- Sedgwick (Tampa, FL)
- …to our clients and patients through processing referrals in the delivery of medical goods and services. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Reaches out to ... said goods or service. + Communicates with vendor partners, claims adjusters and nurse case managers providing updates on...+ Provides quotes back to clients for approval or follow up on quotes already sent to obtain written… more
- Cardinal Health (Tallahassee, FL)
- …to patient care + Consults with appeals department for disputed / denied claims . + Works / Understands electronic claim interchange + Understands life ... trust with customers and internal business partners. The Insurance Follow -up Collector generates revenue by monitoring and pursuing payment...cycle of primary and secondary claims + Maintains front office support relationship + Takes… more
- HCA Healthcare (Pensacola, FL)
- …+ You will research, request, and update required information, insurance requirement edits, and follow -up on pending claims + You will attach i-bills or implants ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...invoices to paper billing when needed + Follow -up on claim denials, handling refunds and… more
- Veterans Affairs, Veterans Health Administration (Tallahassee, FL)
- …This represents above the full-performance level. Typical assignments involve operating medical equipment or instruments in connection with a variety of procedures ... occupational series. For more information, refer to Required Documents below. Medical Instrument Technicians (Echocardiography) duties may include, but not limited… more
- Sunrise Senior Living (Coral Gables, FL)
- …internal business controls. + Process and manage unemployment and worker's compensation claims and update claim activity as necessary. + Clearly communicate ... deep fulfillment in your work. Explore how you can follow your passions and shed light on meaningful ways...also offer benefits and other compensation that include: + Medical , Dental, Vision, Life, and Disability Plans + Retirement… more
- Elevance Health (FL)
- …healthcare analytics, and/or financial services highly preferred. + Comprehensive understanding of medical claims data. + Intermediate to Advanced expertise with ... **Advanced Analytics Analyst Senior - Medical Economics** **Location:** Atlanta, GA; Norfolk, VA; Indianapolis, IN; Cincinnati, OH; Chicago, IL (preferred). This… more
- Baylor Scott & White Health (Tallahassee, FL)
- …2 Years of Experience in Healthcare Analytics + 2 years working with ACA and Medical Claims , MMR, MOR, MAO-002, MAO-004 and RAPs/EDS data + Experience with ... and outbound encounter process. + Monitors and oversees the end-to-end claims encounter management workflow. + Identifies and interprets encounter data, submission… more
- Sedgwick (Tampa, FL)
- …+ Provides clear and appropriate follow -up recommendations for ongoing medical management of claims ; ensures appropriate recommendations are made on ... FUNCTIONS and RESPONSIBILITIES** + Performs clinical review of referred claims ; documents decision rationale; and completes medical ...referred claims ; documents decision rationale; and completes medical review of all claims to ensure… more
- Highmark Health (Tallahassee, FL)
- …related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, ... Contractor, the RAC, MIC, ZPIC, etc. Determine appeal action, prepare appeal letter follow up and identify education issues. (20%) + Develops audit detail summary… more
- Elevance Health (Tampa, FL)
- …Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider ... network satisfaction. Provides expert advice, analytic and consultative support to Medical Directors and management on cost of care issues. Works on large scale… more