- Sedgwick (Tallahassee, FL)
- …status. + Provides clear and appropriate follow -up recommendations for ongoing medical management of claims ; ensures appropriate recommendations are made on ... **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Performs standard clinical reviews of referred medical claims based on client requirements to ensure accurate and… more
- Elevance Health (Miami, FL)
- …not eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical ... into effective and accurate reimbursement criteria.** PRIMARY DUTIES: + Review medical record documentation in support of Evaluation and Management, CPT, HCPCS… more
- Aston Carter (Orlando, FL)
- …by management. Required Skills: + Knowledge of HIPAA and PHI compliance + Insurance verification and billing processes + Healthcare claims management + Accurate ... Medical Billing SpecialistOverview: We are seeking a detail-oriented...operations team. This role ensures accurate client data processing, insurance verification, billing compliance, and timely claim submission in… more
- MyFlorida (Tallahassee, FL)
- …OPPORTUNITY POSSIBLE MULTI-HIRE OPPORTUNITY THIS IS AN OPS POSITION TITLE: OPS CLAIMS ADJUSTERS, EXAMINERS AND INVESTIGATORS MEDICAL DISABILITY EXAMINER POSITION ... OPS MEDICAL DISABILITY EXAMINER - 64858502 Date: Nov 18,...Insurance , Supplemental Security Income and/or Medically Needy disability claims filed in the State of Florida. Training is… more
- HCA Healthcare (Sarasota, FL)
- …will correct rejected claims and re-bill in a timely manner + You will follow -up with insurance companies to ensure receipt of bills within 28 days What ... purpose and integrity. We care like family! Jump-start your career as a Medical Biller today with Surgery Ventures. **Benefits** Surgery Ventures offers a total… more
- Ryder System (Tallahassee, FL)
- …injury and property damage claims . **Maintain an active inventory of claims , ensuring appropriate follow -up, timely resolution, and adherence to service ... Rico; advanced level. Demonstrated ability to handle large exposure and complex insurance and contractual coverage exposure claims ; advanced level. experience in… more
- Zelis (St. Petersburg, FL)
- …members achieve more favorable financial outcomes. What you will do: + Analyze medical claims submitted by members along with their Explanation of Benefits ... processing and benefit application with the ability to explain medical billing and insurance concepts in a...to Zelis: + Bachelor's Degree + 5+ years of medical claims & member benefit application experience… more
- Elevance Health (FL)
- …teams responsible for building, scaling, and maintaining platforms for: + Medical Cost Management ( claims review, payment integrity, utilization management, ... **Staff VP Engineering** - Medical Cost Management & Cost of Care **Location:**...for building advanced analytics platforms, AI/ML-driven decision support tools, claims optimization systems, and clinical insights platforms that enable… more
- USAA (Tampa, FL)
- …comprehensive medical , dental and vision plans, 401(k), pension, life insurance , parental benefits, adoption assistance, paid time off program with paid holidays ... responsible for the investigation, negotiation, evaluation and appraisal of vehicle damage claims for both repairable and total loss vehicles to ensure estimate… more
- Mass Markets (FL)
- …success of a globally expanding, industry-leading organization. We are hiringlicensed insurance agentswho are positive, persuasive, and have the drive to succeed. ... + Accurately document and process customer orders in appropriate systems + Follow all required scripts, policies, and procedures + Comply with requirements… more