- AdventHealth (Maitland, FL)
- …with Insurance payers to ensure proper follow up on billing /denials/variances takes place on all assigned patient accounts. Compiles the Accounts Receivable ... **Account Representative Manager Billing /Collections/Denials -Advent Health** **Location Address:** **900 WINDERLEY PL, Maitland, 32751** **Top Reasons to work at… more
- Highmark Health (Tallahassee, FL)
- …all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, ... billing and documentation related to DRGs, APCs, CPTs and...steps to effect resolution. (10%) + Reviews and interprets medical information, classifies that information into the appropriate payor… more
- Zelis (St. Petersburg, FL)
- …based clinical criteria plan, and policy exclusions. Conduct reviews on inpatient DRG claims as they compare with medical records ICD-10 Official Coding ... coding and billing rules + Clinical skills to evaluate appropriate Medical Record Coding + Experience conducting root cause analysis and identifying solutions +… more
- TEKsystems (Coral Gables, FL)
- …Responsibilities * Receives inbound calls and responds to customer requests, inquiries, claims processing inquires, billing or claim disputes. * Handle ... FPLES team, you will be responsible for assisting customer with filing claims , providing detailed explanations of services or products, listening to customers… more
- Robert Half Accountemps (Miami, FL)
- …with vendor partners, suppliers, and internal teams. * Familiarity with billing , invoicing, and claims processing procedures. * Excellent communication ... in the United States. Benefits are available to contract/temporary professionals, including medical , vision, dental, and life and disability insurance . Hired… more
- Walgreens (Margate, FL)
- …with information technology. Finds opportunities to improve productivity + Ensures insurance claims are processed accurately to prevent payment rejections. ... Resolves patient issues by working with insurance companies and medical providers and conducting...compliance, pharmacy operations, pharmacy software and technology systems and insurance billing . (Some states may require more… 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 ... prevention and control. + Review and conducts analysis of claims and medical records prior to payment....term disability benefits, 401(k) +match, stock purchase plan, life insurance , wellness programs and financial education resources, to name… more
- Highmark Health (Tallahassee, FL)
- …+ 1 year in Financial Analysis in an acute care hospital or health insurance setting + 1 year in professional billing , facility Patient Financial Services, ... state regulations. Responsible for updating annually the changes in insurance laws with regard to lines of business +...+ Must have knowledge of provider facility payment methodology, claims processing systems and coding and billing … more
- J&J Family of Companies (Jacksonville, FL)
- …and medical /buy & bill benefits (as applicable), coding, and billing . + Reimbursement or relevant managed care experience (revenue cycle, buy-and-bill, prior ... eligible to participate in the following Company sponsored employee benefit programs: medical , dental, vision, life insurance , short- and long-term disability,… more
- Veterans Affairs, Veterans Health Administration (Orlando, FL)
- …to customer service issues regarding SC/SA care and treatment to validate billing appropriateness. Educates VA medical facility providers and other staff ... facility staff, including but not limited to Facility Revenue, Billing , Insurance Verification, Veteran Services, Compliance, Providers, Health Information… more