- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- Position Purpose: The Claims Examiner is responsible for providing expertise and/or claims support in reviewing, researching, investigating, processing and ... adjusting claims and other duties as necessary. Key Responsibilities: +...Ensure that the proper benefits are applied to the claim using the appropriate tools (eg CMS guidelines) +… more
- AssistRx (Orlando, FL)
- …for the creation, design, set-up and administration of Pharmacy and Medical Copay programs for AssistRx manufacturer clients. Required engagement with client, ... implement and support all operational and financial processes related to claim processing activities. In addition, manager will ensure effective day-to-day… more
- Philadelphia Insurance Companies (Lake Mary, FL)
- …evaluate and settle more complex first and third party commercial insurance auto claims . JOB RESPONSIBILITIES + Evaluates each claim in light of facts; ... A++ by AM Best. We are looking for a Claims Specialist - Auto to join our team. JOB...apply online. Additional information on Volunteer Benefits, Paid Vacation, Medical Benefits, Educational Incentives, Family Friendly Benefits and Investment… more
- Ascension Health (Jacksonville, FL)
- …bills for reimbursement to individual and third party payers in an out-patient or medical office environment. + Prepare insurance claims for submission to third ... **Details** + **Department:** Billing and Claims + **Schedule:** Full-Time, Days Mon. - Fri....accuracy, including proper diagnosis and procedure codes. + Review claim rejections and communicates with payers to resolve billing… more
- USAA (Tampa, FL)
- …**Auto Adjuster** you will proactively handle the complete end to end claims process. Taking statements, policy and coverages, determination of liability and ... defined guidelines and framework, responsible to adjust moderately complex auto insurance claims presented by or against our members to include the end-to-end … more
- USAA (Tampa, FL)
- …truly makes us special and impactful. **The Opportunity** As a dedicated Sr Auto Claims Adjuster, you will adjust highly complex auto insurance claims presented ... by or against our members to include the end-to-end claims process and settling claims in compliance with state laws and regulations. Accountable for delivering… more
- Modernizing Medicine (Tampa, FL)
- …previous healthcare administration or related experience required + Basic understanding of medical billing claims submission process and working with insurance ... is a world where the software we build increases medical practice success and improves patient outcomes. Founded in...and Germany. ModMed (https://www.modmed.com/company/) is hiring a driven Patient Claim Specialist who will play a pivotal role in… more
- Molina Healthcare (Jacksonville, FL)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... + Experience with Medicare, Medicaid and Marketplace is required. + Medical coding experience is highly preferred. **JOB QUALIFICATIONS** **Required Education**… more
- CHS (Clearwater, FL)
- … and Call Auditor (Call Center QC) - Clearwater, FL** ** ** **Summary** The Claims & Call Auditor audits processed medical insurance claims and customer ... Duties and Responsibilities:** + In accordance with company guidelines, performs random medical audits, target audits, re-audits, etc and audits for claims … more
- USAA (Tampa, FL)
- …impactful. **The Opportunity** We are seeking a dedicated Business Process Owner Senior - Claims User Experience - Claims Optimization. We offer a flexible work ... systems to collect and analyze data. **What sets you apart:** + Demonstrated P&C Claims technical acumen. + 2+ years Manager Claims Operations experience. +… more