- Community Health Systems (Naples, FL)
- …Billing or Coding preferred + 0-2 years of experience in medical billing, insurance claims processing, or revenue cycle management required **Knowledge, Skills ... CPB- Certified Medical Biller issued by AAPC preferred or + Certified Medical Insurance Specialist (CMIS) issued by PMI preferred Equal Employment Opportunity… more
- Cognizant (Tallahassee, FL)
- …implementation of process initiatives to reduce denials. The Accounts Receivable Specialist role responsibilities include following up directly with payers to ... preferred. + **Technical Skills** : Proficiency in Excel, payer portals, and claims clearinghouses. **Additional Duties:** + **Examine Claims ** : Analyze denied… more
- Elevance Health (Tampa, FL)
- …and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims ... applicable state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5… more
- MyFlorida (Fort Lauderdale, FL)
- …issues and the chargeability of employer accounts for benefit payments on claims . This may be accomplished telephonically, through written correspondence, or through ... of first payments when potential issues are detected on initial or additional claims . This is accomplished through tracking the assigned claim load and utilizing the… more
- MyFlorida (Orlando, FL)
- …This is an OPS Employment Security Representative II- Employment Review Specialist position in the Department of Commerce's Reemployment Assistance Programs ... applying laws and policies to determine the eligibility of reemployment assistance claims using the CONNECT system. This includes gathering claimant and employer… more
- MyFlorida (Tallahassee, FL)
- …This is an OPS Employment Security Representative II- Employment Review Specialist position in the Department of Commerce's Reemployment Assistance Programs ... applying laws and policies to determine the eligibility of reemployment assistance claims using the CONNECT system. This includes gathering claimant and employer… more
- MyFlorida (Orlando, FL)
- …Specific Responsibilities: + Process initial, additional, and reopen reemployment assistance claims . + Performs specialized work assignments and other related work ... either resolve those issues or refer to a specific or appropriate program specialist or supervisor. + Explains points of law and reasons for determinations regarding… more
- Highmark Health (Tallahassee, FL)
- …months in either Life Office Management Association (LOMA) Certified Employee Benefit Specialist (CEBS), or America's Health Insurance Plans (AHIP) **TRAVEL ... **Company :** HM Insurance Group **Job Description :** **JOB SUMMARY** This...structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The… more
- Highmark Health (Tallahassee, FL)
- **Company :** HM Insurance Group **Job Description :** **JOB SUMMARY** This job prices quotes and analyzes the structure of a contract for a group based on claims ... risk factors for new enrollment, annual renewals, and amendments of group insurance contracts or of self-funded plans in conformance with established underwriting… more
- NTT America, Inc. (Tallahassee, FL)
- …Manager and the corporate insurance group as regards to high value insurance claims , to ensure that documentary information has been collected, secured, and ... preserved so that claims will be resolved in a timely manner as...+ Certified Safety Professional (CSP) or Certified Safety Management Specialist (CSMS) preferred. + Certified Environmental Professional CHMM and… more