Insurance Claims Specialist
4 weeks ago
Marcos Consulting Group Inc is seeking a skilled Insurance Claims Specialist to join our team. As an Insurance Claims Specialist, you will be responsible for verifying patient insurance coverage and ensuring accurate claim submission and payment.
- Conduct thorough insurance verification and authorization validation to ensure patient eligibility and benefits.
- Communicate with payers via phone or online platforms to resolve any issues or discrepancies.
- Request pre-authorization for scheduled procedures, urgent care, and imaging services.
- Accurately document account actions taken for pre-certification.
- Coordinate peer-to-peer reviews with providers for denied requests.
- Follow up on pending authorization requests in a timely manner.
- Collaborate with the front office to collect patient financial responsibilities, including copays, deductibles, and co-insurance.
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Insurance Claims Specialist
4 weeks ago
Miami, Florida, United States NO STRESS CLAIMS Full timeJob OverviewNO STRESS CLAIMS is seeking a skilled Public Adjuster to represent policyholders in claims negotiations and assess property damage.Key Responsibilities:Advocate for clients' interests in claims negotiations.Conduct thorough property damage assessments and prepare detailed reports.Communicate effectively with clients, insurance companies, and...
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Insurance Claims Sales Representative
4 weeks ago
Miami, Florida, United States Insurance Litigation Group PA Full timeJob SummaryWe are seeking a highly skilled Insurance Claims Sales Representative to join our team at Insurance Litigation Group PA. The ideal candidate will have a proven track record of success in outbound sales and a strong understanding of customer experience principles.Key ResponsibilitiesMake outbound calls to potential clients to educate them on our...
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Insurance Claims Examiner
3 weeks ago
Miami, Florida, United States Staffing Now Full timeClaims Adjudication RoleWe are seeking a detail-oriented Claims Adjudication Specialist to review, process, and resolve insurance claims at Staffing Now.Key Responsibilities:Review and analyze insurance claims to ensure compliance with company policies and guidelines.Communicate with claimants and healthcare providers to resolve claims efficiently.Maintain...
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Project Manager
3 weeks ago
Miami, Florida, United States United Auto Insurance Full timeJob Title: Project Manager - Insurance Claims ExpertJob Summary:We are seeking a highly skilled Project Manager to oversee complex projects within our P&C insurance sector. As a Project Manager - Insurance Claims Expert, you will be responsible for planning, executing, and delivering projects on time, within budget, and in line with business objectives.Key...
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Medical Claims Specialist
3 weeks ago
Miami, Florida, United States Mount Sinai Medical Center of Florida Full timeMedical Claims Specialist OpportunityMount Sinai Medical Center of Florida is seeking a skilled Medical Claims Specialist to join our team. As a Medical Claims Specialist, you will be responsible for working on payer claims projects and collections work queues, including denials and/or underpayment patterns. You will identify edits and errors for corrected...
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Insurance Claims Examiner
4 weeks ago
Miami, Florida, United States SNI Companies Full timeJob Title: Claims AdjudicatorLocation: Miami, FLPay: $20 per hour Monday - Friday 8:30am - 5PMWe are seeking a detail-oriented Claims Adjudicator to review, process, and resolve insurance claims.Key Responsibilities: Review and analyze insurance claims. Communicate with claimants and healthcare providers. Ensure compliance with company policies and...
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Miami, Florida, United States PayerFusion Full timeAbout PayerFusionWe are a service-based company and a licensed third-party administrator seeking top talent and experienced personnel to meet and exceed client expectations. Our innovative approach creates a unique experience for healthcare professionals.We're looking for a highly qualified Claims Examiner for in-person on-site work. The ideal candidate has...
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Medical Claims Specialist
4 weeks ago
Miami, Florida, United States Secure Eclaims LLC Full timeJob SummaryWe are seeking a highly skilled Medical Claims Specialist to join our team at Secure Eclaims LLC. As a Medical Claims Specialist, you will be responsible for reviewing medical/surgical billings for reasonable and necessary charges, examining coding of operative reports, procedures, and multiple and complicated surgeries.Key ResponsibilitiesConduct...
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Medical Claims Specialist
3 weeks ago
Miami, Florida, United States North Shore Medical Center Full timeJob OverviewWe are seeking a highly skilled Medical Claims Specialist to join our team at North Shore Medical Center.The successful candidate will be responsible for performing patient account follow-up, credit balance review and resolution, and ensuring the hospital's accounts receivable are accurate.Key Responsibilities:Insurance follow-up, as...
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Insurance Solutions Specialist
4 weeks ago
Miami, Florida, United States Insurance Nation Full timeJob Title: Insurance AgentAt Insurance Nation, we are seeking a highly skilled and motivated Insurance Agent to join our team. As an Insurance Agent, you will be responsible for providing insurance solutions to new and existing customers, ensuring accurate verification of insurance coverage, and meeting performance-based goals.Key Responsibilities:Provide...
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Property Damage Litigation Claims Adjuster
4 weeks ago
Miami, Florida, United States United Auto Insurance Full timeCOMPANY OVERVIEW:United Automobile Insurance Company is a leading provider of property and casualty insurance solutions. As a Property Damage Litigation Adjuster, you will play a critical role in managing and resolving comprehensive, collision, and property damage claims in litigation.SCOPE:As a PD Litigation Adjuster, you will be responsible for evaluating...
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Senior Claims Examiner
4 weeks ago
Miami, Florida, United States PayerFusion Holdings LLC Full timeAbout UsPayerFusion Holdings LLC is a service-based company that excels in delivering innovative solutions to the healthcare industry.We're seeking a top talent and experienced Claims Processor Specialist to join our team and help us meet and exceed our client's expectations.Job DescriptionAs a Claims Processor Specialist, you will be responsible for...
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Insurance Solutions Specialist
3 weeks ago
Miami, Florida, United States Insurance Nation Full timeJob SummaryWe are seeking a highly skilled Insurance Solutions Specialist to join our team at Insurance Nation. As an Insurance Solutions Specialist, you will be responsible for providing insurance solutions for new and existing customers. This includes verifying insurance coverage, providing customer service, and meeting performance-based goals.Key...
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Medical Claims Specialist
4 weeks ago
Miami Beach, Florida, United States Mount Sinai Medical Center of Florida Full timeJob SummaryWe are seeking a skilled Medical Claims Specialist to join our team at Mount Sinai Medical Center of Florida. In this role, you will be responsible for billing all claims to assigned payers electronically or via hardcopy on a daily basis.Key ResponsibilitiesProcess and submit claims to all assigned payers in a timely and accurate manner.Work...
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Dental Insurance and Billing Specialist
4 weeks ago
Miami, Florida, United States Kendall Pediatric Dentistry & Orthodontics Full timeJob SummaryWe are seeking a highly organized and detail-oriented Dental Insurance and Billing Specialist to join our team at Kendall Pediatric Dentistry & Orthodontics.Verify patient insurance benefits and process claims in a timely manner.Review and analyze patient accounts to ensure accuracy and completeness of billing.Communicate with insurance carriers...
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Litigation Paralegal/Legal Secretary
4 weeks ago
Miami, Florida, United States Kandell, Kandell & Petrie, P.A. Full timeJob DescriptionKandell, Kandell & Petrie, P.A. is seeking a litigation paralegal to assist with property insurance claims in our busy practice.Responsibilities include:Coordinating client and adjuster appointments and inspections, depositions, and hearings.Interviewing clients about their property damage claims.Managing cases and deadlines.Providing status...
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Medical Claims Specialist
3 weeks ago
Miami, Florida, United States HirefinderRPO Full timeWe are seeking a highly skilled Medical Biller and Collector to join our medical practice in Miami, Florida. The ideal candidate will have over 5 years of experience in medical billing, collections, preauthorization with a strong background in Coding and Billing, Pre-Authorization, and Insurance Certification.Key Responsibilities:Accurately process and...
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Property Casualty Attorney
22 hours ago
Miami, Florida, United States The Law Offices of Jared M. Shearman LLC Full timeJob Title:Property Casualty Attorney - Insurance Law SpecialistAbout the Role:We are seeking a highly skilled Property Casualty Attorney to join our team at The Law Offices of Jared M. Shearman LLC. As a key member of our legal team, you will provide expert guidance on property casualty insurance matters, including policy interpretation, coverage issues, and...
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Medical Claims Examiner
3 weeks ago
Miami, Florida, United States Insight Global Full timeJob SummaryWe are seeking a skilled Medical Claims Examiner to join our team at Insight Global. As a Medical Claims Examiner, you will be responsible for analyzing and adjudicating routine claims, determining approval on file, eligibility, identifying discrepancies, and applying all cost containment measures to assist in the claim adjudication process.Key...
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Insurance Account Representative
4 weeks ago
Miami, Florida, United States United Auto Insurance Full timeJob SummaryWe are seeking a highly motivated and experienced Insurance Account Representative to join our team at United Automobile Insurance Company. As an Insurance Account Representative, you will be responsible for selling insurance products and services to targeted customers, acting as an intermediary between the customer and the insurance company, and...