- Sedgwick (Jacksonville, FL)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Bill Review Analyst | Professional Liability | Remote **PRIMARY PURPOSE** : The Bill ... Review Analyst plays a critical role in supporting the...Participates in the ongoing refinement of billing guidelines and review procedures to reflect evolving legal and industry standards.… more
- University of Miami (Medley, FL)
- …staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The ... Departmenthas an exciting opportunity for a full-time Inpatient Coding Review Specialist (H) to work remotely. The Inpatient Coding... Specialist (H) to work remotely. The Inpatient Coding Review Specialist (H) under the general direction of the… more
- BayCare Health System (Tampa, FL)
- …trust, dignity, respect, responsibility and clinical excellence. **The Utilization Review Specialist Senior/RN responsibilities include:** + Functions as the primary ... related parties to ensure appropriate level of care through comprehensive concurrent review for medical necessity of outpatient observation and inpatient stays and… more
- Molina Healthcare (Tampa, FL)
- JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically ... 2 years experience, including experience in hospital acute care, inpatient review , prior authorization, managed care, or equivalent combination of relevant education… more
- HCA Healthcare (Ocala, FL)
- …you want to join an organization that invests in you as a Cash Post Review Specialist? At Parallon, you come first. HCA Healthcare has committed up to $300 million ... difference. We are looking for a dedicated Cash Post Review Specialist like you to be a part of...our team. **Job Summary and Qualifications** The Cash Posting Review Specialist is responsible for researching and resolving posting… more
- MyFlorida (Tallahassee, FL)
- MANAGEMENT REVIEW SPECIALIST - SES - 79000454 Date: Nov 24, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... Requisition No: 865829 Agency: Business and Professional Regulations Working Title: MANAGEMENT REVIEW SPECIALIST - SES - 79000454 Pay Plan: SES Position Number:… more
- Molina Healthcare (Orlando, FL)
- …on set schedule) Looking for a RN with experience with appeals, claims review , and medical coding. JOB DESCRIPTION Job SummaryProvides support for clinical member ... services review assessment processes. Responsible for verifying that services are...years experience, including experience in hospital acute care, inpatient review , prior authorization, managed care, or equivalent combination of… more
- Molina Healthcare (Orlando, FL)
- JOB DESCRIPTION **Job Summary** The RN Care Review Clinician provides support for clinical member services review assessment processes. Responsible for verifying ... 2 years experience, including experience in hospital acute care, inpatient review , prior authorization, managed care, or equivalent combination of relevant education… more
- Molina Healthcare (Miami, FL)
- JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary ... health care experience, including experience in hospital acute care, inpatient review , prior authorization, managed care, or equivalent combination of relevant… more
- Molina Healthcare (Jacksonville, FL)
- **Job Description** **Job Summary** Provides support for coordination of benefits review activities that directly impact medical expenses and premium reimbursement. ... on the claims transactional system and COB tracking database. + Review of claims identified for overpayment recovery. **Job Qualifications** **REQUIRED… more