• Diagnosis Related Group Clinical Validation…

    Elevance Health (FL)
    …you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance ... medical audit activities. + Draws on advanced ICD-10 coding expertise, mastery of clinical guidelines, and industry knowledge...a number of legitimate, non-discriminatory factors set by the Company . The Company is fully committed to… more
    Elevance Health (08/23/25)
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  • Field Reimbursement Manager (Immunology…

    J&J Family of Companies (Jacksonville, FL)
    …participate in the following Company sponsored employee benefit programs: medical , dental, vision, life insurance , short- and long-term disability, business ... customer relationship. + Demonstrated expertise with both pharmacy and medical /buy & bill benefits (as applicable), coding ,...driver's license and a driving record in compliance with company standards + Ability to consistently maintain up to… more
    J&J Family of Companies (08/25/25)
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  • Medical Claims Examiner

    CHS (Clearwater, FL)
    **Overview** **Health Insurance Medical Claims Examiner** **Monday-Friday Schedule with daytime hours** **Responsibilities** **Summary:** The Medical Claims ... to senior staff for review and determination + Maintains company production and quality standards + Participates in training...Ability to multi-task and work independently + Knowledge of medical and dental coding systems + Knowledge… more
    CHS (08/08/25)
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  • Coder - Inpatient

    Highmark Health (Tallahassee, FL)
    …School / GED + 1 year in Hospital coding + Successful completion of coding courses in anatomy, physiology and medical terminology + Certified Coding ... ** Company :** Allegheny Health Network **Job Description :**...**Job Description :** **GENERAL OVERVIEW:** This job performs thorough medical record review to abstract medical and… more
    Highmark Health (08/02/25)
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  • Insurance Authorization Representative

    AdventHealth (Tampa, FL)
    …communicate with the members of the Revenue Cycle team (Coders, Patient Account Reps, Coding and AR Supervisors) and insurance companies in a timely manner. ... 33613 **The community you'll be caring for** **:** AdventHealth Medical Group West Florida Rollover PDO with service year...reimbursement and matching 403b plan Patient facing positions receiving company paid initial sets of scrubs Company more
    AdventHealth (09/03/25)
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  • Insurance Verification Specialist

    AssistRx (Orlando, FL)
    …+ Competitive pay structure + Matching 401(k) with immediate vesting + Medical , dental, vision, life, & short-term disability insurance AssistRx, Inc. ... therapies that they need. This role works directly with healthcare providers & insurance plans/payers to gather information about a patient's insurance and the… more
    AssistRx (07/24/25)
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  • Medical Director - Care Plus - Florida

    Humana (Tallahassee, FL)
    Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice management. + ... caring community and help us put health first** The Medical Director relies on medical background and...first - for our teammates, our customers, and our company . Through our Humana insurance services, and… more
    Humana (09/04/25)
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  • Medical Assistant Bilingual in English…

    CenterWell (Kissimmee, FL)
    …+ Value Based Care experience including knowledge of HEDIS, CPT/ICD coding , and CAHPS/HOS Patient Experience. ** Medical Assistant/Phlebotomy Working hours:** ... community and help us put health first** As a Medical Assistant who is bilingual in both English and...is considered patient facing and is part of the company 's Tuberculosis (TB) screening program. If selected for this… more
    CenterWell (08/14/25)
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  • Medical Record Retrieval Specialist

    Humana (Miami, FL)
    …to putting health first - for our teammates, our customers, and our company . Through our Humana insurance services, and our CenterWell healthcare services, ... caring community and help us put health first** The Medical Record Retrieval Specialist (Risk Adjustment Representative) travels to...a secure system. The records are reviewed by Humana's Coding staff. * Live in Miami / Dade County… more
    Humana (09/03/25)
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  • Medical Director - Spine

    CVS Health (Jacksonville, FL)
    …a remote based (work at home) based anywhere in the US.** Aetna, a CVS Health Company , has an exciting opportunity for a Medical Director (Spine) that can be ... **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** . + **No-cost programs… more
    CVS Health (08/08/25)
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