- Elevance Health (Miami, FL)
- …an equivalent background. **Preferred Skills, Capabilities, and Experiences:** + Strong medical claims processing experience highly preferred. + Proficient in ... Make an Extraordinary Impact.** **Title** : Financial Operations Recovery Specialist III **Location(s):** Columbus, GA, Atlanta, GA, Mason, OH, Indianapolis,… more
- HCA Healthcare (Brandon, FL)
- …**Introduction** Do you want to join an organization that invests in you as a Medical Business Office Specialist ? At Brandon Surgery Center, you come first. HCA ... make a difference. We are looking for a dedicated Medical Business Office Specialist like you to...and insurance information to ensure accurate coding, billing and claims submission. What you will do: + You will… more
- Sedgwick (Tallahassee, FL)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Return-to-Work Specialist **PRIMARY PURPOSE** : To negotiate, facilitate and monitor successful ... job site modification and/or obtaining adaptive equipment necessary; and to ensure medical , legal and accreditation standards are maintained. **ARE YOU AN IDEAL… more
- Aston Carter (Medley, FL)
- Accounts Receivable Specialist Job Description The Accounts Receivable Specialist is responsible for managing major retail accounts, interfacing with various ... queries, manage AR aging, and inform management about collections and outstanding claims status. The role involves interfacing with customers regarding past due… more
- Cardinal Health (Tallahassee, FL)
- …and transmitting claims using billing software including electronic and paper claim processing + Following up on unpaid claims within standard billing ... Rep is responsible for verifying patient insurance and benefits, preparing and submitting claims to payers, correcting rejected claims , following up on unpaid… more
- Molina Healthcare (Tampa, FL)
- …the likelihood of a formal appeal being submitted. + Independently re-evaluates medical claims and associated records by applying advanced clinical knowledge, ... programs supported by the plan such as Utilization Review, Medical Claims Review, Long Term Service and...+ Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager… more
- Molina Healthcare (Tampa, FL)
- …and prepares written response to incoming provider reconsideration request is relating to claims payment and requests for claim adjustments or to requests from ... to ensure that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine appeal and grievance… more
- NextEra Energy (Miami, FL)
- …Responsibilities * Receives inbound calls and responds to customer requests, inquiries, claims processing inquires, billing or claim disputes. * Handle ... **Associate Customer Account Specialist ** **Date:** Aug 15, 2025 **Location(s):** Miami, FL,...you will be responsible for assisting customer with filing claims , providing detailed explanations of services or products, listening… more
- CDM Smith (Sarasota, FL)
- …40509BR **Business Unit:** FSU **Job Description:** The Disaster Program Delivery Specialist : * Collects, coordinates and/or reviews applicant data to determine ... needed throughout the program delivery process. * Supports the claims process by reviewing and validating damage details, scopes...and make recommendations to FEMA as to whether the claim is eligible. Assists with the development of the… more
- CVS Health (Tallahassee, FL)
- …monthly invoices in accounting system. + Enter and process monthly fee claims for ancillary product offerings via claim system. **Required Qualifications** ... each and every day. **Position Summary** The **Senior Accounts Receivable Specialist ** prepares accounting and financial records and reports, including general… more