- Sedgwick (Tampa, FL)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance General Product and Liability Complex Claim Advisor - Multi-State Licensing ... promotional growth opportunities. + A diverse and comprehensive benefits offering including medical , dental vision, 401K on day one. **PRIMARY PURPOSE** **:** To… more
- Molina Healthcare (FL)
- …of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical Management, Network, and other departments to enable critical ... work experience within the healthcare industry (ie, hospitals, network, ancillary, medical facilities, healthcare vendor, commercial health insurance company,… more
- Molina Healthcare (FL)
- …of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical Management, Network, and other departments to enable critical ... work experience within the healthcare industry (ie, hospitals, network, ancillary, medical facilities, healthcare vendor, commercial health insurance company,… more
- AdventHealth (Altamonte Springs, FL)
- …clean claims rate + Performs peer-to-peer discussions with payer Medical Directors and/or discusses cases with payer representatives to facilitate claim ... as a liaison between UM and CM teams and medical staff, as well as, the medical ...Advisor is responsible for providing clinical review of utilization, claims management, and quality assurance related to inpatient care,… 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
- Sedgwick (Tallahassee, FL)
- …, dental vision, 401K on day one. **Skills & Knowledge** + Knowledge of medical terminology + Understanding of claims management + Excellent oral and written ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Service Center Representative Are you looking for an...Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +… more
- Sedgwick (Orlando, FL)
- …time frames, and claims status either by phone, written correspondence and/or claims system. * Reviews medical information to determine if the claimant meets ... a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance ADA Accommodation Coordinator **Our teams connect! We collaborate onsite and have… 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
- University of Miami (North Miami, FL)
- …Office - UHealth SoLe Mia has an exciting opportunity for a full-time Insurance Verification Representative to work remotely. CORE JOB SUMMARY The individual in this ... position is part of the Central Insurance Verification (CIV) department and will be responsible for...patient's account with accurate subscriber information, policy number, and claims address and plan order. + Completes the checklist… more