• Clinical Documentation and Claims Integrity…

    Elevance Health (Tampa, FL)
    …The **Clinical Document Improvement Director** is responsible for leading encounter processing , diagnostic documentation and claims integrity across CareBridge. ... / revenue cycle management (RCM) organizations, with specific understanding in end-to-end claims / encounter processing , as well as ensuring compliance with… more
    Elevance Health (08/14/25)
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  • Executive Director, Business and Data Analytics…

    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 ... and implementation of multiple Data and Analytics sub-functions for Claims that may include: Information Strategy and Architecture, Information Management,… more
    USAA (08/08/25)
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  • Claims Rep I (Health & Dental)

    Elevance Health (Tampa, FL)
    ** Claims Representative I** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... Monday - Friday, with possible OT on Saturday and Sunday. The ** Claims Representative I** is responsible for successfully completing the required basic training.… more
    Elevance Health (08/29/25)
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  • Claims Specialist, Audit & Contracting

    LogixHealth (Dania, FL)
    Location: On-Site in Dania, FL This Role: As a Claims Specialist, you will work with internal teams to provide cutting-edge solutions that will directly improve the ... to review and carry out processes on all out of network claims . The ideal candidate will have strong technological skills, excellent interpersonal communication,… more
    LogixHealth (07/11/25)
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  • Process Improvement Lead, Healthcare Claims

    Humana (Tallahassee, FL)
    …industry + 2+ years of demonstrated expertise in end-to-end healthcare claims operations, including claim ingestion, processing , system navigation, payment ... your opportunity to lead cross-functional initiatives, apply your expertise in healthcare claims , and shape the future of operational excellence in a dynamic,… more
    Humana (08/29/25)
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  • Patient Claims Specialist

    Modernizing Medicine (Tampa, FL)
    …contact for all inbound and outbound patient calls regarding patient balance inquiries, claims processing , insurance updates, and payment collections + ... administration or related experience required + Basic understanding of medical billing claims submission process and working with insurance carriers… more
    Modernizing Medicine (08/08/25)
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  • Wire Processing Senior Specialist

    Truist (Orlando, FL)
    …determined by the division of Truist offering the position. Truist offers medical , dental, vision, life insurance , disability, accidental death and ... guidelines. 2. Independently analyze, research, and support electronic payment cases/ claims /inquiries escalated by internal departments and client service centers to… more
    Truist (07/31/25)
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  • Workers' Compensation Specialist Senior

    City of Jacksonville (Jacksonville, FL)
    …of workers' compensation laws, rules, and regulations and workers' compensation claims processing practices and procedures with substantial litigation experience ... laws, rules, and regulations. + Knowledge of complex workers' compensation claims processing practices and procedures involving lost time, disability,… more
    City of Jacksonville (07/10/25)
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  • Junior Medical Billing Specialist

    LogixHealth (Dania Beach, FL)
    …environment and will bring your expertise to process all denied and unpaid claims submitted to insurance carriers to ensure payment is received. The ... in Dania Beach, FL This Role: As a Junior Medical Billing Specialist at LogixHealth, you will work with...additional review or reconsideration + Provide necessary documentation to insurance companies as requested + Investigate claims more
    LogixHealth (08/08/25)
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  • Medical Economics Manager

    AdventHealth (Maitland, FL)
    …all provider types Managed Care, Patient Financial services, health insurance claims processing , contract management, or medical economics experience ... language as it relates to reimbursement methodologies Applies detailed understanding of medical coding systems affecting the adjudication of claims to include… more
    AdventHealth (08/19/25)
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