- CHS (Clearwater, FL)
- … claims prior to payment. * Oversight for the ongoing management of claims processing technology, including plan building and identification of new and ... claims administration, is where submissions for payment/reimbursement/sharing from medical providers and covered individuals are reviewed, subject to cost… more
- Elevance Health (Tampa, FL)
- …The **Clinical Document Improvement Director** is responsible for leading encounter processing , diagnostic documentation and claims integrity across CareBridge. ... / revenue cycle management (RCM) organizations, with specific understanding in end-to-end claims / encounter processing , as well as ensuring compliance with… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …GED + Excellent oral and written communication skills + 1 - 3 years of Health claims processing experience + Working knowledge of COB and MSP preferably + ... Claims Examiner is responsible for providing expertise and/or claims support in reviewing, researching, investigating, processing ...Ensure that the proper benefits are applied to the claim using the appropriate tools (eg CMS guidelines) +… more
- TEKsystems (Daytona Beach, FL)
- Claims Processor In Office - Daytona Beach, FL... on their homeowner's insurance. + Manages the loss claim from the point of reporting through completion of ... quickly and accurately. + All activity pertaining to the claim must be documented and draws are issued for...draws are issued for the repairs as needed. + Processing must meet all compliance requirements. + Demonstrate the… more
- CHS (Clearwater, FL)
- …guidelines, and reporting requirements; Federal and state regulations; and timeliness of claims processing . + Utilize Excel, prepares tracking and trending ... Center QC) - Clearwater, FL** ** ** **Summary** The Claims & Call Auditor audits processed medical ...working knowledge on regulatory requirements associated with billing and claims processing , as well as HIPAA guidelines/established… more
- Modernizing Medicine (Tampa, FL)
- …for all inbound and outbound patient calls regarding patient balance inquiries, claims processing , insurance updates, and payment collections + Initiate outbound ... previous healthcare administration or related experience required + Basic understanding of medical billing claims submission process and working with insurance… more
- USAA (Tampa, FL)
- …and implementation of multiple Data and Analytics sub-functions for Claims that may include: Information Strategy and Architecture, Information Management, ... and long-term strategy and vision of the assigned sub-functions for the CoSA Claims working with peers to set objectives across the different sub-functions that… more
- LogixHealth (Dania, FL)
- Location: On-Site in Dania, FL This Role: As a Claims Specialist, you will work with internal teams to provide cutting-edge solutions that will directly improve the ... and carry out processes on all out of network claims . The ideal candidate will have strong technological skills,...+ Ability to create routine reports + Prior word processing , spreadsheet and internet software experience including p roficiency… more
- MyFlorida (Bunnell, FL)
- … or dental clerical experience. Knowledge of determining financial eligibility. Knowledge of processing medical or dental claims . Knowledge of working ... processing Medicaid HMO's, Medicare and third party/commercial insurance claims . Responsible for reviewing insurance web portals for eligibility,...medical or dental claims for appeals and denials. Florida Department of Health… more
- IQVIA (Tampa, FL)
- …+ HIPAA certified + Call center experience required (3+ years preferred) + Experience in medical claim processing is a plus + Bi-lingual (English/Spanish) is ... what it takes to deliver nationally and internationally. Our teams help biopharma, medical device and diagnostic companies get their therapies to the people who need… more