- Cognizant (Tallahassee, FL)
- …referral, preauthorization, medical necessity, non-covered services, investigational/experimental and billing resulting in denials and/or delays in payment . ... Plan/Payer. The comprehensive process includes analyzing, reviewing, and processing medical necessity denials for resolution. You will be a...this role are accurate as of the date of posting . This may change based on the project you're… more
- Humana (Tallahassee, FL)
- …Conducts on-site audits of provider records ensuring appropriateness of billing practices. Prepares complex investigative and audit reports. Understands department, ... fraud investigations and auditing experience + Knowledge of healthcare payment methodologies + Strong organizational, interpersonal, and communication skills +… more
- DR Horton, Inc. (Pensacola, FL)
- …of their responsibilities including division/corporate interaction, data entry, transaction posting , initial account analysis and reconciliation * Perform various ... accounts * Enter Accounts Payable invoices and schedule for payment * Correspond with vendors to correct Accounts Payable...verify the company owned property at the time of billing * Research past-due invoices * Ensure digital records… more
- University of Miami (Doral, FL)
- …Access for posting in Epic. All self-pay payments are submitted to billing team for proper posting . #LI-GD1 The University of Miami offers competitive ... Work with patients that will use "Care Credit" for payment . Enter in Care Credit site. Work with Patient...salaries and a comprehensive benefits package including medical , dental, tuition remission and more. UHealth-University of Miami… more
- Elevance Health (Miami, FL)
- …and Reimbursement Specialist** is responsible for reviewing, auditing, and coding medical records for the purpose of reimbursement, training, education and ... candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless...you will make an impact:** + Audits and reviews medical documentation for appropriate ICD-9 and CPT coding and… more
- USAA (Tampa, FL)
- …foundational to moderately complex quotes, binding new business, rating, policy, billing , payment , underwriting, contract and coverage provisions, and premium ... their physical, financial, and emotional wellness. These benefits include comprehensive medical , dental and vision plans, 401(k), pension, life insurance, parental… more
- USAA (Tampa, FL)
- …foundational to moderately complex quotes, binding new business, rating, policy, billing , payment , underwriting, contract and coverage provisions, and premium ... their physical, financial, and emotional wellness. These benefits include comprehensive medical , dental and vision plans, 401(k), pension, life insurance, parental… more
- Norstella (Tallahassee, FL)
- …a wide range of healthcare data sources, including claims, lab results, electronic medical records (EMR), and other real-world data *Your expertise in SQL and data ... on with RWD (eg, open/closed claims, APLD, lab, EMR/EHR, hospital chargemaster, billing codes, etc.) *Understanding of life sciences industry and US healthcare… more
- Molina Healthcare (Miami, FL)
- …of a health care related vocational program in health care (ie, certified coder, billing , or medical assistant). To all current Molina employees: If you are ... **Provider No Surprise Act** cases outcomes. . * Requests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per… more
- Norstella (Tallahassee, FL)
- …hands on with RWD (eg, open/closed claims, APLD, lab, EMR/EHR, hospital chargemaster, billing codes, etc.) * Advanced understanding of the life sciences industry and ... and Perseverance 05: Humility, Gratitude, and Learning **Benefits:** * Medical and Prescription Drug Benefits * Health Savings Accounts...ask for anything of value or any type of payment during or as part of any recruitment, interview,… more