• Clinical Documentation and Claims Integrity…

    Elevance Health (Tampa, FL)
    …The **Clinical Document Improvement Director** is responsible for leading encounter processing , diagnostic documentation and claims integrity across CareBridge. ... / revenue cycle management (RCM) organizations, with specific understanding in end-to-end claims / encounter processing , as well as ensuring compliance with… more
    Elevance Health (08/14/25)
    - Related Jobs
  • Government Operations Consultant I

    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
    MyFlorida (08/19/25)
    - Related Jobs
  • Claims Case Manager I, Supplemental…

    Guardian Life (Tallahassee, FL)
    …MS Word/Excel/PP + College degree preferred or equivalent work experience + Claim processing experience preferred or working knowledge of claims processes + ... As the ** Claims Case Manager I** , **Supplemental Insurance,** you...corresponding type of service codes and benefit amounts for processing + Assess file to determine if benefits are… more
    Guardian Life (08/22/25)
    - Related Jobs
  • Claims Examiner II

    DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
    …GED + Excellent oral and written communication skills + 1 - 3 years of Health claims processing experience + Working knowledge of COB and MSP preferably + ... Claims Examiner is responsible for providing expertise and/or claims support in reviewing, researching, investigating, processing ...Medical terminology + Computer literacy + Knowledge of current… more
    DOCTORS HEALTHCARE PLANS, INC. (08/19/25)
    - Related Jobs
  • Executive Director, Business and Data Analytics…

    USAA (Tampa, FL)
    …and implementation of multiple Data and Analytics sub-functions for Claims that may include: Information Strategy and Architecture, Information Management, ... and long-term strategy and vision of the assigned sub-functions for the CoSA Claims working with peers to set objectives across the different sub-functions that… more
    USAA (08/08/25)
    - Related Jobs
  • Claims Specialist, Audit & Contracting

    LogixHealth (Dania, FL)
    Location: On-Site in Dania, FL This Role: As a Claims Specialist, you will work with internal teams to provide cutting-edge solutions that will directly improve the ... and carry out processes on all out of network claims . The ideal candidate will have strong technological skills,...+ Ability to create routine reports + Prior word processing , spreadsheet and internet software experience including p roficiency… more
    LogixHealth (07/11/25)
    - Related Jobs
  • Patient Claims Specialist

    Modernizing Medicine (Tampa, FL)
    …for all inbound and outbound patient calls regarding patient balance inquiries, claims processing , insurance updates, and payment collections + Initiate outbound ... previous healthcare administration or related experience required + Basic understanding of medical billing claims submission process and working with insurance… more
    Modernizing Medicine (08/08/25)
    - Related Jobs
  • Claims Processor

    TEKsystems (Daytona Beach, FL)
    Claims Processor In Office - Daytona Beach, FL 32114 Pay Rate: $16/hr Schedule: Monday - Friday 8am-4:30pm Anticipated Start Date: September 29th 2025 4 Month ... Contract-to-Hire Description + Assisting customers with claims on their homeowner's insurance. + Manages the loss...draws are issued for the repairs as needed. + Processing must meet all compliance requirements. + Demonstrate the… more
    TEKsystems (08/20/25)
    - Related Jobs
  • Medical Economics Manager

    AdventHealth (Maitland, FL)
    … for all provider types Managed Care, Patient Financial services, health insurance claims processing , contract management, or medical economics experience ... language as it relates to reimbursement methodologies Applies detailed understanding of medical coding systems affecting the adjudication of claims to include… more
    AdventHealth (08/19/25)
    - Related Jobs
  • Fiscal Assistant I

    MyFlorida (Bunnell, FL)
    … or dental clerical experience. Knowledge of determining financial eligibility. Knowledge of processing medical or dental claims . Knowledge of working ... processing Medicaid HMO's, Medicare and third party/commercial insurance claims . Responsible for reviewing insurance web portals for eligibility,...medical or dental claims for appeals and denials. Florida Department of Health… more
    MyFlorida (08/12/25)
    - Related Jobs