• Contracts Coordinator

    Robert Half Accountemps (Orlando, FL)
    …in Orlando, Florida. In this role, you will play a vital part in managing medical billing, claims , and collections processes for healthcare services. This is a ... ensure accuracy and completeness of records. Requirements * Proven experience in medical billing, including familiarity with healthcare claims processes. *… more
    Robert Half Accountemps (08/22/25)
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  • Telephonic Case Manager

    Sedgwick (Tallahassee, FL)
    …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with the ... injured worker, employer, and medical providers, create a case...systems. + Effectively communicates and builds relationships with the claims ' examiner, client, injured worker, attorney and supervisor. +… more
    Sedgwick (09/04/25)
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  • Health & Safety Coordinator

    LEGOLAND (Winter Haven, FL)
    …up on the status of all General Liability, Bodily Injury, Property Damage and Auto claims with insurance companies and TPA claims administrators as needed. + ... Forwards all telephone and written correspondence relating to all claims to the appropriate parties. Health & Safety Supervisor, Operations Manager, and/or… more
    LEGOLAND (08/23/25)
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  • Investigator Senior

    Elevance Health (Tampa, FL)
    …findings. + Health insurance experience required with understanding of health insurance policies, health insurance claims handling and provider network ... Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The Investigator Senior is responsible for the independent… more
    Elevance Health (08/28/25)
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  • Investigator Senior

    Elevance Health (Miami, FL)
    … claims . Health insurance experience required with understanding of health insurance policies, health insurance claims handling and provider network ... Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Investigator Senior** is responsible for the independent… more
    Elevance Health (08/12/25)
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  • Inpatient DRG Reviewer

    Zelis (St. Petersburg, FL)
    …based clinical criteria plan, and policy exclusions. Conduct reviews on inpatient DRG claims as they compare with medical records ICD-10 Official Coding ... concepts to expand the DRG product. + Manage assigned claims and claim report, adhering to client turnaround time,...paid time off, holidays, parental leaves, life and disability insurance , and health benefits including medical , dental,… more
    Zelis (09/02/25)
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  • Manager, Case Management, RN

    Carnival Cruise Line (Miami, FL)
    …team to assess fitness for duty per International Maritime Health guidelines. + **Crew Medical Claims Management** + Review crew cases of high risk and escalate ... care coordination and utilization reviews. Operationally, the role supports shipboard medical teams, participates in the 24/7 duty rotation, and manages ship… more
    Carnival Cruise Line (08/29/25)
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  • Associate Director, Commercial Data Management

    Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
    …third-party data assets, including Xponent Plantrak, DDD, HCOS, Claims Data, Specialty pharma, omnichannel data, SalesForce/Veeva (Call/Sample/Detail), etc. ... accordance with states and local laws. **Company benefits** : Comprehensive medical , dental, vision, prescription drug coverage, company provided basic life,… more
    Otsuka America Pharmaceutical Inc. (08/13/25)
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  • Accounts Receivable Specialist II

    Cardinal Health (Tallahassee, FL)
    …and prioritizes getting the right things done. **_Responsibilities_** + Submitting medical documentation/billing data to insurance providers + Researching and ... appealing denied and rejected claims + Preparing, reviewing, and transmitting claims ... within standard billing cycle time frame + Calling insurance companies regarding any discrepancy in payment if necessary… more
    Cardinal Health (08/27/25)
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  • Senior Encounter Data Management Professional

    Humana (Tallahassee, FL)
    …skills to make an impact** **Required Qualifications** **5+ years of medical claims processing/auditing or encounter data management experience** **Demonstrated ... team leadership experience** **Demonstrated experience in managing projects effectively** ** Medical claims experience** **Additional Information** **_This position… more
    Humana (08/15/25)
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