- Allied Universal (Jacksonville, FL)
- …a career with us and make a difference. Allied Universal(R) is hiring a Claims Investigator. Claim Investigators validate the facts of loss for Insurance ... Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services....is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic… more
- Highmark Health (Tallahassee, FL)
- …including but not limited to, Clinical Strategy, Sales/Client Management, Customer Service, Claims , and Medical Policy. The person in this position must ... resource that coordinates, analyzes, and interprets the benefits and claims processes for clinical teams and serves as a...of the job. Assess benefit limitations in accordance with Medical Policy Guidelines. + Monitor and identify claim… more
- HCA Healthcare (Ocala, FL)
- …in compliance with departmental policies and procedures + Resubmit primary and secondary claims + Identify potential claim issues and escalate to management + ... VA). Do you have the career opportunities as a Claims Resolution Specialist you want with your current employer?...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
- NBC Universal (Orlando, FL)
- …Members. Oversees claim evaluation, documentation collection, submission, and follow -up to facilitate effective claims management. + Reviews, investigates, ... JOB SUMMARY: Responsible for overseeing liability claims and litigation, managing the Workers' Compensation program, and implementing risk mitigation strategies for… more
- Elevance Health (Tampa, FL)
- Medical Coding Education Associate Sr (Hospital / Professional Claims ) **Hybrid 1:** This role requires associates to be in-office **1 - 2** days per week, ... an accommodation is granted as required by law._ The ** Medical Coding Education Associate S** r is responsible for...r is responsible for the comprehensive analysis of complex claims data to generate refined and industry-relevant concepts that… more
- DriveTime (Tampa, FL)
- …adherence to department process flows and policies. + Manages list of assigned pending claims and provides timely follow up with repair facilities to decision ... which provides quality warranty and ancillary products, and a customer-friendly claims process. SilverRock offers a variety of ancillary products and administrative… more
- The Hartford (Lake Mary, FL)
- …theirs, too. Join our team as we help shape the future. The Claims Team Leader will manage and direct claim investigation, compensability determination, ... and execution of the investigation, disposition and settlement of claims , in compliance with corporate claim standards...partner with internal and external customers + Knowledge of medical terms is strongly preferred + Possess analytical and… more
- Belle (FL)
- …end-to-end billing execution and revenue cycle performance. Belle operates a simple, standardized medical claims model with a limited code set and repeatable ... Claim Execution + Own daily and weekly medical claim submission + Monitor clearinghouse activity...Familiarity with eClinicalWorks + Strong attention to detail and follow -through + Comfort owning a full claims … more
- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical ... guidance where needed. Follows established guidelines/procedures. **Where you Come In** The Medical Coding Auditor reviews medical claims submitted against… more
- Zelis (St. Petersburg, FL)
- …of the Chief Medical Officer in managing disputes related to clinical claim reviews. This position is a production-based role with production and quality metric ... will be responsible for reviewing facility inpatient and outpatient claims for Health Plans and TPA's to ensure adherence...provider disputes. + Utilize the most up-to-date approved Zelis medical coding sources for claim review maintenance.… more