- Aston Carter (Deerfield Beach, FL)
- Description The Claims Payment Analyst is responsible for reviewing, analyzing and processing claims payment requests for automotive repairs. The ... (may include, but not all encompassing): * Reviewing and processing claims payment requests for automotive repairs. * Determine the appropriate payment… more
- Carrington (Jacksonville, FL)
- …amazing team and work remote from home! The Loss Claim Recovery Analysis Analyst is responsible for performing financial reconciliation on all liquidated loans and ... and problems including, but not limited to, claim denials/curtailments and claim payment offsets. + Perform other duties as assigned. + Strong working knowledge… more
- Molina Healthcare (Miami, FL)
- …projects from concept to execution, especially in the areas of provider reimbursement and claims payment integrity. + Strong working knowledge of managed care ... Provides lead level support as a highly capable business analyst who serves as a key strategic partner in...focuses on identifying and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy.… more
- AdventHealth (Maitland, FL)
- …Thursday) on-site **The role you will contribute:** A Senior Medical Economics analyst is responsible for analyzing and evaluating financial and economic data ... analyze fee schedules, and determine contract compliance. The Senior Medical Economics analyst must have attention to detail and competencies in decision support and… more
- MyFlorida (Tallahassee, FL)
- …regulatory agencies, as well as engage in other prevention activities, including pre- payment reviews, paid claims reversals, site visits, identifying and ... 68064693 - MEDICAL HEALTH CARE PROGRAM ANALYST Date: Nov 19, 2025 The State Personnel...terminations from participation in the Medicaid program, and imposing payment restrictions. The selected candidate may be responsible for… more
- The Hartford (Lake Mary, FL)
- …helping people? Then you belong here. We currently have an excellent claims professional career opportunity available. The Ability Analyst , quickly investigates ... Ability Analyst - C410AN We're determined to make a...create a positive team environment that achieves Group Benefit Claims Diversity and Inclusion initiatives and objectives QUALIFICATIONS: +… more
- Molina Healthcare (St. Petersburg, FL)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... contract, benefit or reference table information into the claim payment system and other applicable systems. + Participates in...of new and existing health plans. + Executes retroactive claims reports + Runs fee schedule & MRDT update… more
- Elevance Health (Miami, FL)
- …complex audits. + Participates in pre and post implementation audits of providers, claims processing and payment , benefit coding, member and provider inquiries, ... **Performance Quality Analyst II** **Location:** This role requires associates to...Included are processes related to enrollment and billing and claims processing, as well as customer service written and… more
- Humana (Tallahassee, FL)
- …and help us put health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of the Pricer Business and System Support team ... it expands to accommodate the increased responsibilities. The Provider Hospital Reimbursement Analyst r will be primarily responsible for maintenance and support of… more
- Molina Healthcare (Tampa, FL)
- …education and experience **Required Experience** 5-7 years in SQL, Medicare, Networx, QNXT, claims processing and hospital claims payment method. **Preferred ... accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes… more
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