- Molina Healthcare (FL)
- …analysis. **KNOWLEDGE/SKILLS/ABILITIES** Manages and provides direct oversight of Medical Economics Team activities and personnel. Provides technical expertise, ... as well as project work plans to meet reporting needs of the Medical Economics Team. Responsible for staff time keeping, performance coaching, development, and… more
- Cardinal Health (Doral, FL)
- …Cardinal Health offers a wide variety of benefits and programs to support health and well-being. + Medical , dental and vision coverage + Paid time off ... Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the scope...plan + Health savings account (HSA) + 401k savings plan +… more
- Highmark Health (Tallahassee, FL)
- …quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent uses discretion of ... questionable claim patterns of renewal clients and issues with competitor's claims experience for prospect clients and develops recommendations to account for… more
- Highmark Health (Tallahassee, FL)
- …quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent develops and uses ... questionable claim patterns of renewal clients and issues with competitor's claims experience for prospect clients and develops recommendations to account for… more
- Elevance Health (Tampa, FL)
- …and implementation for claims systems. Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical editing ... **Preferred Skills, Capabilities and Experience:** + 4 years of claims experience highly preferred. + Medical billing...+ CPC highly preferred. Please be advised that Elevance Health only accepts resumes for compensation from agencies that… more
- AdventHealth (Maitland, FL)
- … analytics + Managed Care, Patient Financial services, health insurance claims processing, contract management, or medical economics + Proficiency in ... sources using knowledge of healthcare managed care contracts and healthcare administrative claims data + Works alongside Senior Medical Economics Analyst in… more
- Highmark Health (Tallahassee, FL)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job creates data-driven insights which identify actionable opportunities through analytics ... reporting solutions aligned to the Quadruple Aim of Healthcare: lower per capita health care costs, improved outcomes from and quality of care received, and optimal… more
- Elevance Health (Tampa, FL)
- …Audit Facilitator** is responsible for managing the process for claims and customer service audits/quality control reviews, including implementation audits, ... scope presented by external auditor. + For implementation audits, ensures the claims system is coded accurately by independently developing and running test … more
- Health Advocates Network (Coral Springs, FL)
- Health Advocates Network is hiring a **DME Progress Note Reviewer** **(2 Years Exp Req)** ! This is a full-time contract position at a nationally recognized ... group of clinicians to ensure the documentation is clinically sufficient before claims are submitted to insurance companies for payment. Prioritize workloads to… more
- National Health Transport (Miami, FL)
- …Specialist is responsible for billing and collection processes for National Health Transport's ambulance trips. Ambulance Medical Billing Specialist answers ... inquiries from insurance companies, patients, and processes claims accordingly. Essential duties and responsibilities: + Promotes, develops, and fosters the mission,… more