• Director Risk Management

    Acosta Group (Jacksonville, FL)
    …Skill and Ability Requirements:** + Knowledge of insurance contract language, insurance underwriting, and claims processing + Deep knowledge of casualty ... for the strategic oversight and execution of the company's insurance and risk management programs. This role leads the...insurance , claims management, and multi-state Workers' Compensation programs. + Knowledge… more
    Acosta Group (08/22/25)
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  • Accounts Receivable Specialist II

    Cardinal Health (Tallahassee, FL)
    …and transmitting claims using billing software including electronic and paper claim processing + Following up on unpaid claims within standard billing ... right things done. **_Responsibilities_** + Submitting medical documentation/billing data to insurance providers + Researching and appealing denied and rejected … more
    Cardinal Health (08/27/25)
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  • Sales Operations Manager

    MyFlorida (Tallahassee, FL)
    …and preparation of bank deposits. + Assists with daily and weekly Fortune claim processes including review of problem claims submitted, contacting PAS for ... listed below: + Approximately 97.5% of the premium forhealth insurance + Individual (~$8/month) or Family (~$30/month) + 100%...assistance, assisting customers with completion of claims , voiding DCW checks, mailing prize payment checks to… more
    MyFlorida (08/26/25)
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  • Senior Manager - Provider Network Management

    CVS Health (Tallahassee, FL)
    …in support of an international network, medical cost management and overall claim /customer service strategies. This role will provide concierge level of service to ... float management. + Ensuring service level adherence (GOP TAT, eligibility processing, claim TAT, reconciliation TAT, fee invoicing etc) + Ensure TPA networks are… more
    CVS Health (08/30/25)
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  • Injury Examiner

    USAA (Tampa, FL)
    …. + Ability to exercise sound financial judgment and discretion in handling insurance claims . + Advanced knowledge of coverage evaluation, loss assessment, and ... you will be responsible to adjust complex bodily injury claims , UM/UIM, and small business claims to...claims + College Degree (Bachelor's or higher). + Insurance Designation. + US military experience through military service… more
    USAA (08/22/25)
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  • Bilingual Call Center Representative

    LogixHealth (Dania Beach, FL)
    …and route the request to the proper person + Provide patient with their claim balance as requested. + Update patient's insurance information in the system ... and then re-bill to the new insurance carrier. If requested update patient's address in the...Perform daily mailings of letters to patients and HCFA claim forms Qualifications To perform this job successfully, an… more
    LogixHealth (08/29/25)
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  • ADA Accommodation Specialist

    Sedgwick (Tampa, FL)
    …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance ADA Accommodation Specialist **PRIMARY PURPOSE** : To enhance the ADA process for ... demands, wages and benefits, and availability. + Thoroughly reviews contested claims . + Assists as needed with submission of accommodation recommendations to… more
    Sedgwick (08/30/25)
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  • Pharmacy Technician / Order Entry

    BrightSpring Health Services (Fort Lauderdale, FL)
    …schedules Competitive pay Shift differential Health, dental, vision and life insurance benefits Company paid STD and LTD Tuition Assistance Employee Discount ... resolve issues of denials identified through adjudication, and follow-up claims in Point of Sale (POS) + Maintains current...of Sale (POS) + Maintains current knowledge of Medicaid claim regulations and processes + May produce reports and… more
    BrightSpring Health Services (08/22/25)
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  • Medical Director Physician Advisor UM

    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 (08/07/25)
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  • Medical Biller

    Akumin (Tampa, FL)
    **The Medical Biller** is responsible for submitting medical claims to government and private payers. Ensures that service date, CPT code, necessary modifiers, ... equipment utilized has been entered correctly into the billing system. Distributes claims into electronic and paper billing queues and transmits patient statements… more
    Akumin (07/11/25)
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