- NTT DATA North America (Orlando, FL)
- …using applicable methodology/ fee schedule **Requirements:** + 1-3 year(s) hands-on experience in Healthcare Claims Processing + 2+ year(s) using a computer ... NTT DATA is seeking to hire a **Remote Claims Processing Associate** to work for our end client and their team. **$18/hour W2** **Long Term Temporary** **Start:… more
- Humana (Tallahassee, FL)
- …JD, MSN, Clinical Certifications, CPC, CCS, CFE, AHFI). * Understanding of healthcare industry, claims processing and investigative process development. ... conducting comprehensive health care fraud investigations (Medical Coding or Healthcare (Medical Chart Review/Insurance Billing) or Internal/External Audit or… more
- Humana (Tallahassee, FL)
- …MBA, JD, MSN, Clinical Certifications, CPC, CCS, CFE, AHFI) + Understanding of healthcare industry, claims processing and internal investigative process ... Bachelor's Degree + Minimum of 3 yrs health insurance claims or Medicare experience + Minimum 3 years of...benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also… 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 ... 100% remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative** to join our team....good for IQVIA, our clients, and the advancement of healthcare everywhere. This role will be a contract role… more
- AssistRx (Orlando, FL)
- …and support all operational and financial processes related to claim processing activities. In addition, manager will ensure effective day-to-day operations and ... and external business review meetings. Responsible for forecasts and analyzing claims data to determine Copay utilization, establish escrow account minimum balances… more
- Ascension Health (Jacksonville, FL)
- **Details** + **Department:** Billing and Claims + **Schedule:** Full-Time, Days Mon. - Fri. 8AM-5PM + **Hospital:** Ascension St. Vincent's + **Location:** 3 ... party payers in an out-patient or medical office environment. + Prepare insurance claims for submission to third party payers and/or responsible parties. + Review … more
- Molina Healthcare (Jacksonville, FL)
- …Experience. **Required Experience** * 7 years' experience in healthcare claims review and/or Provider appeals and grievance processing /resolution, including ... Contracted Provider disputes and appeals to ensure adherence with Molina claims processing standards and provider contractual agreements. Includes responsibility… more
- Cognizant (Tallahassee, FL)
- …duties as assigned by management. **Qualifications:** + A minimum of 1 year's claims processing experience is required. + Knowledge of physician practice and ... able to work with minimal supervision. + Excellent problem-solving skill in healthcare claims adjudication. + Ability to work at a computer for extended periods.… more
- HCA Healthcare (Port Charlotte, FL)
- …as a Medical Insurance Claims Specialist? At Parallon, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team ... + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family...difference. We are looking for a dedicated Medical Insurance Claims Specialist like you to be a part of… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …+ Excellent oral and written communication skills + 1 - 3 years of Health claims processing experience + Working knowledge of COB and MSP preferably + Medical ... Purpose: The Claims Examiner is responsible for providing expertise and/or claims support in reviewing, researching, investigating, processing and adjusting … more