- Deloitte (Jacksonville, FL)
- …you'll do/Responsibilities + Support Epic enterprise implementation for a large academic medical center and health system in the Southeast region. + Conduct Epic ... applications are well supported and implementations are properly executed + Follow defined standards, promote best practice principles, and participate in change… more
- Zelis (St. Petersburg, FL)
- …members achieve more favorable financial outcomes. What you will do: + Analyze medical claims submitted by members along with their Explanation of Benefits ... to research claim issues and ensure accurate claim processing resolutions + Provide ongoing case follow...to Zelis: + Bachelor's Degree + 5+ years of medical claims & member benefit application experience… 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
- USAA (Tampa, FL)
- … claim damages including communicating with the insured, internal claims adjusters, and third parties/vendors. May require face-to-face interactions with members ... for handling, if applicable. + Maintain accurate and current claim file documentation throughout the claims process...high standards of productivity through effective desk management, timely follow ups, and accurate mapping of repair plan and… more
- Cognizant (Tallahassee, FL)
- …stakeholders and other teams. **In this role, you will:** . Perform comprehensive follow -up on hospital claims to resolve outstanding accounts receivable. . ... Time **About the role:** Asan AR Physician Hospital Billing Follow Up, you will be responsible for resolving aged...management using advanced Excel skills. . Recommend updates to claim edits and work queues to improve efficiency and… more
- Sedgwick (Tallahassee, FL)
- …to support the claim request and documents decision rationale. + Completes medical review of all claims by reviewing medical documentation received ... status. + Provides clear and appropriate follow -up recommendations for ongoing medical management of claims ; ensures appropriate recommendations are made on … more
- GE Aerospace (Jacksonville, FL)
- …eligibility requirements, and limitations + Strong preference for long term care insurance claim experience + Working knowledge of medical terminology and ... In this high-impact role, you'll deliver sharp insights, adjudicate complex claims , and collaborate across teams using advanced analytics and emerging technology.… more
- Cardinal Health (Doral, FL)
- …Summary:** The Accounts Receivable Insurance Collector is responsible for the timely follow -up and resolution of insurance claims . This role ensures accurate ... collection activities in the billing system according to departmental procedures. + Follow up on unpaid claims within payer-specific guidelines and timelines.… more
- UNUM (Tallahassee, FL)
- …Physical Medicine and Rehabilitation. This position is responsible for providing expert medical analysis of claims files (or underwriting applications) across ... and efficient medical consultative services to the Benefits Center. The Medical Consultant adheres to current regulatory, claim process, and internal… more
- Elevance Health (Tampa, FL)
- …coding or quality assurance environment preferred. + Broad knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement ... -expense spending. The **DRG CODING AUDITOR** is responsible for auditing inpatient medical records and generating high quality recoverable claims for the… more