UNKNOWN

FEED

This role is responsible for designing, developing, and maintaining enterprise-scale healthcare data integration solutions focused on HIPAA X12 EDI transactions, Medicaid encounters, and CMS compliance. Through our comprehensive suite of innovative supplemental benefits, fintech payment platforms, and member engagement solutions, we help health plans deliver high-quality benefits to their members that address the social determinants of health and improve member health outcomes and satisfaction.

NationsBenefits, LLC

Senior Data Engineer

BreezyHR

Founded in 2003, Omega Healthcare Management Services (Omega Healthcare) empowers healthcare to thrive via intelligent solutions that optimize revenue cycle operations, administrative workflows, care coordination, and clinical research on a global scale. The company works with providers, payers, life science companies, medical device manufacturers, health technology firms, researchers, and industry partners to amplify teams with robust technology, specialty expertise, and operational support.

OMH HealthEdge Holdings Inc

RCM Supervisor - SA

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The Manager will be responsible for ensuring the accuracy, completeness, and timeliness of encounter data submissions while partnering closely with internal business and technical teams, as well as external vendors, to meet regulatory and operational requirements across multiple states. As the Dual Special Needs Plan (DSNP) business continues to expand, we are seeking an experienced Manager, Encounter Data & State Submission Operations to lead the end-to-end management of encounter and claims data submissions to state agencies.

YEAR

<p>CVS Health offers a world of promising job opportunities across a diverse range of careers in everything from corporate and pharmacy roles to retails positions. No matter where you work at CVS Health, your unique skills, talents and abilities are welcome and valued. We recognize and reward greatness and want our employees to know their work is making a difference in the lives of millions. Join us today. Together we can continue making innovative, high-quality health and pharmacy services safe, affordable and accessible – for all. </p>

CVS Health Corp

Mgr, Business Consultant

Profile, map, and validate complex claims, eligibility, accumulator, and encounter data across multiple sources, and resolve daily eligibility and accumulator discrepancies arising from file imports and monthly reconciliations. You'll profile, map, and validate claims, eligibility, and accumulator data, design integration architecture with engineering, and be accountable for the timelines, risks, and vendor dependencies that come with it.

Prescryptive Health Inc

Principal PBM Data Integration Lead

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

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.

H2 Health

Revenue Cycle Manager

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PruittHealth - SouthWood'',''2301 Bluff Oak Way'','''',''Tallahassee'',''32311'','''','''',''false'',''734125'',''734125'',''true'',''734125'',''false'',''Submission for the position: AP/Payroll/HR HCC - (Job Number: 2607016)'',''false'',''734125'',''false'',''true''. For Florida Job Postings Only: For more information regarding Florida's Care Provider Background Screening Clearinghouse Education and Awareness, please visit https://info.flclearinghouse.com .

PruittHealth, Inc.

AP/Payroll/HR HCC

OTHER

HOUR

This role serves as the primary liaison between clients, insurance carriers, clinical teams, and our outsourced billing partner to ensure accurate claim processing, reimbursement, collections, and account resolution. We are seeking a detail-oriented Billing Specialist to support healthcare billing, revenue cycle operations, and client account management.

Leslie Prince

AR / Billing Specialist

Broadbean

Maintain external contacts with policyholders, providers of service, agents, attorneys and other carriers as well as internal contacts with peers, management, and other support areas with a positive and professional approach. With strong industry knowledge, we deliver value to our customers by providing compassionate customer service, efficient processing, and quality results.

Insurance Administrative Solutions LLC

Health Insurance Call Center Representative (Medicare)

Integrity Marketing Group, LLC

A significant portion of the analyst's day is devoted to resolving break fix issues, performing routine maintenance, monitoring system performance, and troubleshooting complex Hospital Billing workflows, interfaces, integrations, and downstream dependencies. Responsibilities include applying and validating Epic quarterly updates, working with Epic Technical Services, performing application testing, investigating billing and claims issues, and supporting enhancements across the revenue cycle.

Baptist Health System Inc

Sr. Epic Hospital Billing Application Analyst, Hybrid, Jacksonville, Baptist Digital Solutions Center

The Work You Will Do: The Florida Division of Alcoholic Beverages and Tobacco licenses the manufacture, distribution, sale, and service of alcoholic beverage and tobacco products in Florida, including receipt and processing of license applications; collection and auditing of taxes and fees paid by licensees; and enforcement of the laws and regulation of the alcoholic beverage and tobacco industries, pursuant to Chapters 210, 561-565, 567-569, Florida Statutes. Responsibilities range from ensuring the safety of food service, maintaining the integrity of real estate transactions, furthering the transparency of condominium governance, and overseeing the qualifications of licensure that ensure work requiring a skilled professional is performed safely and sufficiently.

Government of Florida

ADMINISTRATIVE ASSISTANT II - 79000205

MCI organically grows, acquires, and operates companies that have synergistic products and services portfolios, including but not limited to Automated Contact Center Solutions (ACCS), customer contact management, IT Services (IT Schedule 70), and Temporary and Administrative Professional Staffing (TAPS Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service, Digital Experience Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and Technology Services, to mid-market, Federal & enterprise partners. MCI now employs 10,000+ talented individuals with 150+ diverse North American client partners across the following MCI brands: MCI BPO, MCI BPOaaS, MarketForce, GravisApps, Gravis Marketing, MarchEast, Mass Markets, MCI Federal Services (MFS), OnBrand24, The Sydney Call Center, Valor Intelligent Processing (VIP), BYC Aqua, EastWest BPO, TeleTechnology, and Vinculum.

MCI Careers

Contact Center Recruiter

[AW]-iCims

The Senior Clinical Coder serves as a subject matter expert in medical coding and DRG validation, playing a critical role in ensuring coding accuracy, regulatory compliance, and appropriate reimbursement across inpatient and outpatient services. In this role, you will conduct detailed retrospective claims reviews, provide expert-level coding analysis, and support cross-functional teams including medical directors, claims operations, and quality management.

TEEMA Group

Sr. Inpatient Clinical Coder

WorkWolf

Founded in 1990 and headquartered in Scottsdale, AZ, Troon is the world’s largest professional club management company, that specializes in services in golf, hospitality, and residential communities.â¯With more than 900 locations in 45+ states and 27+ countries, Troon is a leading employer in hospitality.â¯Guided by values that emphasize being infectiously energetic, consciously kind, and humbly prosperous,â¯Troon offers professionals the opportunity to grow and succeed within a globally respected organization.â¯Learn more atâ¯ www.troon.com .â¯. Deering Bay Yacht & Country Club is a premier private club on Biscayne Bay, built around exceptional service, a strong sense of community, and a team that takes pride in taking care of its members and one another.

Troon

HR Coordinator

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Ability to communicate professionally and effectively with external customers, internal customers, hospice providers, skilled nursing facilities, clients, and Sales Teams. Save, organize, and retain supporting documentation, including medical records, hospice correspondence, payer notices, denial letters, and determination documentation in accordance with company policies and regulatory requirements.

TridentUSA Health Services

Billing Representative (Hospice)

Determine additional information to obtain from the customer, review additional information provided, and determine if the additional information obtained is sufficient or if further clarification or details are advisable to obtain from the dealership in order to achieve maximum payment on the claim for the dealership. Collaborate with cross-functional teams, including customer success, technical support, product, and development, to address warranty claim trends and drive process improvements.

WarrCloud

Warranty Specialist

This includes, but is not limited to, coordinating activities that include planning, directing, coordinating and implementing policy and program development functions for the Behavioral Health Policy Unit including overseeing policy regarding behavioral health and health facilities under the Medicaid program and overseeing and providing guidance for the continued update of Medicaid coverage policies/handbooks and fee schedules. The incumbent in this position responsible for directing the appropriate planning, organization, execution and coordination of program evaluation activities to evaluate the efficiency and effectiveness of Behavioral Health Care Services policy, handbooks and fee schedules, and assess the achievement of goals, objectives and priorities of the Medicaid program related to the Medicaid program.

68020522 - AGENCY FOR HEALTH CARE ADMINISTRATOR - SES

That's why we're dedicated to developing cutting-edge solutions, like our Biz2X platform, a fully configurable SaaS solution that leverages artificial intelligence and machine learning to make lending more efficient, effective, and accessible. Creditors' Rights & Asset Recovery: Formulate and execute aggressive recovery strategies, including bank restraints, property liens, wage garnishments, fraudulent conveyance actions, and post-judgment subpoenas.

Biz2Credit Inc

Litigation Counsel(Miami,Florida)

Benefit from total schedule control, guaranteed patient volume, and dedicated back-office support so you can focus on quality patient outcomes. Role Overview Seeking Board-Certified PMHNPs to deliver virtual psychiatric evaluations and medication management.

Claims Processor Jobs in Florida

Senior Data Engineer NationsBenefits, LLC

RCM Supervisor - SA OMH HealthEdge Holdings Inc

Mgr, Business Consultant CVS Health Corp

Principal PBM Data Integration Lead Prescryptive Health Inc

Member Care Manager Keys Federal Credit Union

Revenue Cycle Manager H2 Health

AP/Payroll/HR HCC PruittHealth, Inc.

AR / Billing Specialist Leslie Prince

Health Insurance Call Center Representative (Medicare) Insurance Administrative Solutions LLC

Health Insurance Call Center Representative (Medicare) Integrity Marketing Group, LLC

Sr. Epic Hospital Billing Application Analyst, Hybrid, Jacksonville, Baptist Digital Solutions Center Baptist Health System Inc

ADMINISTRATIVE ASSISTANT II - 79000205 Government of Florida

Contact Center Recruiter MCI Careers

Sr. Inpatient Clinical Coder TEEMA Group

HR Coordinator Troon

Billing Representative (Hospice) TridentUSA Health Services

Warranty Specialist WarrCloud

68020522 - AGENCY FOR HEALTH CARE ADMINISTRATOR - SES Government of Florida

Litigation Counsel(Miami,Florida) Biz2Credit Inc

Remote Psychiatric Mental Health Nurse Practitioner (PMHNP) Seasoned Recruitment

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