- CenterWell (Tallahassee, FL)
- …help us put health first** The Medical Director, Primary Care relies on medical background and reviews health claims . The Medical Director, Primary Care ... an in-depth evaluation of variable factors. The Medical Director relies on medical background and reviews health claims . The Medical Director work… more
- AssistRx (Orlando, FL)
- …how to expedite patient access + Document and initiate prior authorization process and claims appeals + Report any reimbursement trends or delays in coverage to ... (PA) for an assigned caseload and helps navigate the appeals process to access medications. + Ensure cases move...insurance + Teledoc services for those enrolled in medical insurance + Supportive, progressive, fast-paced environment… more
- AssistRx (Maitland, FL)
- …how to expedite patient access + Document and initiate prior authorization process and claims appeals + Report any reimbursement trends or delays in coverage to ... (PA) for an assigned caseload and helps navigate the appeals process to access medications. + Ensure cases move...pay structure + Matching 401(k) with immediate vesting + Medical , dental, vision, life, & short-term disability insurance… more
- Cognizant (Tallahassee, FL)
- …assigned accounts. . Maintain working knowledge of applicable health insurers' internal claims , appeals , and retro-authorization as well as timely filing ... with Medicare, Medicaid, and third-party guidelines. . Effectively document and log claims / appeals information on relevant tracking systems . Utilize critical… more
- Centene Corporation (Tallahassee, FL)
- …to optimize outcomes. + Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex ... as to individuals and families served by the Health Insurance Marketplace. Looking for a compelling opportunity to move...cases and medical necessity appeals . + Participates in provider… more
- BrightStar Care (Naples, FL)
- …. Responsibilities include weekly processing of billing and payroll.. Managing Authorizations , appeals and re- submission of claims . Posting cash etc. Must ... Programs * Bereavement pay * 401(k) Employer matching * Insurance : * Medical * Dental * Vision...to produce a statement or claim. * Investigate rejected claims , verify this information with the health provider, and… more
- MyFlorida (Alachua, FL)
- …admission. Assist all accredited organizations, state, county or others in obtaining medical information necessary to support claims for benefits. Maintain ... medical center staff as required. Safeguard and protect all private medical information and claims information in accordance with appropriate regulations and… more
- Cardinal Health (Doral, FL)
- …Insurance Collector is responsible for the timely follow-up and resolution of insurance claims . This role ensures accurate and efficient collection of ... responsible for providing outsourced services to customers relating to medical billing, medical reimbursement, and/or other services...outstanding balances from insurance payers, working to reduce aging accounts receivable and… more
- MyFlorida (Ocala, FL)
- …+ Assist all accredited organizations, state, county or others in obtaining medical information necessary to support claims for benefits. Maintain rapport ... medical center staff as required. Safeguard and protect all private medical information and claims information in accordance with appropriate regulations… more
- MyFlorida (Pensacola, FL)
- …+ Assist all accredited organizations, state, county or others in obtaining medical information necessary to support claims for benefits. Maintain rapport ... medical center staff as required. Safeguard and protect all private medical information and claims information in accordance with appropriate regulations and… more