- Elevance Health (Miami, FL)
- The **Coding and Reimbursement Specialist ** is responsible for reviewing, auditing, and coding medical records for the purpose of reimbursement, training, education ... is unclear. + Trains and educates others on coding documentation, claim payment guidelines, and related issues. + Reviews CPT and ICD-9 codes quarterlyfor… more
- Western Digital (Tallahassee, FL)
- …**Job Description** **Position Summary** We are looking for a **Retail Compliance Specialist ** to join the Western Digital Fulfillment Operations Team to be ... chargebacks, late deliveries, labeling errors, incorrect shipments. Review and validate claims received from retail partners to determine legitimacy and compliance… more
- Molina Healthcare (FL)
- …the credentialing database necessary for processing of recredentialing applications. * Reviews claims payment systems to determine provider status, as necessary. ... * Completes follow-up for provider files on 'watch' status, as necessary, following department guidelines and production goals. * Reviews and processes daily alerts for federal/state and license sanctions and exclusions reports to determine if providers have… more
- Cardinal Health (Tallahassee, FL)
- …- 3:30 PM PST (or based on business need)** **_What Accounts Receivable Specialist contributes to Cardinal Health_** Account Receivable Specialist is responsible ... for verifying patient insurance and benefits, preparing and submitting claims to payers, correcting rejected claims , following up on unpaid and denied claims… more
- Sedgwick (Orlando, FL)
- …Care Coordinator **PRIMARY PURPOSE** **:** To provide excellent service to callers regarding claims for multiple lines of business; to expedite the claims ... specifications in assisting with questions and solving problems related to the claims application and servicing processes. + Educates and informs the customer via… more
- Elevance Health (Tampa, FL)
- …or quality assurance environment preferred. + Broad knowledge of medical claims billing/ payment systems provider billing guidelines, payer reimbursement ... an accommodation is granted as required by law._ Carelon Payment Integrity is a proud member of the Elevance...auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all… more
- AdventHealth (Tampa, FL)
- …and other diseases. **The ro** **le you'll contribute:** The Ambulatory Payment Classification (APC) Coordinator is responsible for assigning, monitoring, and ... and HCPCS Level II procedure codes for grouping into Ambulatory Payment Classifications (APCs) and statistical reporting. Responsible for monitoring the outpatient… more
- Army National Guard Units (St. Augustine, FL)
- …of the FL HRO, National Guard. Responsibilities As a, HUMAN RESOURCES SPECIALIST (LABOR REL/EMPL REL), GS-0201-12, you will provides program management and guidance ... appraisals and provides reports. Coordinates between management, and HR Development Specialist in the development of performance improvement plans. Manages the use… more
- Molina Healthcare (FL)
- …a medical review to facilitate a referral to law enforcement or for payment recovery. **KNOWLEDGE/SKILLS/ABILITIES** + Reviews post pay claims with corresponding ... medical records to determine accuracy of claims payments. + Review of applicable policies, CPT guidelines,...+ AAPC Certified Medical CPC, CPMA, CPCO or similar specialist preferred + Certified Fraud Examiner and/or AHFI professional… more
- Army National Guard Units (Frostproof, FL)
- …1 PCS: Permanent Change of Station (PCS) costs, MAY be authorized. Authorization for payment of PCS expenses will be granted ONLY after determination is made that ... payment is in the best interest of the Florida...equipment, and parts; experience performing various aspects of supply specialist work based on practical knowledge of standard procedures,… more