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Senior Health Analyst
First Coast Service Options, Inc. - Jacksonville, FL 32224
Develops Medical Review Guidelines (MRGs), to assist in educating MR staff who adjudicates claims based on LCD and/or MRGs....
Healthcare Dispute Analyst RN
Florida Blue - 233 reviews - Jacksonville, FL 32224
Collaborate with Managing Medical Director to facilitate changes to BCBSF Medical Coverage guidelines. Reviews provider appeals to ensure medical necessity and...
Medical Billing Collections Quality Assurance Analyst
CareCloud - 11 reviews - Miami, FL 33126
Medical Billing Collections Quality Assurance Analyst. Works with payers to determine reasons for denials, corrects and reprocesses claims for payment in a...
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Claims Analyst

Greenway Health - 57 reviews - Lake Mary, FL 32746
Medical billing knowledge and Healthcare experience preferred. Resolves outsource vendor’s escalates claims and claim rework....

Claims Recovery Audit Analyst I (Miami, FL)

Anthem, Inc. - 2,102 reviews - Miami, FL
Claims Recovery Audit Analyst I. 1 year of claims audit experience. 4 years of healthcare (medical/hospital) claims experience....

Claim Analyst II - Claims Administration, HFHP, Full-Time, 0...

Health First Health Plans, Inc - 7 reviews - Melbourne, FL  +1 location
Advanced knowledge of medical benefits, medical and dental terminology. Analyze any claims processing questions to provide knowledge and expertise in accurate...

Claims Analyst

Community Care Plan - City of Sunrise, FL 33323
Identifies inappropriate or questionable claims and refers to Claims Leadership for review. The person in this role must possess a high level of expertise with...

Accounts Receivable Analyst

Boca Raton Regional Hospital - 77 reviews - Boca Raton, FL 33427
Proficient with Microsoft Office suite of applications, Patient Accounting main frame systems, Claims processing editing applications, Audit management tracking...

Fraud Analyst - Medicare

DXC Technology - 575 reviews - Miramar, FL
SafeGuard Services (SGS), a subsidiary of DXC Technology, performs data analysis, investigation, and medical review to detect, prevent, deter, reduce, and make...

Reimbursement Analyst

Eye Physicians of Florida, LLP - City of Sunrise, FL
Flag claims that require follow up. The CBO Reimbursement Analyst is responsible for ensuring all incoming payments, allowances;...
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MRA Coding Analyst (02.07.2017)

In Health MD Alliance - 8 reviews - Orlando, FL
Conducts medical charts and claims audits, identifying opportunities for improving individual member risk adjustment score accuracy....
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Denial Analyst

Eye Physicians of Florida, LLP - City of Sunrise, FL
Medical office or related:. Flag claims that require follow up. The CBO Denial Analyst is responsible for performing tasks related to the health care billing...
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Data / Financial Analyst (Healthcare Industry)

MedTalent - Tallahassee, FL
Position works in close collaboration with Claims, Contract Administration, Finance, Medical Management and other staff on a variety of business support...
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Clinical Review Auditor
First Coast Service Options, Inc. - Jacksonville, FL 32224
Serve as subject matter expert (SME) on Medical Review (MR) and Quality Assurance (QA) related activities, such as advisement to nurse analyst for claim reviews...
PrePay Coding Analyst
Florida Blue - 233 reviews - Jacksonville, FL 32224
Medical terminology, claim audit procedures, provider contract understanding, claims processing procedures and guidelines, provider authorizations, provider...

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