- Healthfirst (FL)
- …in Healthcare /Health Plan customer service, operations, vendor management, or claims processing . + Previous work experience in an auditing function ... healthcare Operations processes and supporting systems such as Claims Processing , Enrollment & Billing, and Member...healthcare Operations processes and supporting systems such as Claims Processing , Enrollment & Billing, and Member… more
- MyFlorida (Tallahassee, FL)
- …* Experience in auditing, data analysis, or fraud detection. * Knowledge of claims processing and medical terminology. * Experience in creating, supporting, or ... design and implement algorithms to effectively data-mine within various types of claims data utilizing a variety of software applications; compile research, data… more
- LogixHealth (Dania Beach, FL)
- …coders to provide cutting edge solutions that will directly improve the healthcare industry. You'll contribute to our fast-paced, collaborative environment and will ... A/R (Accounts Receivable) reports to follow up on unpaid claims + Assist with trouble shooting with pockets of...medical billing for all major carriers + Prior word processing , spreadsheet, and internet software experience including p roficiency… more
- Robert Half Accountemps (Orlando, FL)
- …records. Requirements * Proven experience in medical billing, including familiarity with healthcare claims processes. * Strong background in medical collections, ... will play a vital part in managing medical billing, claims , and collections processes for healthcare services....Handle medical billing tasks to ensure accurate and timely processing of claims . * Manage collections processes,… more
- Humana (Tallahassee, FL)
- …make an impact** **Required Qualifications** + Minimum 1 year of experience in medical claims payment and processing + Minimum 1 year of experience analyzing and ... cross functional teams and support analyzing business processes, error processing , issues and ticket creations with the product management...researching medical claims + Proficient in Microsoft Office (Word, Excel, Access,… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- **Company Overview:** Otsuka is a global healthcare company driven by our purpose "to defy limitation, so that others can too." Patients are at the center of our ... purpose as we seek to discover and deliver innovative healthcare solutions. Otsuka is a leader in the CNS...offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed,… more
- Canon USA & Affiliates (Tallahassee, FL)
- …and review of collaterals for clinical accuracy and adherence to clinical claims . Effectively interacts with multiple teams including R&D, global and local business, ... protocol development, data acquisition, phantom studies, equipment evaluations, post processing , and development of presentations. + Provide evidence-based guidance… more
- Sedgwick (Tampa, FL)
- …customer service and service delivery to our clients and patients through processing referrals in the delivery of medical goods and services. **ESSENTIAL FUNCTIONS ... + Reaches out to patients in relation to new or already processing referrals confirming patient demographic information, providing updates on the referral, and/or… more
- Elevance Health (Tampa, FL)
- …associated with fraud and abuse. **How you will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies ... document determinations and continue to next step in the claims lifecycle. + Researches new healthcare related...in the claims lifecycle. + Researches new healthcare related questions as necessary to aid in investigations… more
- Elevance Health (Tampa, FL)
- …associated with fraud and abuse. **How you will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies ... document determinations and continue to next step in the claims lifecycle. + Researches new healthcare related...in the claims lifecycle. + Researches new healthcare related questions as necessary to aid in investigations… more