UNKNOWN

FEED

Essential Job Duties: Maintain insurance policies, endorsements, certificates, correspondence, and related records to ensure completeness and accuracy, Monitor claims activity from initial reporting through final resolution, Serve as a liaison and respond to requests from insurance brokers, carriers, third-party administrators, legal counsel, and internal stakeholders, Assist with claim investigations, fact gathering and evidence collection, Coordinate the collection of information and supporting documentation from internal departments related to claims and litigation matters, Maintain litigation tracking systems, Review legal invoices and monitor litigation expenses and budgets, Coordinate document retention, records management and evidence preservation related to claims and litigation matters, Analyze loss trends and claims data to identify opportunities for risk reduction and cost containment, Support loss prevention and safety initiatives, Assist with the preparation of insurance applications, exposure data, underwriting submissions, audits, and annual policy renewals, Coordinate the collection and review of certificates of insurance and other insurance-related documentation, Prepare reports and presentations for leadership and board committees regarding insurance, claims, litigation, and loss experience, Support strategic planning efforts related to organizational risk and insurance needs, May drive for other work-related tasks, Assist with special projects and other duties as assigned. Bachelor''s degree in Risk Management, Business Administration, Finance, Public Administration, Legal Studies, or related field, Minimum two (2) years of experience in insurance administration, claims administration, risk management, legal operations, or a related field, Working knowledge of commercial insurance programs, including: Workers'' Compensation (required), General liability, property, automobile, employment, and professional liability claims (preferred), Knowledge of claims handling processes, litigation procedures, and insurance terminology, Experience in nonprofit, human services, healthcare, education, youth-serving organization, or other highly regulated environments preferred, Multi-state experience preferred, Analytical and organizational skills, Effective written, verbal and interpersonal communication skills, Proficiency in Microsoft Office Suite, (Outlook, Teams, Excel, Word, PowerPoint).

AMIKIDS, INC.

Insurance/Claims Specialist

linkup_via_bold

Research, verify and process documents for titles and registrations on vehicles, boats and recreational vehicles. Ability to effectively present information in one- on-one and small group situations to customers, clients, and other employees of the organization.

Dealer Services Network

Agency Title Clerk - WPB, FL

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Agency Title Clerk - Orlando, FL

Agency Title Clerk - Floater - Fort Lauderdale, FL

Agency Title Clerk - Miami, FL

Fleet Clerk - Bradenton, FL

The Clinical Pharmacist reviews claims in real time, recommends therapeutic interchanges and other clinical savings opportunities, runs Pulse's cost containment programs, produces client reporting, and is part of the team that communicates directly with members, prescribers, and clients, including at quarterly business reviews. Recommend therapeutic interchanges, generic and biosimilar alternatives, and other lower-net-cost options that maintain or improve clinical outcomes, and coordinate with prescribers and members to put changes in place.

YEAR

ReviveHealth

Clinical Pharmacist (Pulse PBM)

Experience Details: Strong familiarity with ICD-9/10, DRG, CPT/HCPCS coding, or experience with and knowledge of multiple provider reimbursement and pricing methodologies (DRG, SPC, OFS, POC, Global Pricing, Per Diem etc.), or demonstrated proficient working knowledge of at least three of the following: medical terminology, claim audit procedures, provider contracts, claims processing procedures and guidelines, provider authorizations, provider billing, medical coding, concurrent review. This is a senior-level technical position in the post-payment provider audit function intended to analyze assigned provider claims for risk of over and under payments to perform onsite and desk reviews in support of the business unit's objective to ensure all incorrectly billed and paid claims are adjusted accordingly to help control medical cost spend.

Guide Well

Specialist Iv-Post-Payment Provider Audit Clinical

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This is a place for builders with a growth mindset who act with agility, embrace change, and use modern technology to shape smarter solutions, exceptional experiences, and the future of our industry for our clients, customers, and our culture. The Itemized Bill Review Senior Analyst will be responsible for analyzing hospital claims for adherence to proper billing guidelines and will work closely with Expert Claims Review staff to efficiently adhere to policies and procedures for claims processing.

Zelis Healthcare, Inc.

IBR Senior Analyst

Requests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per protocol and other business partners to determine response; assures timeliness and appropriateness of responses per state, federal and Molina guidelines. Facilitates comprehensive research and resolution of appeals, disputes, grievances, and/or complaints from Molina members, providers, and related outside agencies to ensure that internal and/or regulatory timelines are met.

HOUR

Molina Healthcare Inc.

Specialist, Appeals & Grievances

Multi-specialty Ambulatory Surgery Center with an immediate opening for an experienced ASC medical biller/accounts payable clerk. · In-network and OON payor knowledge - all payors (WC, UHC, BCBS, Aetna, Cigna, Medicare, etc.).

Nirvana Healthcare

Medical Biller/AP $20/HR, Hobe Sound, FL

ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations. Knowledge of UB04 / CMS1500 claims, ICD-10 / Revenue / CPT / HCPCS diagnosis and procedure coding, claim adjudication processes, EDI and OCR claim submission.

Independent Living Systems LLC

System Configuration Coordinator

Our proprietary Diagnostic Insights Platform delivers evidence-based policies, curated lab networks, and real-time analytics that simplify complex diagnostics, accelerate innovation adoption, and optimize diagnostic investments. Quality Improvement Research Analyst - Minimum Qualifications: Minimum years of relevant work experience: 3+ years' in a relevant healthcare field - claims processing, claims coding, customer service, and/or account management.

Avalon Health Services LLC

Quality Improvement Research Analyst

The Manager of Revenue Cycle Operations is responsible for overseeing and managing all aspects of the revenue cycle process to maximize efficiency and revenue for the healthcare organization. This role involves coordinating various functions, including billing, coding, claims processing, collections, and payment posting, to ensure the financial health of the organization.

Health Business Solutions LLC

Manager, Revenue Cycle Operations

HiringThing

PART_TIME

This full-time, onsite position is responsible for managing complex surgical accounts receivable, resolving claim denials and appeals, securing appropriate reimbursement, and optimizing revenue recovery for orthopedic surgical services. If you have a strong background in orthopedic surgical collections, denial resolution, coding, and appeals, and are passionate about maximizing reimbursement while ensuring compliance and accuracy, we encourage you to apply and become part of the Center for Bone & Joint Surgery team.

The Center for Orthopedic and Research E

Insurance Follow-Up Representative-Surgical Coder Collections

ADAPTED_NOW

Develops and motivates staff, coordinates training, resolves escalated member concerns, and works with management, Compliance, Risk Services, and vendors to maintain effective operations and meet applicable legal, regulatory, and credit union requirements. Customer Service and Leadership: Excellent member service and conflict-resolution skills; ability to de-escalate difficult situations professionally; ability to lead, motivate, coach, and develop staff to meet service and sales goals.

Keys Federal Credit Union

Member Care Manager

Keys Federal Credit Union Jobs

Healthcare Outcomes Performance Company

Insurance Follow-Up Representative-Surgical Collections

OTHER

Position Summary The Billing & Finance Coordinator will oversee the practice's billing and financial processes, including Medicaid and commercial insurance claims, authorizations, payment tracking, and QuickBooks financial management. This position works closely with the owner/executive and administrative team to maintain accurate financial records, support efficient operations, and ensure timely reimbursement for services provided.

Sunny Services

Billing and Finance Coordinator

Betterteam

If you have a proven track record in healthcare revenue cycle management, billing, collections, denial management, and reimbursement optimization, we want to connect with you. As a Revenue Cycle Manager, you will be responsible for managing the end-to-end revenue cycle process, from patient registration to claims processing and collections.

Claims Processor Jobs in Florida

Insurance/Claims Specialist AMIKIDS, INC.

Agency Title Clerk - WPB, FL Dealer Services Network

Agency Title Clerk - Orlando, FL Dealer Services Network

Agency Title Clerk - Floater - Fort Lauderdale, FL Dealer Services Network

Agency Title Clerk - Miami, FL Dealer Services Network

Fleet Clerk - Bradenton, FL Dealer Services Network

Clinical Pharmacist (Pulse PBM) ReviveHealth

Specialist Iv-Post-Payment Provider Audit Clinical Guide Well

IBR Senior Analyst Zelis Healthcare, Inc.

Specialist, Appeals & Grievances Molina Healthcare Inc.

Medical Biller/AP $20/HR, Hobe Sound, FL Nirvana Healthcare

System Configuration Coordinator Independent Living Systems LLC

Quality Improvement Research Analyst Avalon Health Services LLC

Manager, Revenue Cycle Operations Health Business Solutions LLC

Insurance Follow-Up Representative-Surgical Coder Collections The Center for Orthopedic and Research E

Member Care Manager Keys Federal Credit Union

Insurance Follow-Up Representative-Surgical Collections Healthcare Outcomes Performance Company

Insurance Follow-Up Representative-Surgical Coder Collections Healthcare Outcomes Performance Company

Billing and Finance Coordinator Sunny Services

Revenue Cycle Manager H2 Health

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