- Elevance Health (Tampa, FL)
- …for fraud and abuse prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to ... by law._ Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …medicines for those with CNS disorders, we are seeking a skilled and experienced Medical Director of CNS Early Assets, Global Medical Affairs, responsible for ... certain assets within the broader CNS TA portfolio Medical Affairs (both US and Global), with a specialization in Psychiatry and/or Neurology. Accountable for a… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- **Position Summary** : Reporting to the Vice President, Global Medical Affairs, the Executive Director, CNS Strategy, Global Medical Affairs is a leadership ... position responsible for the strategic and tactical medical plans of both global and US ...life, accidental death & dismemberment, short-term and long-term disability insurance , tuition reimbursement, student loan assistance, a generous 401(k)… more
- Walmart (Orlando, FL)
- …(for example, systems, insurance , stock); processing information for third-party insurance claims ; coordinating with insurance companies to resolve ... rejections; interpreting third-party return messages, reject codes, and insurance problem descriptions; reprocessing third-party claims using the correct… more
- HCA Healthcare (Jacksonville, FL)
- …coding or billing errors from EOBs and work to correct them + You will monitor insurance claims and contact insurance companies to resolve claims + ... is recognized. Submit your application for the opportunity below: Medical Collections SpecialistSurgery Ventures **Benefits** Surgery Ventures offers a total… more
- Butterfly Effects (Deerfield Beach, FL)
- …CPT codes, and claim details related to denials or underpayments. + Research claims using insurance portals, Central Reach, and EOBs to determine resolution ... hour | Full Time | Full benefit package available for full-time employees Medical Collections Specialist Make a Difference. Grow Your Career. Join a Mission-Driven… more
- Elevance Health (Tampa, FL)
- …for fraud and abuse prevention and control. + Review and conducts analysis of claims and medical records prior to payment. + Researches new healthcare related ... + Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and to… more
- University of Miami (Miami, FL)
- …appropriate visit once authorization is obtained. + Responds to customer inquiries regarding insurance coverage of services and processing of claims . + Follows ... Care Enterprise - Palmetto Bay has an exciting opportunity for a Sr. Insurance Verification Representative (H) in Palmetto Bay. The incumbent verifies insurance … more
- Mass Markets (FL)
- …ranging from electronics to dream vacations and sometimes even cars! + Health Benefits:Full-time employees are eligible for comprehensive medical , dental, and ... trusted partner in the industry. We are hiring licensed insurance agents who are positive, persuasive, and have the...of employment, and all employees have access to MEC medical plans after just 30 days. Benefit options vary… more
- CVS Health (Tallahassee, FL)
- …timely and accurately. **Required Qualifications** + 1+ years of experience working with medical claims with the understanding of how benefit levels are applied. ... and payers, while working with other teams to resolve claims issues. + Documenting claims details into...hours in Eastern Standard Time. **Preferred Qualifications** + Previous health insurance work experience. + Excellent verbal… more