- Cardinal Health (Doral, FL)
- …billing queue as assigned in the appropriate system. + Manages and resolves complex insurance claims , including appeals and denials, to ensure timely and ... **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work...benefits and programs to support health and well-being. + Medical , dental and vision coverage + Paid time off… 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...anniversary and $2,500 upon 5-year anniversary. + Full Benefits: Medical , dental, vision, life, & short-term disability insurance… more
- HCA Healthcare (Ocala, FL)
- …preferred, such as accounts receivable follow-up, insurance follow-up and appeals , insurance posting, professional medical /billing, medical ... as it relates to researching, analyzing, and resolving outstanding clinical denials and insurance claims . This job requires regular outreach to payors and… more
- BayCare Health System (Clearwater, FL)
- …+ Conduct thorough investigations by gathering relevant information, documentation, and medical records. + Triage, plan, and execute intake of Appeals ... management. + Identify trends or recurring issues in member grievances and appeals and recommend process improvements to prevent future occurrences. + Participate in… more
- Molina Healthcare (FL)
- …recoveries in a managed care or payer environment. + In-depth knowledge of medical and hospital claims processing, including CPT/HCPCS, ICD, and modifier usage. ... and contractual guidelines. + Partner with provider relations, Health plans and appeals teams to address recurring dispute trends and recommend systemic solutions. +… more
- Centene Corporation (Tallahassee, FL)
- …for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering ... including Formulary Services, Pharmacy Operations, Medication Therapy Management (MTM), Appeals , Specialty Pharmacy, and Quality. Will be assigned specific… more
- Owens & Minor (Tallahassee, FL)
- …our success starts with our teammates. Owens & Minor teammate benefits include: + Medical , dental, and vision insurance , available on first working day + 401(k), ... plan + Tuition reimbursement **JOB SUMMARY** The collections representative follows-up with insurance companies to resolve unpaid claims . _The anticipated hourly… more
- Highmark Health (Tallahassee, FL)
- …medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly defines the medical necessity of non-formulary ... through paid clams review. + Participate as pharmacy representative in onsite member appeals and grievances sessions. + Serve as a resource for technical staff. +… more
- UIC Government Services and the Bowhead Family of Companies (Miami, FL)
- …of Defense and many federal agencies. Bowhead offers competitive benefits including medical , dental, vision, life insurance , accidental death and dismemberment, ... DHS in appellate proceedings before the Board of Immigration Appeals , and providing support and direction to the Department...characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq.,… more
- City of Jacksonville (Jacksonville, FL)
- …to meet the diverse needs of our employees. Our comprehensive benefit programs include medical , dental and vision plans; life insurance coverage for you and your ... employment? Do you want low and no cost health insurance options? If you answered "yes" to any of...preparing family budgets. + Represents clients with respect to claims or applications for benefits, social services, and public… more