- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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