• Lead Investigator, Special Investigative…

    Molina Healthcare (Tampa, FL)
    …and over utilization by providers and recipients. The position will review claims data, medical records, and billing data from all types of healthcare providers ... **JOB DESCRIPTION** **Job Summary** Under direct supervision of the Manager , SIU, the Team Lead is responsible to lead...programs as well as Marketplace + Understanding of claim billing codes, medical terminology, anatomy, and health… more
    Molina Healthcare (11/21/25)
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  • Performance Quality Analyst II

    Elevance Health (Miami, FL)
    …and post implementation audits of providers, claims processing and payment, benefit coding , member and provider inquiries, enrollment & billing transactions and ... organizations within the enterprise. Included are processes related to enrollment and billing and claims processing, as well as customer service written and verbal… more
    Elevance Health (11/21/25)
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  • Epic Solutions Architect 2 - Central (H)

    University of Miami (Miami, FL)
    …Functions as an independent project lead or provides oversight for project manager and/or business analyst on assigned projects, and recognize/ minimize business ... or a related field. Master's degree is desirable + Coding Certification (eg CPC, CCS, CIC, CMC) from an...Epic HIM Administration - Certification required + Epic Hospital Billing and Professional Billing - Proficiency preferred… more
    University of Miami (10/24/25)
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  • Director of Physician Services I

    HCA Healthcare (Miami, FL)
    …projects for areas such as patient flow, patient satisfaction, practice volume, billing and collections, service utilization, coding , physician and staff ... with HCA Florida Miami Electrophysiology, you can be a manager in an organization that is devoted to giving!...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
    HCA Healthcare (11/16/25)
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  • Collections Specialist CBO

    HCA Healthcare (Miramar, FL)
    …will perform follow up activities on accounts to ensure prompt payment + You will identify coding or billing errors from EOBs and work to correct them + You will ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more
    HCA Healthcare (11/19/25)
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  • Bilingual Patient Access Specialist…

    AssistRx (Orlando, FL)
    …Access Specialist will support the healthcare providers addressing questions regarding coding and billing and navigating complex reimbursement issues. This ... and quotas being met at the discretion of the manager . Requirements Qualifications to be a Bilingual Patient Access...Access Specialist: + In-depth understanding and experience with Major Medical & Pharmacy Benefit Coverage + 2 to 3… more
    AssistRx (11/02/25)
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  • Collections Specialist

    HCA Healthcare (Sarasota, FL)
    …will perform follow up activities on accounts to ensure prompt payment + You will identify coding or billing errors from EOBs and work to correct them + You will ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more
    HCA Healthcare (09/19/25)
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  • Area Business Specialist, Immunology - Miami/Ft.…

    J&J Family of Companies (Miami, FL)
    …regulations and processes (ie, eligibility and benefit verification, pre-authorization, billing , coding , claims, and appeals/grievances); practice management; ... (3) years of successful pharmaceutical, biologic / biotech or medical device sales experience with a minimum of one...If you move forward, you'll meet with the hiring manager (and possibly others on the team) in one… more
    J&J Family of Companies (11/19/25)
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