- IQVIA (Miami, FL)
- **Patient Support Medical Claims Processing ...+ High School Diploma or equivalent + Experience in claim processing required + Medical ... a 100% remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative** to...claims from HCPs or patients and vetting the claim against program specific business rules to determine if… more
- CHS (Clearwater, FL)
- …of medical terminology **Qualifications** **Qualifications:** + Minimum two (2) years of medical claims processing experience + Must have reliable and ... **Overview** **Health Insurance Medical Claims Examiner** **Monday-Friday Schedule with daytime hours** **Responsibilities** **Summary:** The Medical … more
- Travelers Insurance Company (Tampa, FL)
- …mail and wage statements. Prints and prepares claim documents for legal and medical reviews. Reports and assigns claims , and transitions closed files to and ... claim payments including outside vendor invoices, attorney expenses, and medical processing fees. Processes and documents returned checks, voided checks… more
- CVS Health (Tallahassee, FL)
- …information for claim or reconsideration. **Required Qualifications** + 2+ years of medical claim processing experience. + Previous experience in a ... multiple assignments competently, accurately and efficiently. **Preferred Qualifications** + Self funded medical claim processing experience. + DG system… more
- CVS Health (Tallahassee, FL)
- …competently, accurately and efficiently. **Preferred Qualifications** - 18+ months of medical claim processing experience - Self-Funding experience ... or claims that exceed specialist adjudication authority or processing expertise. - Applies medical necessity guidelines, determines coverage, completes… more
- CVS Health (Plantation, FL)
- …- Familiarity with medical terminology. - Hands on experience in end-to-end medical claims processing . - Knowledge of the ACAS system. **Education** ... - Performs claim rework calculations. **-** Ensures accurate and timely claims processing **The hours for this position are Monday-Friday from… more
- Sedgwick (Miami, FL)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim ...directions in a professional and timely manner. + Communicates claim activity and processing with the claimant… more
- AssistRx (Orlando, FL)
- …to implement and support all operational and financial processes related to claim processing activities. In addition, manager will ensure effective day-to-day ... for the creation, design, set-up and administration of Pharmacy and Medical Copay programs for AssistRx manufacturer clients. Required engagement with client,… 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
- Sedgwick (Tallahassee, FL)
- …Liability (MEDMAL) **PRIMARY PURPOSE** : To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature ... and RESPONSIBILITIES** + Analyzes and processes complex or technically difficult medical malpractice claims by investigating and gathering information to… more