Medicaid Claims Processing Jobs in Florida (NOW HIRING)

As a Claims Processing Professional, you will: * Review and process healthcare claims within ... These efforts are leading to a better quality of life for people with Medicare and Medicaid ...

As a Claims Processing Professional, you will: * Review and process healthcare claims within ... These efforts are leading to a better quality of life for people with Medicare and Medicaid ...

As a Claims Processing Professional, you will: * Review and process healthcare claims within ... These efforts are leading to a better quality of life for people with Medicare and Medicaid ...

Assure timely and accurate processing of Medicare claims and encounters, and respond to provider ... Minimum of 5 years of Medicare/Medicaid claims experience that demonstrates progressive growth ...

Claims & Encounter Processing ... Manage Medicaid encounter submissions, reconciliation, and error remediation with state Medicaid ...

Claims & Encounter Processing ... Manage Medicaid encounter submissions, reconciliation, and error remediation with state Medicaid ...

Claims & Encounter Processing ... Manage Medicaid encounter submissions, reconciliation, and error remediation with state Medicaid ...

... processing, submission, monitoring, and follow-up of healthcare claims to Medicare, Medicaid, and other third-party payers. This position supports the Health Department's revenue cycle by helping ...

Manage the pending queue for Medicaid claims, ensuring all claims are processed efficiently and accurately. * Resolve claim issues by identifying discrepancies and implementing solutions to ...

Manage the pending queue for Medicaid claims, ensuring all claims are processed efficiently and accurately. * Resolve claim issues by identifying discrepancies and implementing solutions to ...

Follow any center for Medicare and Medicaid (CMS) changes affecting claims processing. Perform pre-payment audit and payment cycle. Complies with performance standards as set forth by the department ...

... and Medicaid (CMS) changes affecting claims processing. • Perform pre-payment audit and payment cycle. • Complies with performance standards as set forth by the department head. • Follow ...

Apply knowledge of Coordination of Benefits (COB), Medicare, Medicaid, and other payer sources when applicable * Ensure claims are processed within established turnaround times and service level ...

Design, develop, and maintain Databricks ETL/ELT pipelines to process Medicaid claims, eligibility, encounters, provider files, and supplemental datasets . * Ingest data from MMIS systems, state data ...

Past experience with processing of loan or claims as well as case management skills will provide you with the skills required to be successful in this role. Medicaid training is provided. Manage the ...

Minimum of 2 years of experience in medical billing, claims processing, or revenue cycle management ... Experience working with Medicare, Medicaid, and private insurance claims. * Familiarity with health ...

This role requires deep hands on expertise in US healthcare claims processing, combined with the ... Review and validate regulatory compliance with CMS, HIPAA, Medicare, Medicaid, and commercial plan ...

... timely processing. Investigates claims, negotiates settlements, and responds to inquiries from ... Medicaid, and third-party insurance carriers preferred * Epic experience required, with familiarity ...

... timely processing. Investigates claims, negotiates settlements, and responds to inquiries from ... Medicaid, and third-party insurance carriers preferred * Epic experience required, with familiarity ...

Review, analyze, and process medical claims in accordance with Medicare and DSNP benefit structures ... Ensure compliance with CMS (Centers for Medicare & Medicaid Services), state regulations, and ...