- Elevance Health (Miami, FL)
- …eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical editing ... to system inquiries and appeals. + Conducts research of claims systems and system edits to identify adjudication issues...submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health… more
- Elevance Health (Tampa, FL)
- …with fraud and abuse. **How you will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities ... prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses...submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health… more
- Elevance Health (Altamonte Springs, FL)
- …The **Credit and Collection Specialist** is responsible for collection activities related health insurance claims and patient balances. **How You Will Make an ... due insurance premiums and/or past due health insurance claims . + Researches validity of past...submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health… more
- MDD Forensic Accountants (Fort Lauderdale, FL)
- …funds and identify assets for recovery + Verify claim to source documents + Evaluate insurance claims and economic damage + Work closely with senior staff on ... ACCOUNTANT Matson, Driscoll & Damico LLP Status: Full Time, Salary Reports to: Manager and Partner Location: Fort Lauderdale, FL About the Company Tracing its roots… more
- Elevance Health (Tampa, FL)
- …expertise, as well as single point of service support (eg, calls and claims ) to key client contacts (HR, Benefit Administrators, client key decision makers, etc.) ... or equivalent and a minimum of 5 years related claims /customer service experience; or any combination of education and...submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health… 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 ... Experience with health plan administrative databases (pharmacy and medical claims ) and/or other big datasets is preferred. For candidates...submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health… 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 ... experience. + Facets systems knowledge considered a plus. + Claims and/or Encounters experience preferred. + Experience with Medicaid...submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health… 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
- Elevance Health (FL)
- …make an impact:** + Managing incoming calls or incoming post services claims work. + Determines contract and benefit eligibility; provides authorization for ... + Medical terminology training and experience in medical or insurance field preferred. + For URAC accredited areas, the...submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health… more
- Elevance Health (FL)
- …law. The **Group Underwriter, Senior** is responsible for determining acceptability of insurance risks and appropriate premium rates for large, complex renewal and ... or benefit change increments or decrement. + Communicates with sales, administration and claims to assess the rating and administrative impact or benefit and plan… more