- Molina Healthcare (Tampa, FL)
- …and prepares written response to incoming provider reconsideration request is relating to claims payment and requests for claim adjustments or to requests from ... to ensure that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine appeal and grievance… more
- Cardinal Health (Tallahassee, FL)
- …done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the scope of responsibilities as ... and support from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and properly resolves by follow-up &… more
- Sedgwick (Miami, FL)
- …General Adjuster - Southeast Region **PRIMARY PURPOSE** **:** To handle losses or claims nationally regardless of size, including having the ability to address any ... Account. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Examines insurance policies, claims , and other records to determine insurance coverage. + Administers… more
- Elevance Health (Miami, FL)
- …Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Investigator Senior** is responsible for the independent ... in order to recover corporate and client funds paid on fraudulent claims . Health insurance experience required with understanding of health insurance policies,… more
- Dycom (West Palm Beach, FL)
- …for quarterly claims review + Monitor and analyze monthly and quarterly claim variances. Provide claims data as needed to Finance and outside actuaries, ... function and assist with renewal of insurance policies, collateral review, claim trending and analysis, insurance accrual analysis, cost allocations, subcontractor… more
- Butterfly Effects (Deerfield Beach, FL)
- …of a purpose-driven healthcare team? Butterfly Effects is looking for a Patient Medical Collection Specialist to join our team at our corporate office in Deerfield ... of contact for clients navigating benefits, payment responsibilities, and claims -providing the empathy, professionalism, and precision that our families deserve.… more
- LogixHealth (Dania Beach, FL)
- …Billing Specialist at LogixHealth, you will work with a team of fellow medical billers, administrators, and coders to provide cutting edge solutions that will ... Analyze A/R (Accounts Receivable) reports to follow up on unpaid claims + Send out appeals on claims that require an appeal + Submit required documentation to… more
- University of Miami (Medley, FL)
- …Miami/UHealth Central Business Office has an exciting opportunity for a full-time Senior Medical Posting Representative to work in Miami, FL. The Senior Medical ... + Contacts physician offices, when vouchers lack sufficient information for payment of a claim , and educates them on proper claim coding. + Processes all charge… more
- CVS Health (Tallahassee, FL)
- …partners in Europe, APAC and Africa in support of an international network, medical cost management and overall claim /customer service strategies. This role will ... float management. + Ensuring service level adherence (GOP TAT, eligibility processing, claim TAT, reconciliation TAT, fee invoicing etc) + Ensure TPA networks are… more
- Walgreens (St. Petersburg, FL)
- …+ Ensure all required documentation for billing is completed and accurate prior to claim submission (ie, medical claims billing). + Process reimbursement ... experience with Walgreens. + Experience in processes related to submitting medical claims , including but not limited to Medicare submission, knowledgeable in EOB… more