- Veterans Affairs, Veterans Health Administration (Orlando, FL)
- … for billing purposes ensuring eligibility and referring questionable coding for review. Submit claims to 3rd party health Insurance Carriers, with knowledge ... Summary This position is aligned under the Veterans Health Administration, Office of Finance, and is physically...Patient Account Center (CPAC), in either the Billing or Insurance Verification departments. The Medical Reimbursement Technician… more
- Elevance Health (Miami, FL)
- …network management input and dollar volume of provider. + Analyzes data to select claims to be reviewed, conducts reviews using medical charts, medical ... week. The Ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations._ Carelon Payment Integrity is a proud member of the Elevance … more
- Cardinal Health (Doral, FL)
- …the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the scope of ... from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and...a wide variety of benefits and programs to support health and well-being. + Medical , dental and… more
- Highmark Health (Tallahassee, FL)
- …Office Management Association (LOMA) Certified Employee Benefit Specialist (CEBS), or America's Health Insurance Plans (AHIP) **TRAVEL REQUIREMENT** 0% - 25% ... structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The...with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996… more
- Highmark Health (Tallahassee, FL)
- …all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the ... **Company :** HM Insurance Group **Job Description :** **JOB SUMMARY** This...structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The… more
- Cardinal Health (Tallahassee, FL)
- …+ Acts as a subject matter expert in claims processing. + Processes claims : investigates insurance claims ; properly resolves by follow-up & disposition. ... account receivables performance and client satisfaction. + Resolves complex insurance claims , including appeals and denials, to...a wide variety of benefits and programs to support health and well-being. + Medical , dental and… more
- AdventHealth (Maitland, FL)
- …+ Managed Care, Patient Financial services, health insurance claims processing, contract management, or medical economics required + Proficiency in ... for the full spectrum of app provider types + Applies detailed understanding of medical coding systems affecting the adjudication of claims to include ICD-9/10… 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
- Highmark Health (Tallahassee, FL)
- …knowledge about the shifting healthcare environment including trends concerning health insurance , healthcare delivery, provider relationships and regulatory ... all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the… more
- University of Miami (Miami, FL)
- …to obtain additional information when necessary. + Responds to customer inquiries regarding insurance coverage for services and processing of claims . + Adheres ... this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The University of Miami Health System, "UHealth", Department of Pediatrics-Early Steps has an… more