• Remote Accommodations Clinical Specialist-…

    Sedgwick (Tallahassee, FL)
    …Good technical knowledge of claims management procedures + Knowledge of current medical practices in health care management in a variety of areas (including, ... work restrictions/accommodations. + Performs standard disability clinical reviews of referred medical claims based on client requirements to ensure accurate… more
    Sedgwick (05/23/25)
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  • Medical Billing Specialist Not a Remote…

    National Health Transport (Miami, FL)
    …processes for National Health Transport's ambulance trips. Ambulance Medical Billing Specialist answers inquiries from insurance companies, patients, ... Summary: Ambulance Medical Billing Specialist is responsible for billing and...and fosters the mission, vision, and values of National Health Transport Inc. + Provides the highest level of… more
    National Health Transport (04/24/25)
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  • Patient Account Associate I Commercial

    Intermountain Health (Tallahassee, FL)
    …as needed. **Essential Functions** + Maintain basic understanding and knowledge of health insurance plans, policies and procedures. + Research and follow-up ... **Job Description:** Responsible for the timely follow-up of claims billed and resolution of accounts. Oversees the... medical records to gather information and substantiate medical justification for procedures as required by insurance more
    Intermountain Health (05/21/25)
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  • Medical Records Auditor

    Health Advocates Network (Coral Springs, FL)
    …group of clinicians to ensure the documentation is clinically sufficient before claims are submitted to insurance companies for payment. Prioritize workloads ... Health Advocates Network is hiring a **DME Progress...ensure expedited cases are processed within defined timelines. Review medical information such as lab reports, provider visit notes,… more
    Health Advocates Network (03/07/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Tampa, FL)
    …experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing ... you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles,...or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health Information… more
    Elevance Health (05/22/25)
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  • Insurance Verification Representative…

    University of Miami (Doral, FL)
    …to obtain additional information when necessary. + Responds to customer inquiries regarding insurance coverage for services and processing of claims . + Adheres ... of Miami UHealth has an exciting opportunity for an Insurance Verification Representative (H) to work at Doral Commons.... information. + Obtains authorization for HMO patients. Verifies claims are mailed to the proper address. + Contacts… more
    University of Miami (05/22/25)
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  • Director, Digital Health Corporate Counsel

    Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
    … and data teams at OPH. The ideal candidate will have experience advising medical device, digital health , and AI clients on the application of healthcare ... **About Otsuka Precision Health ** Founded on Otsuka's rich history in delivering...medical , dental and vision coverage, life and disability insurance , and flexible spending accounts + A discretionary annual… more
    Otsuka America Pharmaceutical Inc. (04/17/25)
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  • Disability Representative Sr.

    Sedgwick (Orlando, FL)
    medical , dental, vision, 401k and matching, PTO, disability and life insurance , employee assistance, flexible spending or health savings account, and other ... a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Disability Representative Sr. **Our teams connect! We collaborate onsite and have… more
    Sedgwick (05/21/25)
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  • Investigator Senior

    Elevance Health (Tampa, FL)
    … experience required with understanding of health insurance policies, health insurance claims handling and provider network contracting. **How will ... Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Investigator Senior** is responsible for the... claims . Health insurance more
    Elevance Health (05/23/25)
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  • Medical Science Liaison- CNS Houston

    Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
    …trials program, including registrational, post-marketing and Investigator-Sponsored Trials (ISTs), health economic outcomes research, other specific medical ... The local "ecosystem approach" creates a unified focus among account management, medical , patient access and market access to engage local healthcare systems and… more
    Otsuka America Pharmaceutical Inc. (05/17/25)
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