- UF Health (Jacksonville, FL)
- …by physicians and non-physician providers maintaining timely claims submissions and timely Appeals process as defined by individual payors. Review and facilitate the ... correction of insurance denials , charge posting and payment posting errors. Complete correspondence...to the appropriate carrier based on each payors specific appeals process with the knowledge of timelines. Research, respond… more
- Integrated Home (Hollywood, FL)
- …health plans; verify patient information, obtaining and releasing clinical documentation, appeals / denials , responds to health plan inquiries, process and perform ... paid training program What will you be doing: As a DME Collection Specialist , you handle patient accounts after medical services have been rendered; ; liaison… more
- TEKsystems (Tampa, FL)
- …will be on the bill review team specifically working in the backlog of appeals . The Bill Review Analyst position holds accountability for accurate and timely review, ... and payment of bills to include pre-coding accuracy and adjudication of appeals /provider reconsideration requests. * Examines and adjudicates requests for appeals… more
- Molina Healthcare (FL)
- …subrogation, and eligibility criteria. + Familiarity with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory guidelines for ... able to rotate weekends and holidays** Must have Medicare Appeals and IRE experience** **Job Summary** Responsible for reviewing... appeals and denials . + Strong verbal and written communication skills +… more
- Robert Half Accountemps (Lauderdale Lakes, FL)
- …with payer contracts. * Investigate and resolve denied claims, including clinical denials , through appeals processes while identifying trends and root causes. ... Description We are looking for a skilled Medical Billing Specialist to join our team in Lauderdale Lakes, Florida....* Submit appeals to payers within specified timelines, ensuring compliance with… more
- Intermountain Health (Tallahassee, FL)
- …all pertinent patient related insurance eligibility, benefits, authorization; follow-up on appeals and denials when requested + Contacts patient/provider when ... **Job Description:** The Pre-Access Authorization Specialist I is responsible for accurately verifying and completing insurance eligibility, securing prior… more
- LogixHealth (Dania Beach, FL)
- Location: On-Site in Dania Beach, FL This Role: As a Junior Medical Billing Specialist at LogixHealth, you will work with a team of fellow medical billers, ... and experience in medical billing. Key Responsibilities: + Review denials on an explanation of benefits (EOB) statement +...up on unpaid claims + Prepare and submit out appeals on claims that require additional review or reconsideration… more
- LogixHealth (Dania Beach, FL)
- Location: On-Site in Dania Beach, FL This Role: As a Billing Specialist at LogixHealth, you will work with a team of fellow medical billers, administrators, and ... and experience in third-party billing. Key Responsibilities: + Review/work denials on an explanation of benefits (EOB) statement +...to follow up on unpaid claims + Send out appeals on claims that require an appeal + Submit… more
- AdventHealth (Daytona Beach, FL)
- **Revenue Cycle Specialist Remote** **All the benefits and perks you need for you and your family:** + Benefits from Day One + Paid Days Off from Day One + Career ... Boulevard Ormond Beach, FL 32174 **The role youll contribute:** The Revenue Cycle Specialist will be responsible for follow up on Third Party Claim Reimbursements… more
- Intermountain Health (Tallahassee, FL)
- …levels, providers, clinical staff, compliance and the CDI team. + Audits and creates appeals for all payer and regulatory denials and downgrades and provides ... in-depth coding review, audit findings, and appeal strategies. + Develops and implements training plans for all internal stakeholders including coders at all levels, providers, clinical staff, compliance and the CDI team. + Audits clinical documentation and… more
