- CHS (Clearwater, FL)
- **Overview** **Health Insurance Medical Claims Examiner** **Monday-Friday Schedule with daytime hours** **Responsibilities** **Summary:** The Medical ... Claims Examiner adjudicates medical claims based on health policy provisions and established guidelines....guidelines. **Essential Duties and Responsibilities:** + Reviews and adjudicates medical claims based on health policy provisions… more
- IQVIA (Miami, FL)
- **Patient Support Medical Claims Processing Representative** _Contract Remote Role - Location (Open to Remote US)_ As the only global provider of commercial ... looking for a 100% remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative** to join our team. In this position, you will… more
- HCA Healthcare (Port Charlotte, FL)
- …Do you want to join an organization that invests in you as a Medical Insurance Claims Specialist? At Parallon, you come first. HCA Healthcare has ... have the opportunity to make a difference. We are looking for a dedicated Medical Insurance Claims Specialist like you to be a part of our team. **Job Summary… more
- Cognizant (Tallahassee, FL)
- …and able to multi-task successfully? If so, please apply today! The Claims Processor, you will ensure accurate and timely adjudication of professional and ... hospital claims utilizing payer specific policies and procedures. Provide support...UB or HCFA paper or EDI information. + Evaluate medical records to determine if the service rendered was… more
- Sedgwick (Tallahassee, FL)
- …properly documented and claims coding is correct. + May process complex lifetime medical and/or defined period medical claims which include state and ... Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Adjuster I Workers Compensation I CA experience required I Hybrid **PRIMARY… more
- Sedgwick (Tallahassee, FL)
- …properly documented and claims coding is correct. + May process complex lifetime medical and/or defined period medical claims which include state and ... a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Adjuster- General Liability Are you looking for an opportunity to join a… more
- Molina Healthcare (Jacksonville, FL)
- …including 2 years in a manager role. * Experience reviewing all types of medical claims (eg CMS 1500, Outpatient/Inpatient, Universal Claims , Surgery, ... Provider disputes and appeals to ensure adherence with Molina claims processing standards and provider contractual agreements. Includes responsibility from… 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
- CHS (Clearwater, FL)
- … and Call Auditor (Call Center QC) - Clearwater, FL** ** ** **Summary** The Claims & Call Auditor audits processed medical insurance claims and customer ... Duties and Responsibilities:** + In accordance with company guidelines, performs random medical audits, target audits, re-audits, etc and audits for claims … more
- BCA Financial Services, Inc. (Orlando, FL)
- …seeking detail-oriented full-time Insurance Claim Collectors with a minimum of 2 years medical insurance billing and claims follow up experience. Benefits we ... insurance follow up, medical billing, insurance billing, medical insurance billing, medical insurance claims , insurance claims resolution,… more