- NextEra Energy (North Palm Beach, FL)
- …(First Notice of Loss), following up with TPAs (Third Party Administrators), manage claims BDXs (Bordereau), processing invoices, generate loss runs & reports, ... affiliated and non-affiliated risks. As the Operations Analyst for Claims & Finance, you will be assisting the ...administrative, and clerical support as required * Supports parallel claim function to support the team * Work with… more
- Sedgwick (Orlando, FL)
- …Security Disability Income (SSDI), and other disability offsets; and to ensure the ongoing processing of claims . **ARE YOU AN IDEAL CANDIDATE?** We are looking ... your 2+ years' experience in a office setting or medical experience and grow with us! + A stable...empathic and solution-focused. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Makes claim determinations to approve non-complex disability claims … more
- Epilepsy Foundation (Lakeland, FL)
- …+ Process invoices for payment; stamp, initial claim forms, and submit for processing . + Review medical records received for clients. + Complete and fax ... evaluation. This role requires current knowledge of best practices, treatments, and medical terminology related to epilepsy and seizures. A strong emphasis is placed… more
- Sedgwick (Orlando, FL)
- …federal/state leave of absence eligibility review; and to ensure the ongoing processing of claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** * Informs ... claims status either by phone, written correspondence and/or claims system. * Reviews medical information to...and/or client requirements for a qualifying condition. * Makes claim determinations to approve non-complex ADA claims … more
- AdventHealth (Maitland, FL)
- …and Medical appeals, refunds, reinstatements and rejections of insurance claims with the oversight of the Supervisor and/or Manager Qualifications **EDUCATION ... information for accurate billing. Processes daily error logs, stalled reports, aging claims , and any ah-hoc reports. Addresses claim issues from insurance… more
- Molina Healthcare (Jacksonville, FL)
- …concisely and accurately, in accordance with regulatory requirements. + Research claims processing guidelines, provider contracts, fee schedules and system ... response to incoming provider reconsideration request is relating to claims payment and requests for claim adjustments...years operational managed care experience (call center, appeals or claims environment). + Health claims processing… more
- BrightStar Care (Naples, FL)
- …a database using this set medical protocol to produce a statement or claim . * Investigate rejected claims , verify this information with the health provider, ... Collier counties for 19 years . We are looking for the an experienced medical Billing and Payroll Specialist . Responsibilities include weekly processing of… more
- MyFlorida (Jacksonville, FL)
- …electronic health records and Microsoft applications. + Must have 2 years of experience in medical billing claims and invoice processing . + Must have 1 year ... the meaning and spelling of words, rules of composition, and grammar. + Knowledge of medical billing claims and invoice processes (2 years). + Skills related to… more
- LogixHealth (Dania Beach, FL)
- Location: On-Site in Dania Beach, FL This Role: As a Junior Medical Billing Specialist at LogixHealth, you will work with a team of fellow medical billers, ... environment and will bring your expertise to process all denied and unpaid claims submitted to insurance carriers to ensure payment is received. The ideal candidate… more
- Elevance Health (Tampa, FL)
- …+ Requires a HS diploma or equivalent and a minimum of 2 years of claims processing and/or customer service experience; or any combination of education and ... SPECIALIST II** is responsible for the discovery, validation, recovery, and adjustments of claims overpayments. May do all or some of the following in relation to… more