• Service Center Representative

    Sedgwick (Tallahassee, FL)
    …, dental vision, 401K on day one. **Skills & Knowledge** + Knowledge of medical terminology + Understanding of claims management + Excellent oral and written ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Service Center Representative Are you looking for an...Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +… more
    Sedgwick (08/14/25)
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  • SIU Investigator - Part-Time

    Allied Universal (St. Petersburg, FL)
    Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and Investigation Services ... license (apprenticeship) before applying** **RESPONSIBILITIES:** + Independently investigate suspected fraudulent insurance claims for a variety of coverage to… more
    Allied Universal (08/22/25)
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  • Medical Billing /Payroll _ Home Care

    BrightStar Care (Naples, FL)
    …Collier counties for 19 years . We are looking for the an experienced medical Billing and Payroll Specialist . Responsibilities include weekly processing of ... payroll.. Managing Authorizations , appeals and re- submission of claims . Posting cash etc. Must be detail oriented...Programs * Bereavement pay * 401(k) Employer matching * Insurance : * Medical * Dental * Vision… more
    BrightStar Care (08/28/25)
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  • Prior Authorization Technician - Remote

    Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
    …change as determined by the needs of the business. BENEFITS for full time employees + Medical , Dental, and Vision insurance + 401 (k) (available for Part Time & ... Remote Position Type Full Time Job Category Pharmaceutical Description PRIOR AUTHORIZATION SPECIALIST (REMOTE) WHO WE ARE Polaris Pharmacy Services is an industry… more
    Polaris Pharmacy Services, LLC (08/22/25)
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  • Representative II, Accounts Receivable

    Cardinal Health (Tallahassee, FL)
    …things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the scope of ... from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and...benefits and programs to support health and well-being. + Medical , dental and vision coverage + Paid time off… more
    Cardinal Health (08/24/25)
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  • DRG Coding Auditor

    Elevance Health (Tampa, FL)
    …coding or quality assurance environment preferred. + Broad knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement ... -expense spending. The **DRG CODING AUDITOR** is responsible for auditing inpatient medical records and generating high quality recoverable claims for the… more
    Elevance Health (08/13/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (FL)
    …experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing ... claims . **How you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in… more
    Elevance Health (08/23/25)
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  • Admissions Representative Registrar

    HCA Healthcare (Brandon, FL)
    …**Introduction** Do you want to join an organization that invests in you as a Medical Business Office Specialist ? At Brandon Surgery Center, you come first. HCA ... make a difference. We are looking for a dedicated Medical Business Office Specialist like you to...insurance information to ensure accurate coding, billing and claims submission. What you will do: + You will… more
    HCA Healthcare (08/16/25)
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  • Clinical Appeals Nurse (RN)

    Molina Healthcare (Tampa, FL)
    …the likelihood of a formal appeal being submitted. + Independently re-evaluates medical claims and associated records by applying advanced clinical knowledge, ... Medical Officer for Administrative Law Judge pre-hearings, State Insurance Commission, and Meet and Confers. + Represents Molina...programs supported by the plan such as Utilization Review, Medical Claims Review, Long Term Service and… more
    Molina Healthcare (08/15/25)
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  • Specialty Pharmacy Liaison

    AssistRx (Maitland, FL)
    …disability insurance + Teledoc services for those enrolled in medical insurance + Supportive, progressive, fast-paced environment + Competitive pay ... Pharmacies + Relays status updates and challenges to Program Specialist as appropriate + Provide support as needed in...years of experience interacting with healthcare providers regarding health insurance plan requirements. + 1 to 2 years of… more
    AssistRx (07/24/25)
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