- TEKsystems (Sarasota, FL)
- …1. Manages workflow for Humana PPI Audits, RAC Audits, or outpatient appeals and communicates daily with Sr. Director/Manager on trends identified 2. Respond ... up of accounts to effectively move through the revenue cycle 4. Completes claim appeals and assists with other projects as needed 5. Submits requests for medical… more
- Stryker (Orlando, FL)
- **What You'll Do:** As our **Reimbursement and Market Access Specialist ,** you'll play a key role in ensuring patient access to our innovative IVS products by ... processes-ensuring successful navigation of the billing, prior authorization, and appeals process. **Key Responsibilities:** + Respond to day-to-day reimbursement… more
- HCA Healthcare (Gainesville, FL)
- …local, state and federal agencies and accrediting bodies. The Inpatient Coding Denials Specialist must ensure timely, accurate, and thorough appeals for all ... that invests in you as an Impatient Coding Denial Specialist ? At Parallon, you come first. HCA Healthcare has...over the course of three years. This is a remote /work from home position. **Full-time 40 Hour Work Week!**… more
- System One (Deland, FL)
- …ability to work well as part of a fast-paced team. This is a 100% remote position. All necessary equipment to be successful in this position will be provided. ... policy and procedure; including but not limited to in-depth research, appeals , rebilling, obtaining insurance authorizations or referrals, correcting coding, calling… more
- Evolent (Tallahassee, FL)
- …Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in interventional cardiology to help ensure the ... innovation, continuous improvement, and clinical excellence. + **This position is 100% Remote and can be completed from any state. Multiple opportunities for a… more
- AC Disaster Consulting (Tallahassee, FL)
- …facing our nation. Position Summary: Job Title: Senior Individual Assistance Program Specialist - Multiple Levels ( Senior Consultant I, Senior Advisor, and Managing ... Locations: Onsite in Florida locations, with travel to deployments required and possible remote work Travel: Travel and on-site work required. Up to 50% travel.… more
- Cognizant (Tallahassee, FL)
- …flexibility wherever possible. Based on this role's business requirements, this is a remote position open to qualified applicants in the United States. Regardless of ... a healthy work-life balance though our various wellbeing programs. **Location:** Remote (Work-from-Home) Shift: Monday to Friday Location: Remote **Applications… more
- Bristol Myers Squibb (Tampa, FL)
- …for escalation and resolution of Tier 2 queries, plan interpretation and appeals . + Responsible for ensuring internal processes are documented and updated versions ... Workday, ServiceNow, ADP and vendor management. + Certified Employee Benefits Specialist (CEBS) or equivalent Industry designation, preferred. \#LI-Hybrid If you… more
- Molina Healthcare (FL)
- **_ Remote and must live in the United States _** **Job Description** **Job Summary** Molina's Provider Contracting function provides guidance, signature support ... claims payment); Provider/Member Inquiry Research and Resolution; and Provider/Member Appeals and Grievances. * Coordinates with Corporate and Business Development… more
- Cardinal Health (Doral, FL)
- Hybrid or remote position Schedule: Monday - Friday, 8:00am - 4:30pm **_What Contract and Billing contributes to Cardinal Health_** Contracts and Billing is ... skills and prioritizes getting the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will… more