- Butterfly Effects (Deerfield Beach, FL)
- …of contact for clients navigating benefits, payment responsibilities, and claims -providing the empathy, professionalism, and precision that our families deserve. ... + Communicate client financial responsibility clearly and accurately. + Verify insurance benefits for ABA therapy services (both in-network and out-of-network). +… more
- LogixHealth (Dania Beach, FL)
- …appeals on claims that require an appeal + Submit required documentation to insurance companies as requested + Research claims for information in order to ... regular basis + Correct errors and resubmit all unprocessed or returned claims to insurance companies + Create UB92 and HCFA bills Qualifications: To perform… more
- TEKsystems (Deerfield Beach, FL)
- …(QA) Contractor is responsible for evaluating recorded customer service and mechanical claim phone calls to ensure phone agents are following established procedures ... and onscreen activities for both Customer Service and Mechanical Claims agents, 15 per day. * Assess agent performance...- Pre-tax and Roth post-tax contributions available * Life Insurance (Voluntary Life & AD&D for the employee and… more
- CVS Health (Tallahassee, FL)
- …advocate care to assist the member with a clear path to care, claims understanding and resolution and educates the member with online resources. The Customer ... the member. + Anticipates customer needs. + Performs review of member claim history to ensure accurate tracking of benefit maximums and/or coinsurance/deductible. +… more
- Elevance Health (Tampa, FL)
- …Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider ... practices, and specialty care procedures and recommends policy changes and claim 's system changes to pursue cost savings. + Reviews results post-implementation… more
- Trinity Health (Fort Lauderdale, FL)
- …team for simple and/or complex coding; monitors charge router, charge review, and claim edit WQs; identify appropriate ICD-10, CPT, HCC, HCPCS, and modifier usage ... and HCPCS level II coding guidelines, along with CCI edits and Medicare claims processing manual contents in a multi-facility, integrated health care delivery system… more
- Highmark Health (Tallahassee, FL)
- …and ensures compliance with DRG/APC structure and regulatory requirements. Performs periodic claim form reviews to check code transfer accuracy from the abstracting ... skills Preferred + Associate's Degree + 3 years with claims processing and data management + Past auditing and...this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described… more
- University of Florida (Gainesville, FL)
- …by determining what the relationship of the patient is to the subscriber, obtaining insurance policy numbers and claim address and subscriber information such as ... coding, a working knowledge of the billing requirements of insurance carriers, and the operating procedures of the department...date of birth, address, etc. Fills out claim information record for every charge submitted in Epic,… more
- Robert Half Technology (Tampa, FL)
- …Process Functions and ability to map and improve these processes * Experience in Claim Administration, preferably in an insurance context, or auto insurance , ... this candidate will have experience in the General Liability, Auto, or Homeowner's Insurance field. Experience with Guidewire Software would be a huge plus. This… more
- Publix (Lakeland, FL)
- …Business, Finance, or related field. + 5-7 years of experience managing tort claims in a corporate legal or insurance setting. + In-house experience-preferably ... in a retail, healthcare, or consumer-facing company. + Familiarity with risk management, claims adjusting, and insurance financials. + Experience with legal fee… more