- Elevance Health (Tampa, FL)
- …is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and ... submitted DRG. **How you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines and objectivity in… more
- Sedgwick (Orlando, FL)
- …: To investigate claims internationally of any size or complexity, against insurance or other companies for personal, casualty, or property loss or damages and ... as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Executive General Adjuster - Power/Energy (SE & SW Regions) **PRIMARY PURPOSE**… more
- Elevance Health (FL)
- …and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims ... such as inappropriate billing for readmissions, inpatient admission status, and Hospital -Acquired Conditions (HACs). + Suggests and develops high quality, high… more
- HCA Healthcare (West Palm Beach, FL)
- …flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance , identity theft ... your career as a(an) Risk Management Coordinator today with HCA Florida JFK North Hospital . **Benefits** HCA Florida JFK North Hospital offers a total rewards… more
- Robert Half Accountemps (Orlando, FL)
- …this role, you will play a vital part in managing medical billing, claims , and collections processes for healthcare services. This is a long-term contract position ... * Handle medical billing tasks to ensure accurate and timely processing of claims . * Manage collections processes, including following up on overdue accounts and… more
- AdventHealth (Maitland, FL)
- …and claims analytics Managed Care, Patient Financial services, health insurance claims processing, contract management, or medical economics Proficiency in ... various sources using knowledge of healthcare managed care contracts and administrative claims data. + Employs existing complex models and implements them on new… more
- HCA Healthcare (Niceville, FL)
- …flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance , identity theft ... line, empathetic for patients. At HCA Florida Twin Cities Hospital our nurses set us apart from any other...protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling services and resources… more
- AdventHealth (Altamonte Springs, FL)
- …Physician Advisor is responsible for providing clinical review of utilization, claims management, and quality assurance related to inpatient care, outpatient ... Advisor is an important contact for clinicians, external providers, contracted health insurance payors, and regulatory agencies. This individual also serves as the… more
- AdventHealth (Altamonte Springs, FL)
- …Processes administrative and medical appeals, refunds, reinstatements, and rejections of insurance claims . + Consistently communications with team members to ... to appropriately reconcile patient accounts. Resolves and resubmits rejected claims appropriately as necessary. Processes daily and special reports, unlisted… more
- HCA Healthcare (Jacksonville, FL)
- …flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance , identity theft ... protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling services and resources for emotional, physical… more