- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- …rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks to Polaris and their customers. The Prior ... rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks to Polaris and their customers + Research, analyze… more
- Cardinal Health (Tallahassee, FL)
- …done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing . They will work within the scope of responsibilities ... dictated below with guidance and support from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims :...benefits and programs to support health and well-being. + Medical , dental and vision coverage + Paid time off… more
- Elevance Health (Tampa, FL)
- …or hospital coding or quality assurance environment preferred. + Broad knowledge of medical claims billing /payment systems provider billing guidelines, ... -expense spending. The **DRG CODING AUDITOR** is responsible for auditing inpatient medical records and generating high quality recoverable claims for the… more
- Elevance Health (FL)
- …improvement experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider ... claims . **How you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in… more
- CenterWell (Crestview, FL)
- …as appropriate. + Complete End of Period claim workflow as part of Billing Specialist responsibilities. This includes confirming all orders are signed ... Coordinator** is to provide clerical support for the branch medical records and billing department. Also, responsible...the administrative team at the branch to ensure other billing requirements are satisfied to release claims … more
- Highmark Health (Tallahassee, FL)
- …all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, ... billing and documentation related to DRGs, APCs, CPTs and...steps to effect resolution. (10%) + Reviews and interprets medical information, classifies that information into the appropriate payor… 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...accurate demographic and insurance information to ensure accurate coding, billing and claims submission. What you will… more
- Molina Healthcare (Orlando, FL)
- …activities with other departments in Molina including Finance, Revenue analytics, Claims and Encounters, and Medical Directors + Maintains professional ... chart reviews and abstracts diagnosis codes + Develop an understanding of current billing practices in provider offices to ensure that diagnosis and CPT codes are… more