Beach, FL)
- Location: On-Site in Dania Beach, FL This Role: As a Provider Enrollment Specialist at LogixHealth, you will perform all provider enrollment related procedures for ... collaborative environment and bring your expertise to ensure groups can submit claims to insurance carriers for reimbursement . The ideal candidate will have… more
- Option Care Health (Tallahassee, FL)
- …that attracts, hires and retains the best and brightest talent in healthcare . **Job Description Summary:** Responsible for the timely, accurate submission of ... ensure prompt and timely payment. Calls to verify that claims submitted were received and are in processing. Sends...and mails statements and collections letters. Follows-up on all denials within 48 hours of receipt. + Ensures compliance… more
- Molina Healthcare (Orlando, FL)
- …reported accurately to maintain compliance and to minimize risk and denials . **KNOWLEDGE/SKILLS/ABILITIES** + Performs on-going chart reviews and abstracts diagnosis ... activities with other departments in Molina including Finance, Revenue analytics, Claims and Encounters, and Medical Directors + Maintains professional and technical… more
- Banner Health (FL)
- …Proficiency in claims software to address coding edits and claim denials utilizing multiple platforms and internal tracking tools. Provides findings for use as ... Inpatient Facility Coding department. If you have experience with DRG and PCS coding/ denials /audits, we want to hear from you. **Requirements:** + **5 years recent… more