- 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
- TEKsystems (Jacksonville, FL)
- …specialist, insurance follow up, root cause analysis, EHR, EMR, EPIC, Cerner, medical billing, claims audit, appeals process, appeals letter, denials, insurance ... audit) 2. rebilling - focus on "out the door" claim appeals that are more ready to go -...phone to communicate and solve problems - determine why claims are denied - determine where to send appeals… 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
- 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
- Sedgwick (Orlando, FL)
- …payments and/or adjustments for client paid leave plans ensuring that on-going claim management is within company service standards and industry best practices. ... and solution-focused. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Establishes FMLA claims ; tracks and codes documentation in accordance with internal workflow… more
- Sedgwick (Orlando, FL)
- … for multiple lines of business, including but not limited to, expediting the claims process, and providing detailed claim notes on all calls, resolving issues ... growth opportunities + A diverse and comprehensive benefits offering including medical , dental vision, 401K, PTO and more. **APPLICATION PROCESS** You will… more
- Sedgwick (Tallahassee, FL)
- …PURPOSE OF THE ROLE:** While partnering with the injured worker, employer, and medical providers, create a case management strategy to facilitate medical ... and a successful return to work through advocacy, communication and coordination of medical services. **ARE YOU AN IDEAL CANDIDATE?** We are looking for enthusiastic… more
- Veterans Affairs, Veterans Health Administration (Orlando, FL)
- …the appropriateness of administrative data; verification of insurance coverage for medical services; verifying claims for billing purposes.This experience must ... the appropriateness of administrative data; verification of insurance coverage for medical services; verifying claims for billing purposes; ensuring eligibility… more
- AdventHealth (Maitland, FL)
- … claims analytics Managed Care, Patient Financial services, health insurance claims processing, contract management, or medical economics Proficiency in ... (Monday, Wednesday, Thursday) on-site **The role you will contribute:** A Senior Medical Economics analyst is responsible for analyzing and evaluating financial and… more
- Sedgwick (Tallahassee, FL)
- …job site modification and/or obtaining adaptive equipment necessary; and to ensure medical , legal and accreditation standards are maintained. **ARE YOU AN IDEAL ... Determines objective, quantifiable, medically supported work restrictions for assigned claims . + Facilitates return-to-work (RTW) efforts through negotiation with… more