Insurance Claims Specialist (Construction Defects and Property Damage) DPR Construction IncInsurance Claims Specialist (Construction Defects and Property Damage)Orlando, FLKey Skills: • Basic working knowledge and familiarity of: • Commercial General Liability • Property Insurance (Including Inland Marine and Builder's Risk) • Pollution Liability • Professional Liability • Controlled Insurance Programs (CCIP/OCIP) • RMIS Systems • Construction Industry Expertise • Strategic thinking • Strong written and oral communication skills • High level of EQ (Soft skills) • Self-Starter • Highly organized and responsive; ability to meet deadlines • Detail Oriented • Contractual risk assessment • Dispute management • Integrity • Ability to mentor and inspire others • Team player • Willingness to understand and advance the DPR Culture • Proactive Learner. Act as a liaison between all parties involved, including but not limited to, carriers, clients, trade partners, brokers, consultants, attorneys and DPR project teams (and DPR-related entities), as it relates to claim progress, strategy, expenses, and settlements.
Auto and General Liability Claims Specialist The Hartford Insurance Group IncAuto and General Liability Claims SpecialistLake Mary, FL$107,600–$161,400 / yearProviding support to field offices to assist field personnel with coverage and liability analysis, time limit demands, extra contractual exposure evaluations and other issues of complexity; Work with business partners to evaluate and address claim trends and developments; and. Candidates who live near one of our office locations (Hartford, CT, San Antonio, TX, Lake Mary, FL, Scottsdale, AZ, Alpharetta, GA, and Naperville, IL) will have the expectation of working in an office 3 days a week (Tuesday through Thursday).
Senior Casualty Claims Specialist - Southeast Liberty Mutual Holding Company IncSenior Casualty Claims Specialist - SoutheastLake Mary, FLRemoteThe full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role.
NewClaims Specialist - Professional Liability Philadelphia Insurance CompaniesClaims Specialist - Professional LiabilityLake Mary, FL$95,000–$105,000 / yearEvaluates each claim in light of facts; Affirm or deny coverage; investigate to establish proper reserves; and settles or denies claims in a fair and expeditious manner. Marketing Statement: Philadelphia Insurance Companies, a member of the Tokio Marine Group, designs, markets and underwrites commercial property/casualty and professional liability insurance products for select industries.
Claims Specialist - Property Philadelphia Insurance CompaniesClaims Specialist - PropertyLake Mary, FL$84,422–$99,320 / yearEvaluates each claim in light of facts; Affirm or deny coverage; investigate to establish proper reserves; and settles or denies claims in a fair and expeditious manner. Marketing Statement: Philadelphia Insurance Companies, a member of the Tokio Marine Group, designs, markets and underwrites commercial property/casualty and professional liability insurance products for select industries.
Litigated Claims Specialist (General Liability) Zurich Insurance Group LtdLitigated Claims Specialist (General Liability)Maitland, FLOur hybrid work model is thoughtfully designed around employee needs offering autonomy to complete focused work from a preferred location, while still supporting meaningful in-person collaboration when it adds value. You will follow established best practices and protocols to ensure claims are handled efficiently and effectively, while delivering a consistent, high-quality, and customer-focused claims experience.
NewComplex Claims Consultant/Specialist - Lawyers Professional Liability CNA Financial CorpComplex Claims Consultant/Specialist - Lawyers Professional LiabilityLake Mary, FL$72,000–$141,000 / yearPerforms a combination of duties in accordance with departmental guidelines: Manages an inventory of highly complex commercial claims, with large exposures that require a high degree of specialized technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to manage complex litigation and authorizing payments within scope of authority.
Commercial Auto Claims Specialist CNA Financial CorpCommercial Auto Claims SpecialistLake Mary, FL$54,000–$103,000 / yearJOB DESCRIPTION: Essential Duties & Responsibilities: Performs a combination of duties in accordance with departmental guidelines: Manages an inventory of moderate to high complexity and exposure commercial claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Conducts focused investigation to determine compensability, liability and covered damages by gathering pertinent information, such as contracts or other documents, taking recorded statements from customers, claimants, injured workers, witnesses, and working with experts, or other parties, as necessary to verify the facts of the claim.
Commercial Auto & General Liability Claims Specialist, Construction CNA Financial CorpCommercial Auto & General Liability Claims Specialist, ConstructionLake Mary, FLJOB DESCRIPTION: Essential Duties & Responsibilities: Performs a combination of duties in accordance with departmental guidelines: Manages an inventory of moderate to high complexity and exposure commercial claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Conducts focused investigation to determine compensability, liability and covered damages by gathering pertinent information, such as contracts or other documents, taking recorded statements from customers, claimants, injured workers, witnesses, and working with experts, or other parties, as necessary to verify the facts of the claim.
General Liability Claims Specialist CNA Financial CorpGeneral Liability Claims SpecialistFL$54,000–$103,000 / yearJOB DESCRIPTION: Essential Duties & Responsibilities: Performs a combination of duties in accordance with departmental guidelines: Manages an inventory of moderate to high complexity and exposure commercial claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Conducts focused investigation to determine compensability, liability and covered damages by gathering pertinent information, such as contracts or other documents, taking recorded statements from customers, claimants, injured workers, witnesses, and working with experts, or other parties, as necessary to verify the facts of the claim.
Commercial Auto & General Liability Claims Specialist, Construction CNACommercial Auto & General Liability Claims Specialist, ConstructionLake Mary, FloridaEssential Duties & Responsibilities: Performs a combination of duties in accordance with departmental guidelines: Manages an inventory of moderate to high complexity and exposure commercial claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Conducts focused investigation to determine compensability, liability and covered damages by gathering pertinent information, such as contracts or other documents, taking recorded statements from customers, claimants, injured workers, witnesses, and working with experts, or other parties, as necessary to verify the facts of the claim.
Claims Specialist II, Workers Compensation Zurich Insurance Group LtdClaims Specialist II, Workers CompensationMaitland, FLThe Workers Compensation Claims Specialist will handle multi-party commercial line Workman's Compensation claims of moderate to high exposure and complexity within specific authority limits, to ensure that claims are handled in the most efficient, effective way while delivering a customer-centric claims service. In this role you will be responsible for: Document claims file by accurately capturing and updating claims data/information in compliance with best practices for commercial line claims of moderate to high exposure and complexity.
NewSr. Claims Specialist, Workers Compensation Zurich Insurance Group LtdSr. Claims Specialist, Workers CompensationMaitland, FLKey Responsibilities: Document claims file by accurately capturing and updating claims data/information in compliance with best practices for single and multi-party personal or commercial line claims of moderate to high exposure and complexity. This is an exciting opportunity to manage complex, multi-party commercial Workers Compensation claims with moderate to high exposure and make a meaningful impact through your expertise.
Surety Claim Specialist FCCI Insurance GroupSurety Claim SpecialistLake Mary, FL$102,357–$157,629 / yearThe Surety Claim Specialist will independently conduct due diligence, evaluate exposure, and represent Suretys interests with adverse parties and proactively respond to the most complex demands against contract and commercial surety bonds. Actively solicits facts from all stakeholders, analyze bond forms and construction contracts, reviews applicable statutes, and analyzes claim submissions involving commercial and contract surety bonds.
Multi-Line Claim Specialist (Product) CCMSIMulti-Line Claim Specialist (Product)Maitland, Florida$68,500–$85,000 / yearAt CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success. The Multi-Line Claim Specialist position is responsible for the investigation and adjustment of general liability claims for a dedicated client account handling a variety of coverages, including bodily injury and product liability.
NewBristol West Claims Liability Claims Representative-Hybrid Farmers Group, Inc.Bristol West Claims Liability Claims Representative-HybridLake Mary, FLRemoteTrains to interact professionally and courteously with stakeholders including policyholders, claimants, agents, witnesses, repair fa cilities, contractors, police and fire departments, state and country fraud and arson specialists, special investigators, attorneys, medical professionals and other persons incident to the investigation and processing of claims. Learns skills such as conducting thorough i nvestigations, establishing damages, determining liability, negotiating settlements, making claim payments, confirming policy coverage, and explaining claim determination to parties incident to the claim.
NewClaims Representative I Elevance Health IncClaims Representative ILake Mary, FL$16.23–$24.36 / hourPreferred Skills, Capabilities and Experiences: Good oral and written communication skills, previous experience using PC, database system, and related software (word processing, spreadsheets, etc.) strongly preferred. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
Bodily Injury Claim Specialist - CCU The Hartford Insurance Group IncBodily Injury Claim Specialist - CCULake Mary, FL$121,000–$140,000 / yearThese claims will involve both primary and excess coverages and often involve complex fact patterns requiring analysis of contracts between parties to determine indemnity and contribution obligations and risk transfer opportunities. As a Claims Specialist, you will be responsible for handling a caseload of higher complexity, higher exposure, bodily injury, and construction related bodily injury claims from inception to final disposition.
Client Care Center-Consumer Account Security Claims Truist BankClient Care Center-Consumer Account Security ClaimsOrlando, FloridaGeneral Description of Available Benefits for Eligible Employees of Truist Financial Corporation: All regular teammates (not temporary or contingent workers) working 20 hours or more per week are eligible for benefits, though eligibility for specific benefits may be determined by the division of Truist offering the position. Committed to utilize all available tools and resources to curate a differentiated client experience, track all unresolved issues accurately, to ensure timely follow up and resolution.
Client Care Center-Consumer Account Security Claims Truist Financial CorpClient Care Center-Consumer Account Security ClaimsOrlando, FLGeneral Description of Available Benefits for Eligible Employees of Truist Financial Corporation: All regular teammates (not temporary or contingent workers) working 20 hours or more per week are eligible for benefits, though eligibility for specific benefits may be determined by the division of Truist offering the position. Committed to utilize all available tools and resources to curate a differentiated client experience, track all unresolved issues accurately, to ensure timely follow up and resolution.
Insurance Verification Specialist - Specialty Pharmacy AssistRxInsurance Verification Specialist - Specialty PharmacyOrlando, FLRemote$39,520–$45,760Conduct benefit investigations for patients by making outbound phone call to payers to verify patient insurance benefit information, navigate complex reimbursement barriers and seek resources to overcome the barriers. This role works directly with healthcare providers & insurance plans/payers to gather information about a patient’s insurance and the coverage provided for a specific pharmaceutical product.
Insurance Credit & Collections Specialist Elevance Health IncInsurance Credit & Collections SpecialistLake Mary, FLWe are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. Minimum Requirements: Requires a H.S. diploma or equivalent and a minimum of 1 year of prior commercial debt collection experience; or any combination of education and experience, which would provide an equivalent background.
Remote Insurance Verification Specialist, Specialty (Florida) Walgreen CoRemote Insurance Verification Specialist, Specialty (Florida)Orlando, FLRemoteWalgreens has approximately 220,000 team members, including nearly 90,000 healthcare service providers, and is committed to being the first choice for pharmacy, retail and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities. Intermediate level PC skills, MS Windows, MS Office Suite and/or other similar operating/software programs (for example: start up and shut down computer, use mouse to point and click, start and close programs, switch between programs, save files, print documents and/or access information on-line).
Insurance Eligibility/Verification Specialist University of Central FloridaInsurance Eligibility/Verification SpecialistOrlando, FL$15.66–$17.23 / hourYour time at UCF will provide you with many meaningful opportunities to grow, you'll work alongside talented colleagues on complex projects that will challenge you and help you gain new skills, and you'll have countless rewarding experiences that go well beyond a paycheck. As a next-generation public research university and Forbes-ranked top employer in Florida, we are a community of thinkers, doers, creators, innovators, healers, and leaders striving to create broader prosperity and help shape a better future.
Remote Medical Billing Specialist TRC Talent SolutionsRemote Medical Billing SpecialistWinter Park, FLRemote$18–$22 / hourTemporaryIf you thrive in a fast-paced environment, enjoy problem solving, and have experience working insurance denials and unpaid claims, we'd love to hear from you. Our team partners with healthcare providers and hospital organizations to deliver revenue cycle and accounts receivable support services.
Medical Billing & Collections Specialist (Quality Assurance) Rotech Healthcare Inc.Medical Billing & Collections Specialist (Quality Assurance)Orlando, FloridaCorrects any errors identified by the Claims Supervisor, enters IMBS audit control number located on “Maintenance Audit Report”, verifies in the system that there is an AOB for each claim, files the “Maintenance Audit Report”, and identifies any claims that will release during the nightly cycle, makes copies of necessary forms, and identifies Cash Sale Delivery tickets. Prints the “Maintenance Audit Report” from the system and verifies that the information in the report is accurate; attaches the audit report to supporting documents; submits the packet to the Claims Supervisor for review prior to entering Audit Control.
Life/Health Insurance Position - State Farm Agent Team Member Teresa Connell - State Farm AgentLife/Health Insurance Position - State Farm Agent Team MemberHaines City, FLAs a customer-oriented expert, you will market the Life/Health insurance services and products to benefit customers and their families. As a strategic and emotionally intelligent resource to the community, we are excited to expand our successful agency with your skillset.
NewAccounts Payable/Receivable Specialist II University of Central FloridaAccounts Payable/Receivable Specialist IIOrlando, FL$17.64–$21.61 / hourThe Opportunity: The Accounts Payable/Receivable Specialist II is responsibilities for communicating with insurance companies to follow up on outstanding accounts receivable, insurance denial management, submitting and re-billing insurance claims, posting insurance and patient payments, and working with patients to resolve balances and billing challenges. As a next-generation public research university and Forbes-ranked top employer in Florida, we are a community of thinkers, doers, creators, innovators, healers, and leaders striving to create broader prosperity and help shape a better future.
Medical Billing Specialist Collins Consulting IncMedical Billing SpecialistLake Mary, FLUses available resources to maintain current regulatory guidelines and reimbursement information to ensure that the company is obtaining all appropriate information as required for billing and reimbursement. Manages the entry of client information into computer system in a timely manner and contact of referral source, customer, and/or client to obtain missing information needed to set up client for service.
Dental Billing Specialist @ Dental Specialty Center Haines City Dental Care Alliance, LLCDental Billing Specialist @ Dental Specialty Center Haines CityDavenport, FLCompetitive wages, great benefits, and opportunities for advancement are just a few reasons why a career with us is an investment in your future; make Dental Care Alliance your employer of choice. Dental Specialty Center of Haines city is currently looking for a Dental Billing Specialist for our office located in Davenport,Fl .
Pharmacy Billing Specialist Guardian Pharmacy Services ManagementPharmacy Billing SpecialistOrlando, FloridaOur core focus is delivering customized medication management solutions to support healthcare organizations serving seniors and individuals with complex care needs. With our comprehensive suite of tech-enabled pharmacy services and a dedicated team of professionals committed to enriching the lives of those we serve, we are redefining how pharmacy care is delivered.
NewCredit and Collection Specialist - Patient Accounts Elevance HealthCredit and Collection Specialist - Patient AccountsLake Mary, FloridaWe are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. Location: T his role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance.
RISK MANAGEMENT PROGRAM SPECIALIST - 43000192 Government of FloridaRISK MANAGEMENT PROGRAM SPECIALIST - 43000192ORLANDO, FL$52,000–$55,000 / yearBased on facts derived from the claims investigation and or pre-trial discovery, responsible for applying appropriate case law and making a determination of liability for the purpose of exploring the desirability of settlement; related to this responsibility is the need to properly evaluate medical reports, vendor bills, and estimates of damage; responsible for authorizing and making offers of settlement up to approved authority and denying claims when necessary. Candidates claiming Veterans' Preference must attach supporting documentation with each submission that includes character of service (for example, DD Form 214 Member Copy #4) along with any other documentation as required by Rule 55A-7, Florida Administrative Code.
PreAccess Oncology Benefits and Authorization Specialist AdventHealthPreAccess Oncology Benefits and Authorization SpecialistMaitland, FL$17.63–$28.20 / hourResponsible for communicating to service line partners of situations where medical necessity is not met to include review of journal articles, compendia and/or peer review to justify medical necessity approval Reviews clinical records when following up on authorization request directly with a payor. Reviews clinical data such as patient pathology reports, scans, laboratory results, prior treatments, matching against insurance payor and/or National Comprehensive Cancer Network (NCCN guidelines.
Fleet Specialist Classic Collision, Inc.Fleet SpecialistOrlando, FLServing as the primary point of contact for all fleet-related matters, the Fleet Specialist supports the Classic Collision team by keeping vehicles reliable and road-ready while minimizing downtime and expenses. This role manages key processes including vehicle acquisition and assignment, preventive maintenance, driver qualification monitoring, insurance & auto claims administration, and cost control.
Bilingual Patient Access Specialist (English/Spanish) AssistRxBilingual Patient Access Specialist (English/Spanish)Orlando, FL$43,680–$49,920Conduct benefit investigations for patients by making outbound phone call to payers to verify patient insurance benefit information, navigate complex reimbursement barriers and seek resources to overcome the barriers. The BilingualPatient Access Specialist will support the healthcare providers addressing questions regarding coding and billing and navigating complex reimbursement issues.
Patient Access Specialist AssistRxPatient Access SpecialistOrlando, FL$40,000–$50,000Teamwork - Balances team and individual responsibilities; Exhibits objectivity and openness to others' views; Gives and welcomes feedback; Contributes to building a positive team spirit; Puts success of team above own interests; Able to build morale and group commitments to goals and objectives; Supports everyone's efforts to succeed. Professionalism - Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments.
NewTPA Service Specialist TravelGuard Zurich NATPA Service Specialist TravelGuardMaitland, FLDesigned with our employees' needs in mind, the ZNA Claims hybrid work model emphasizes flexibility, allowing claims employees to conduct individual work in their preferred location, while facilitating in-person connections and collaborative activities when meaningful and valuable. In this role you will be responsible for collaborating with our Zurich CoverMore (Travel Guard/ Travelex) partners regarding the oversight of the TPAs that adjudicate claims on travel policies.
NewSr. Reimbursement Specialist United BioSource LLCSr. Reimbursement SpecialistLake Mary, FLRemoteBrief Summary: The primary goal of this position is to provide high quality customer service, effectively interface with patients, patient's families, national payers, home cares and medical doctor's offices to assist patient and medical provider in expediting the process starting the patient on client product, and ensure the highest level of reimbursement is attained for client product. Specific job duties: Conduct benefit investigations, verify insurance benefits for patient and physicians' offices, and submit and obtain prior authorizations as required by payer; obtain recertification for cases requiring extended treatment/coverage beyond the expiration of original approval.
Remote Benefits Specialist Actalent IncRemote Benefits SpecialistOrlando, FLRemote$17–$19 / hourIf you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options. The Benefits Verification Associate obtains and verifies complete insurance information, manages prior authorization processes, and supports patients and providers by ensuring accurate coverage, benefits, and billing details.
Trust and Safety Specialist Zeel Networks IncTrust and Safety SpecialistOrlando, FLRemoteA proud member of the VA Community Care Network, Zeel provides Medical Massage Therapy for veterans suffering from acute and chronic pain, PTSD, and other life-limiting conditions. This role manages escalations from patients and providers, documents and mitigates potential risks, assists in policy development, and supports credentialing and quality assurance processes.
Fraud Operations Specialist Axiom Bank, N.A.Fraud Operations SpecialistMaitland, FLMinimum of 2 years of banking, financial services, fraud operations, deposit operations, electronic banking, card disputes, ACH operations, wire operations, or related risk operations experience preferred; prior direct experience handling Regulation E claims, debit card disputes, ACH fraud, account takeover investigations, or payment fraud cases strongly preferred. Understanding of bank fraud typologies, including unauthorized electronic transactions, debit card fraud, ACH fraud, check fraud, wire fraud, identity theft, account takeover, elder exploitation indicators, social engineering, mule activity, and online banking compromise.
Hospital Billing Specialist Tews CompanyHospital Billing SpecialistOrlando, FLRemoteWe are seeking a Patient Account Specialist to support high-priority revenue cycle initiatives, with a specific focus on Managed Medicare (out-of-state, non-contracted payers). This role is critical due to the upcoming retirement of a key team member who currently owns this function, creating an immediate need for someone who can step in and support insurance follow-up, claim resolution, and reimbursement efforts.
Credit and Collection Specialist - Patient Accounts Elevance Health IncCredit and Collection Specialist - Patient AccountsLake Mary, FLWe are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. Job Description: Location: T his role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance.
Legal Support Data Specialist The Hartford Insurance Group IncLegal Support Data SpecialistLake Mary, FL$64,800–$97,200 / yearYou will play a key role in ensuring billing accuracy, data integrity, and operational excellence across claims and payment systems, directly contributing to cost management and business outcomes. Candidates who live near one of our office locations (Hartford, CT, San Antonio, TX, Lake Mary, FL, Phoenix, AZ, Naperville, IL) will have the expectation of working in an office 3 days a week (Tuesday through Thursday).
Fraud Operations Specialist Axiom BankingFraud Operations SpecialistMaitland, FLMinimum of 2 years of banking, financial services, fraud operations, deposit operations, electronic banking, card disputes, ACH operations, wire operations, or related risk operations experience preferred; prior direct experience handling Regulation E claims, debit card disputes, ACH fraud, account takeover investigations, or payment fraud cases strongly preferred. Understanding of bank fraud typologies, including unauthorized electronic transactions, debit card fraud, ACH fraud, check fraud, wire fraud, identity theft, account takeover, elder exploitation indicators, social engineering, mule activity, and online banking compromise.
Marketing Specialist Environmental Practice Marsh & McLennan Companies IncMarketing Specialist Environmental PracticeMaitland, FL$71,800–$133,700 / yearAs our Marketing Specialist on the Environmental Practice team, you'll support producers and account teams by owning the marketing and placement workflow for environmental/pollution liability business insurance submissions. Working as the primary placement resource for the environmental practice, you will analyze submissions, recommend market strategies, negotiate coverage and pricing with carriers, prepare proposals, and binds coverage as appropriate.
Underwriting Specialist OR Executive Underwriter - Middle Market Zurich Insurance Group LtdUnderwriting Specialist OR Executive Underwriter - Middle MarketMaitland, FL$75,000–$165,000 / yearOver the past five years, Zurich North America has built a world-class Middle Market operation that serves key industries across the U.S. We strive to assemble a team of dedicated Middle Market leaders and underwriters who understand this space very deeply and who grasp the unique challenges of the various industry segments and the individual customers we serve. You will work collaboratively across business units including but not limited to; claims, finance, risk engineering, actuary, and technical underwriting while gaining extensive knowledge in a growing and innovative industry.
Access Center Specialist II NemoursAccess Center Specialist IIOrlando, FLFull timeWe deliver care across six states through two freestanding children's hospitals - Nemours Children's Hospital, Delaware and Nemours Children's Hospital, Florida - along with a network of more than 80 primary, urgent, and specialty care practices and more than 40 hospital partnerships. The Access Specialist II communicates with patients/providers via telephone to ensure accurate, prompt and courteous scheduling of specialty appointments according to established division guidelines.
Clinical Denials Management Specialist AdventHealthClinical Denials Management SpecialistAltamonte Springs, FL$66,170.74–$123,073.07 / yearReviews various types of denial, appeal, and further action including charge audit/charge capture denials, charge correction, clinical validation, services deemed experimental, services denied according to various payer policies, inpatient level of care, NICU level of care, readmissions, etc. Technical proficiency to independently set up computer system including monitors, docking station, keyboard, and ability to maintain reliable internet service along with backup internet plan for outages, and troubleshoot / resolve problems [Required].