- Elevance Health (Miami, FL)
- …accuracy by verifying various aspects of the claim including eligibility, system coding and pricing, pre-authorization, and medical necessity. + Contacts others ... of 3 years of claims processing experience; or any combination of education and experience which would provide an equivalent background. **Preferred Skills,… more
- Prime Therapeutics (Tallahassee, FL)
- …injectable prescription drugs, disease states, health plan formulary management techniques, medical terminology and current diagnostic and reimbursement coding ... for medications. Communicates decision to physicians, physician`s office staff, medical management staff and/or pharmacists. Researches, resolves and documents prior… more
- Molina Healthcare (Orlando, FL)
- …and state specific policies and regulations in order to identify incorrect coding , abuse and fraudulent billing practices, waste, overpayments, and processing errors ... of claims. + Manages a caseload of claims. Procures all medical records and statements that support the claim. + Makes recommendations for further investigation or… more
- Sedgwick (Tallahassee, FL)
- …Adjusting lost-time workers compensation claims under close supervision. May be assigned medical only claims. + Adjusting low and mid-level liability and/or physical ... duration under close supervision. + Documenting claims files and properly coding claim activity. + Communicating claim action/processing with claimant and client.… more
- ChenMed (Miami, FL)
- …other related duties as assigned. KNOWLEDGE, SKILLS AND ABILITIES: + Knowledge of medical terminology, CPT, HCPCS and ICD coding desired + An understanding ... vendors, arranging transportation, communicating with physicians, clinicians and other medical personnel, and any other entities necessary for successful completion… more
- CenterWell (Hallandale Beach, FL)
- …consumer experiences **Preferred Qualifications:** + Knowledge of ICD 10 and CPT coding + Medical Assistant or Professional State Certifications related to ... Office applications including Microsoft Word, Excel and Outlook + Proficient with Medical Terminology + Experience with Electronic Medical Records + Excellent… more
- CenterWell (Orlando, FL)
- …more. *Monitor and manage data analytics, scorecards, cost & utilizations, HCC coding , and NPS Scores, focusing on patient satisfaction and performance improvement. ... changes to Market President. Dyad Partnership: *Collaborate with the Associate Medical Director to achieve shared goals, ensuring consistent communication and… more
- Cardinal Health (Tallahassee, FL)
- …drive business value. Application Development & Maintenance performs configuration or coding to develop, enhance and sustain the organization's software systems in ... needs and conducts regular assessments, maintenance and enhancements of existing applications. Medical Enterprise IT Organization has an open job role for an… more
- Cardinal Health (Tallahassee, FL)
- …prioritizes getting the right things done. **_Responsibilities_** + Submitting medical documentation/billing data to insurance providers + Researching and appealing ... experience preferred + 2 + years' experience as a Medical Biller or within Revenue Cycle Management preferred +...skills + Strong communication skills + Familiarity with ICD-10 coding + Competent with computer systems, software and 10… more
- HCA Healthcare (Largo, FL)
- …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 ... health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and… more