- HCA Healthcare (Ocala, FL)
- …NV, NH, NC, SC, TN, TX, UT, VA). Do you have the career opportunities as a Claims Resolution Specialist you want with your current employer? We have an ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...of colleagues. Do you want to work as a Claims Resolution Specialist where your… more
- Sedgwick (Orlando, FL)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist , Veterinary Claims | Professional Liability | Remote ... **PRIMARY PURPOSE** **:** To analyze complex or technically difficult veterinary claims ; to provide resolution of highly complex nature and/or severe injury … more
- HCA Healthcare (Bradenton, FL)
- …want to join an organization that invests in you as a Coding Account Resolution Specialist -Inpatient? At Parallon, you come first. HCA Healthcare has committed ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...difference. We are looking for a dedicated Coding Account Resolution Specialist -Inpatient like you to be a… more
- HCA Healthcare (Orlando, FL)
- …is recognized. Submit your application for the opportunity below: Outpatient Coding Resolution Specialist Parallon **This is a work from home position!** ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...vary by location._** We are seeking an Outpatient Coding Resolution Specialist for our team to ensure… more
- Travelers Insurance Company (Tallahassee, FL)
- …of claim and litigation strategy. + Recognize and implement alternate means of resolution . + Manages litigated claims . Develop litigation plan with staff or ... reserve, negotiate and resolve the company's most severe and/or complex claims , in multiple jurisdictions, in accordance with Best Practices. Provide quality… more
- HCA Healthcare (Ocala, FL)
- …Do you have the career opportunities as a Clinical Denial Coding Review Specialist you want with your current employer? We have an exciting opportunity for ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more
- Molina Healthcare (St. Petersburg, FL)
- JOB DESCRIPTION Job Summary Provides support for claims activities including reviewing and resolving member and provider complaints, and communicating resolution ... Services (CMS). **Essential Job Duties** * Facilitates comprehensive research and resolution of appeals, disputes, grievances, and/or complaints from Molina members,… more
- Orlando Utilities Commission (Orlando, FL)
- **OUC - The** **_Reliable_** **One** **,** is presently seeking an **Employee Relations Specialist ** to join the Employee Experience division. At OUC, we don't just ... with payroll, HRIS, and legal teams to handle unemployment claims and reporting. + Conduct exit interviews and analyze...to cite a few:** + Competitive compensation + Low-cost medical , dental, and vision benefits and paid life insurance… more
- Cardinal Health (Tallahassee, FL)
- …data to Commercial (MCO) and government (Medicare/Medicaid) providers + Denials resolution for unpaid and rejected claims + Preparing, reviewing ... right things done. **_Responsibilities_** + Working unpaid or denied claims to ensure timely filing guidelines are meet. +...work experience preferred + 1+ years experience as a Medical Biller or Denials Specialist preferred +… more
- Guidehouse (Tampa, FL)
- …billing and reporting requirements including resolution of CCI, MUE and Medical Necessity edits applied to claims . + Proficiency in determining accurate ... for this position include: + Responsible for the daily resolution of assigned claims with applicable Revenue...Coding Initiatives (CCI) + Medically Unlikely Edits (MUE) + Medical Necessity edits + Other claim level edits as… more