- Ascension Health (Callahan, FL)
- …**Department:** Coding + **Schedule:** Full-Time, Day Shifts + **Facility:** Ascension Medical Group + **Location:** Hybrid in Jacksonville, FLMust have AAPC--CCS or ... to patient health records for purposes of document retrieval, analysis and claim processing. + Abstract pertinent information from patient records. Assign the… more
- Sedgwick (Tallahassee, FL)
- …to manage a team of adjusters and surveyors and to produce quality claim handling and services. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Builds and maintains ... A comprehensive benefits package is offered including but not limited to, medical , dental, vision, 401k and matching, PTO, disability and life insurance, employee… more
- Bombardier (Opa Locka, FL)
- …system updates and close the work order + Manage OEM invoice disputes and claims (from claim filing to resolving disputes and securing payments) + Support ... competitive Benefits Program, which includes the following: + Insurance plans _(Dental, medical , life insurance, disability, and more)_ + Competitive base salary +… more
- CDM Smith (West Palm Beach, FL)
- …expertise may be needed throughout the program delivery process. * Supports the claims process by reviewing and validating damage details, scopes of work, and costs ... by providing updates on work status and may evaluate claims and make recommendations to FEMA as to whether...and make recommendations to FEMA as to whether the claim is eligible. Assists with the development of the… more
- Molina Healthcare (FL)
- …least 1 year management/leadership experience. * Experience reviewing all types of medical claims (eg HCFA 1500, Outpatient/Inpatient UB92, Universal Claims ... JOB DESCRIPTION Job Summary Leads and manages team responsible for claims activities including reviewing and resolving member and provider complaints, and… more
- Highmark Health (Tallahassee, FL)
- …analysis to several functions, including insurance premium and pricing development, claim trend analysis, experience studies, medical economics, profitability ... analysis to several functions, including insurance premium and pricing development, claim trend analysis, experience studies, medical economics, profitability… more
- Select Medical (Tampa, FL)
- …areas with improvement potential in lowering DSO, improving clean and timely claim submission, and OTC collections. Guide the facilities to improve their processes ... Revenue Cycle Management. + Ensure completion of the electronic medical record retention process to verify that all required...and experience. + Two to four years of high-volume, medical billing and collection experience. + One to two… more
- Sedgwick (Tallahassee, FL)
- …Adjusting **PRIMARY PURPOSE** **:** Completes non-complex projects related to claims operations including field, desk and estimating software activities; networks ... department management. Projects may involve various specialty practice areas of claims such as engineering, forensic accounting, and fire investigation. + Assists… more
- Sedgwick (Tallahassee, FL)
- …you have just started your career, you are a leader in the industry, or a claims management expert looking for a new challenge, this is your chance to showcase your ... of clients across the globe, handling complex cases and claims + Collaborate with a talented and supportive team...benefits package is offered including but not limited to, medical , dental, vision, 401k and matching, PTO, disability and… more
- Molina Healthcare (Jacksonville, FL)
- …retrospective reviews of claims and appeals and resolves grievances related to medical quality of care. * Attends or chairs committees as required such as ... JOB DESCRIPTION Job Summary Provides medical oversight and expertise in appropriateness and ... medical oversight and expertise in appropriateness and medical necessity of services provided to members, targeting improvements… more