- MyFlorida (Tallahassee, FL)
- …about the operations of the Medicaid fiscal agent, including Medicaid claims processing, billing procedures, reimbursement methodologies and provider enrollment. The ... staff on work related to state Medicaid managed care plans, claims administration, financial analysis/projections. The incumbent in this position shall utilize… more
- Elevance Health (Miami, FL)
- …by law._ The Provider Reimburse Admin Sr ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical editing ... with Federal and state mandates. + Works with other departments on claims adjudication workflow development and business process improvements. + May lead the… more
- AdventHealth (Altamonte Springs, FL)
- …quality assurance needs for coding staff. In addition, this position reviews medical records and documentation for coding accuracy, providing feedback and additional ... necessary to ensure documentation supports the coding of the claim . Additionally, this role equips staff with the knowledge...staff to assist with or resolve issues relating to medical record documentation and coding. + May participate in… more
- Syms Strategic Group, LLC (SSG) (Panama City, FL)
- …field, particularly in production environments Desired experience Electronic Data Interchange X.12 (EDI) Medical Claims + X.12 medical claims (837, ... + Develop solutions to routine technical problems of limited scope + Follow standard practices and procedures in analyzing situations or data from which… more
- Elevance Health (FL)
- …the enterprise. Included are processes related to enrollment and billing and claims processing, as well as customer service written and verbal inquiries. **How ... 2 years experience with the company in an enrollment and billing, claims and/or customer contact automated environment (preferably in healthcare or insurance… more
- Utilities Service, LLC (Miami, FL)
- …**Benefits:** + Company-sponsored Retirement Plan + Health Insurance ( Medical /Dental/Vision) + Employee Assistance Program + Life, long-term/short-term disability ... the crew. + May be delegated the authority to investigate incident reports, damage claims , etc., and to settle minor damage claims . + Maintains accurate records,… more
- HCA Healthcare (Atlantis, FL)
- …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision...and patient safety program on a day-to-day basis and claims management program and risk management education for the… more
- Surgery Care Affiliates (Belleair Beach, FL)
- …package to support your health, well-being, and financial future. Our offerings include medical , dental, and vision coverage, 401k plan with company match, paid time ... office and will be responsible for thorough and timely patient account follow up to ensure accurate accounts receivable reporting; following up with insurance… more
- Elevance Health (FL)
- **Manager II Grievance/Appeals** **- Claims Support** **Office Locations:** _The selected candidate must reside within a reasonable commuting distance of the ... + Serves as a resource for complex issues and interpretation of claims , provider contracts and data, eligibility, member contracts, benefits, clinical decisions,… more
- Sedgwick (Miami, FL)
- …serving in role of project manager as assigned; ensures all projects follow Sedgwick software development lifecycle (SDLC). + Defines projects through research and ... growth opportunities. + A diverse and comprehensive benefits offering including medical , dental vision, 401k, PTO and more. \#IT \#informationtechnology \#LI-TS1… more