- Philadelphia Insurance Companies (Lake Mary, FL)
- …Philadelphia Insurance Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii, Ltd.) is an ... Description Marketing Statement: Philadelphia Insurance Companies, a member of the Tokio Marine...from each qualified appointment. - Submits qualified submissions for processing to Underwriter in complete form with a request… 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 ... + Correct errors and resubmit all unprocessed or returned claims to insurance companies + Create UB92...and billing systems and clearinghouse portals + Prior word processing , spreadsheet, and internet software experience including p roficiency… more
- Orlando Utilities Commission (Orlando, FL)
- …be the go-to person for employee questions and ensure compliance and timely processing of a wide range of programs, from FMLA, ADA accommodations, and retirement. ... activities. + Collaborate with internal teams and vendors to ensure accurate processing , reporting, and compliance. + Support open enrollment, new hire orientations,… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- …is responsible for managing and identifying a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial ... + Manage and identify a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing...by working with national Medicare D plans, third party insurance companies, and all state Medicaid plans to ensure… more
- CenterWell (Crestview, FL)
- …personnel communication systems, overall management of agency supplies / mail, and processing of accounts payables. Depending on branch census you may be responsible ... computer programs as appropriate. + Complete End of Period claim workflow as part of Billing Specialist responsibilities. This...to ensure other billing requirements are satisfied to release claims timely. + Adhere to and participate in Agency's… more
- Cognizant (Tallahassee, FL)
- …processes, training, continuous improvement, system automation. + System health monitoring of: Claim adjudication jobs, ASP alerts, CPU alerts, Claims queue ... team is responsible for 24x7x365 monitoring of all IBM i LPARS, along with processing all backups. This role will also involve monitoring the IBM i RxClaim health,… more
- Trinity Health (Fort Lauderdale, FL)
- …and HCPCS level II coding guidelines, along with CCI edits and Medicare claims processing manual contents in a multi-facility, integrated health care delivery ... 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… more
- Highmark Health (Tallahassee, FL)
- …analytical and communication skills Preferred + Associate's Degree + 3 years with claims processing and data management + Past auditing and strong ... and ensures compliance with DRG/APC structure and regulatory requirements. Performs periodic claim form reviews to check code transfer accuracy from the abstracting… more
- Walmart (North Miami Beach, FL)
- …by ensuring proper policies and procedures are followed Ensures the timely processing of claims forexample damaged defective returned liquidated items and ... Manages facilitylevel training and execution of asset protection safety and claims and receiving procedures by reviewing the application of policiesprocedures… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …Department. This position will assist the Credentialing Department in the timely processing of Initial Credentialing / Recredentialing of application, processing ... and requesting required credentials documents. Essential Job Functions: + Processing practitioner credentialing and recredentialing application packets which includes:… more