• Health Insurance Fraud Analyst II

    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
    MyFlorida (08/20/25)
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  • Senior Medical Billing Specialist

    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
    LogixHealth (08/08/25)
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  • Contracts Coordinator

    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
    Robert Half Accountemps (08/22/25)
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  • Encounter Data Management Professional

    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
    Humana (08/16/25)
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  • Medical Director, Global Medical Affairs, Early…

    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
    Otsuka America Pharmaceutical Inc. (07/16/25)
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  • Mgr Medical Affairs - Clinical Development Sr…

    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
    Canon USA & Affiliates (08/19/25)
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  • Neuroscience Specialist - Jacksonville S

    Otsuka America Pharmaceutical Inc. (Jacksonville, FL)
    **Job Summary** Otsuka America Pharmaceutical Inc. is a global healthcare company with the corporate philosophy: "Otsuka-people creating new products for better ... In its evolved customer engagement model, a Neuroscience Specialist engages healthcare providers (HCPs) using in-person, virtual, and digital tools, offering… more
    Otsuka America Pharmaceutical Inc. (08/26/25)
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  • Clinical Provider Auditor II

    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 (08/19/25)
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  • Clinical Provider Auditor II

    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 (08/13/25)
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  • Spanish Licensed Health Insurance Agent

    Mass Markets (FL)
    …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... RESPONSIBILITIES Key Responsibilities: + Provide information to customers about various healthcare options and insurance policies. + Help customers choose the… more
    Mass Markets (08/18/25)
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