- Humana (Tallahassee, FL)
- …problems within the encounter process between Humana and CMS using data analysis, claims research, and other resources to provide insight and ensure data integrity ... for Medicare/Medicaid claims errors. **Key Role Functions** + Develop business processes to ensure successful submission and reconciliation of encounter submissions… more
- Surgery Care Affiliates (Jacksonville, FL)
- …401k plan with company match, paid time off, life and disability insurance , and more. Click here (https://careers.sca.health/why-sca) to learn more about our ... account follow up to ensure accurate accounts receivable reporting; following up with insurance companies and/or third party payers to ensure payments by primary and… more
- HCA Healthcare (West Palm Beach, FL)
- …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...is responsible for the maintenance of the risk and claims process on a day to day basis insuring… more
- TEKsystems (Coral Gables, FL)
- …provide exceptional support and problem solving to enable their success. As an Associate Account Specialist with the FPLES team, you will be responsible for ... assisting customer with filing claims , providing detailed explanations of services or products, listening...- Pre-tax and Roth post-tax contributions available * Life Insurance (Voluntary Life & AD&D for the employee and… more
- Evolent (Tallahassee, FL)
- …require technical experts to find the most valuable defects. The IQA reports to a associate director or a manager. One or many IQAs may be engaged in any testing ... - Payer side, Knowledge of Medicare, Medicaid, Commercial Plans and understanding on claims workflow, members, providers + A minimum of 1 years of experience in… more
- Percepta (Melbourne, FL)
- …request * Provide real-time technical assistance to reduce the total number of claims requiring technical escalation and reduce the total number of contacts per ... * Place outbound calls to dealerships regarding the status of submitted claims within client-specified timeframes * Communicate with dealers and repair facilities in… more
- Aston Carter (Medley, FL)
- …queries, manage AR aging, and inform management about collections and outstanding claims status. The role involves interfacing with customers regarding past due ... for accounts. This position requires reviewing and processing invoices and claims , resulting in payment application, credits, denial, and collection of balances.… more
- Elevance Health (Tampa, FL)
- …+ Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and to ... fraud and abuse prevention and control. + Review and conducts analysis of claims and medical records prior to payment. Researches new healthcare-related questions as… more
- City of Boca Raton (Boca Raton, FL)
- …employee benefits programs, including health, dental, life, and disability insurance ; deferred compensation; wellness initiatives; and COBRA and retiree coverage. ... benefits programs, such as group health, dental, vision, disability, life insurance , 401(a), 457(b), wellness program and initiatives, and employee assistance… more
- Humana (Tallahassee, FL)
- …documentation + Have a range of subject matter expertise relative to both Claims Administration & Payment Integrity (CAPI) and Humana as well as Medicaid ... offer a remote opportunity for this job. Our Fortune 100 Company values associate engagement & your well-being. We also provide excellent professional development &… more