- The Robison Group (Lakeland, FL)
- …the position will be expected to perform investigations of workers compensation claims , liability investigations, multi-line insurance claims , criminal and ... WITHIN THE COMPANY INCLUDE: SIU work, Field Supervisor, Field Operations Manager , Case Management, etc. Department Surveillance Employment Type Part time Minimum… more
- Elevance Health (Miami, FL)
- …analysis; and reporting of statistical results. + Analyze health care data, including claims , clinical data, national survey data, and other large datasets using R ... preferred. + Experience with health plan administrative databases (pharmacy and medical claims ) and/or other big datasets is preferred. For candidates working 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
- Elevance Health (Tampa, FL)
- …requirements. + Develop and analyze business performance reports (eg, for claims data, provider data, utilization data) and provides notations of performance ... Microsoft Excel experience. + Facets systems knowledge considered a plus. + Claims and/or Encounters experience preferred. + Experience with Medicaid data preferred.… more
- Molina Healthcare (Tampa, FL)
- …of a formal appeal being submitted. + Independently re-evaluates medical claims and associated records by applying advanced clinical knowledge, knowledge of ... with the Chief Medical Officer for Administrative Law Judge pre-hearings, State Insurance Commission, and Meet and Confers. + Represents Molina and presents cases… more
- Surgery Care Affiliates (Jacksonville, FL)
- …denials and corrected claims collaborating with the biller and/or Business Office Manager , insurance payers and/or patients on past due accounts + Primary ... 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… more
- IKO (Jacksonville, FL)
- …workers' compensation cases. Acts as facility safety contact for work comp claims questions, interfaces with insurance adjusters, medical professionals and ... to operations and reports directly to the local Plant Manager and functionally to the Director of Health, Safety...(high visibility / floor presence) position. Benefits + Health Insurance (includes teledoc, virtual health, FSA, HCSA & other… more
- AssistRx (Orlando, FL)
- …Patient Access Specialist: This role works directly with healthcare providers & insurance plans/payers to gather information about a patient's insurance and ... patients by making outbound phone call to payers to verify patient insurance benefit information, navigate complex reimbursement barriers and seek resources to… more
- Ryder System (Miami, FL)
- …._ **Job Description** : **Summary -** The Director of Insurance Accounting plans, directs and administers the management, control, evaluation ... and reporting of the insurance accounting department. **RESPONSIBILITIES** ....Coordinate and collaborate with actuarial specialists, captive broker and claims system vendor 1 . Conduct in-depth financial analysis… more
- HCA Healthcare (Miami, 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...necessary (eg, combining the codes for outpatient and inpatient claims subject to the payment window) + Assist the… more