- IQVIA (Miami, FL)
- **Patient Support Medical Claims Processing Representative** _Contract Remote Role - Location (Open to Remote US)_ As the only global provider of ... for a 100% remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative** to join our team. In this position, you… more
- Cognizant (Tallahassee, FL)
- …duties as assigned by management. **Qualifications:** + A minimum of 2 years' claims processing experience is required. + Knowledge of physician practice and ... UB or HCFA paper or EDI information. + Evaluate medical records to determine if the service rendered was...of Facets experience. + Experience in the analysis and processing of claims for payments, utilization review/quality… more
- Sedgwick (Tallahassee, FL)
- …client service requirements. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation REMOTE |...medical , dental vision, 401K on day one. \#claimsexaminer # claims _As required by law, Sedgwick provides a reasonable… more
- Sedgwick (Tallahassee, FL)
- …client service requirements. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE:** + Analyzing and processing claims through well-developed action plans to an appropriate ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation ( REMOTE -... within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting… more
- Cognizant (Tallahassee, FL)
- …+ 1 year of Facets experience. + Experience in the analysis and processing of claims for payments, utilization review/quality assurance procedures. + Must ... Based on this role's business requirements, this is a remote position open to qualified applicants in the United...ET **Experience:** A minimum of 2 years of claim processing is required. **Travel:** None required **About the role:**… more
- Sedgwick (Tallahassee, FL)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner Workers Comp I Remote I SE, Central, NE regions **PRIMARY ... PURPOSE** : To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving… more
- Molina Healthcare (Jacksonville, FL)
- …Contracted Provider disputes and appeals to ensure adherence with Molina claims processing standards and provider contractual agreements. Includes responsibility ... including 2 years in a manager role. * Experience reviewing all types of medical claims (eg CMS 1500, Outpatient/Inpatient, Universal Claims , Surgery,… more
- Ascension Health (Jacksonville, FL)
- …bills for reimbursement to individual and third party payers in an out-patient or medical office environment. + Prepare insurance claims for submission to third ... Fri. 8AM-5PM + **Hospital:** Ascension St. Vincent's + **Location:** Remote but must be in Jacksonville, FL + **Salary:**...party payers and/or responsible parties. + Review claims for accuracy, including proper diagnosis and procedure codes.… more
- Elevance Health (Tampa, FL)
- …The **Clinical Document Improvement Director** is responsible for leading encounter processing , diagnostic documentation and claims integrity across CareBridge. ... be considered. This position will work a hybrid model ( remote and office). The ideal candidate will live within...cycle management (RCM) organizations, with specific understanding in end-to-end claims / encounter processing , as well as ensuring… more
- Modernizing Medicine (Tampa, FL)
- …for all inbound and outbound patient calls regarding patient balance inquiries, claims processing , insurance updates, and payment collections + Initiate outbound ... a growing office in Hyderabad, India, and a robust remote workforce across the US, Chile, and Germany. ModMed...administration or related experience required + Basic understanding of medical billing claims submission process and working… more