• DRG Coding Auditor

    Elevance Health (Tampa, FL)
    …coding or quality assurance environment preferred. + Broad knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement ... -expense spending. The **DRG CODING AUDITOR** is responsible for auditing inpatient medical records and generating high quality recoverable claims for the… more
    Elevance Health (10/25/25)
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  • Accounts Receivable, Customer Service Operations

    Cardinal Health (Tallahassee, FL)
    …and transmitting claims using billing software including electronic and paper claim processing + Following up on unpaid claims within standard billing ... - 3:30 PM PST (or based on business need)** **_What Accounts Receivable Specialist contributes to Cardinal Health_** Account Receivable Specialist is responsible… more
    Cardinal Health (11/11/25)
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  • Investigator, Coding Special Investigative Unit…

    Molina Healthcare (FL)
    …to law enforcement or for payment recovery. **KNOWLEDGE/SKILLS/ABILITIES** + Reviews post pay claims with corresponding medical records to determine accuracy of ... to present those findings. **Preferred License, Certification, Association** + AAPC Certified Medical CPC, CPMA, CPCO or similar specialist preferred + Certified… more
    Molina Healthcare (11/20/25)
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  • Representative II, Accounts Receivable

    Cardinal Health (Doral, FL)
    …skills and prioritizes getting the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. ... and support from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and properly resolves by follow-up &… more
    Cardinal Health (11/20/25)
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  • Revenue Cycle Manager

    Select Medical (Tampa, FL)
    …front office personnel to identify the best fit and reduce Patient Service Specialist turnover. Ensure Checkster is complete for references. + Ensure all sections of ... the Patient Service Specialist On-Boarding process are complete to include the Front...improvement potential in lowering DSO, improving clean and timely claim submission, and OTC collections. Guide the facilities to… more
    Select Medical (10/19/25)
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  • Supervisor Audit & Compliance

    ICW Group (Orlando, FL)
    …and workflows for Audit & Compliance program. + Works closely with training specialist and claims management staff to correct deficiencies and address technical ... purpose of this job is to supervise functions of claims internal controls and to monitor team activities with...* We offer a competitive benefits package, with generous medical , dental, and vision plans as well as 401K… more
    ICW Group (11/04/25)
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  • Certified Medical Coder

    Ascension Health (Callahan, FL)
    …**Department:** Coding + **Schedule:** Full-Time, Day Shifts + **Facility:** Ascension Medical Group + **Location:** Hybrid in Jacksonville, FLMust have AAPC--CCS or ... to patient health records for purposes of document retrieval, analysis and claim processing. + Abstract pertinent information from patient records. Assign the… more
    Ascension Health (11/12/25)
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  • Prior Authorization Technician - Remote

    Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
    …Remote Position Type Full Time Job Category Pharmaceutical Description PRIOR AUTHORIZATION SPECIALIST (REMOTE) WHO WE ARE At Polaris Pharmacy Services, we're more ... it most, we invite you to grow with us. OVERVIEW The Prior Authorization Specialist is responsible for managing and identifying a portfolio of rejected pharmacy … more
    Polaris Pharmacy Services, LLC (11/05/25)
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  • Senior Workers' Compensation Examiner

    MyFlorida (Tallahassee, FL)
    …position assists workers' compensation specialist with reviewing and evaluating medical -only workers' compensation claims , processing and paying medical ... EMPLOYMENT OPPORTUNITY DIVISION: RISK MANAGEMENT BUREAU: STATE EMPLOYEE WORKERS' COMPENSATION CLAIMS CITY: TALLAHASSEE COUNTY: LEON SPECIAL NOTES: Preferences: * Two… more
    MyFlorida (11/18/25)
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  • Customer Service Representative

    Robert Half Office Team (Boca Raton, FL)
    …a highly motivated and customer-focused individual to join our team as a Customer Support Specialist in Boca Raton, FL. In this role, you will play a critical role ... Order placement -high volume multi-line and bulk ordering * Research, validate and process claim requests, * Act with an appropriate sense of urgency to resolve and… more
    Robert Half Office Team (11/12/25)
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