• Senior Claim Benefit Specialist

    CVS Health (Tallahassee, FL)
    … testing environment. + Working knowledge of PPO networks and healthcare claims processing . + Strong analytical and problem-solving skills. + Proficiency ... and every day. **Position Summary** The Senior Claim Benefit Specialist serves as a quality champion and advocate for...serves as a quality champion and advocate for the business by conducting routine audits and claim testing related… more
    CVS Health (10/17/25)
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  • Specialist , Appeals & Grievances

    Molina Healthcare (Tampa, FL)
    …concisely and accurately, in accordance with regulatory requirements. + Research claims processing guidelines, provider contracts, fee schedules and system ... + Min. 2 years operational managed care experience (call center, appeals or claims environment). + Health claims processing background, including… more
    Molina Healthcare (10/17/25)
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  • Senior Business Development…

    Mass Markets (FL)
    …Professional Staffing (TAPS Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, ... POSITION OVERVIEW MCI is one of the fastest-growing tech-enabled business services companies in the USA, with a strong call center footprint and operations that… more
    Mass Markets (08/09/25)
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  • Regulatory Specialist III

    MyFlorida (Tallahassee, FL)
    …. Requisition No: 860940 Agency: Business and Professional Regulations Working Title: ... REGULATORY SPECIALIST III - 79000110 Date: Oct 16, 2025...beverage and tobacco products in Florida, including receipt and processing of license applications; collection and auditing of taxes… more
    MyFlorida (10/16/25)
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  • Account Specialist

    Robert Half Office Team (Miami, FL)
    …position, ideal for professionals with a strong background in customer service, claims processing , and accounts receivable functions. Responsibilities: * Manage ... Description We are looking for a detail-oriented Account Specialist to join our team in Miami, Florida....and providing effective resolutions. * Strong knowledge of billing, claims processing , and revenue accounting. * Ability… more
    Robert Half Office Team (10/10/25)
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  • Specialist , Appeals & Grievances

    Molina Healthcare (Doral, FL)
    …concisely and accurately, in accordance with regulatory requirements. + Research claims processing guidelines, provider contracts, fee schedules and system ... + Min. 2 years operational managed care experience (call center, appeals or claims environment). + Health claims processing background, including… more
    Molina Healthcare (10/18/25)
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  • Eligibility Specialist II

    MyFlorida (Bonifay, FL)
    …interviews, providing counseling, recruiting, billing, or collecting accounts, checking credit, processing insurance policies or claims or providing customer ... ELIGIBILITY SPECIALIST II - 60050268 Date: Oct 21, 2025...for the experience + Minimum of one year of processing experience in the ESS program as an Eligibility… more
    MyFlorida (10/22/25)
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  • Senior Medical Billing Specialist

    LogixHealth (Dania Beach, FL)
    …management services, offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting dashboards for ... Dania Beach, FL This Role: As a Senior Billing Specialist at LogixHealth, you will work with a team...A/R (Accounts Receivable) reports to follow up on unpaid claims + Assist with trouble shooting with pockets of… more
    LogixHealth (08/08/25)
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  • Regulatory Specialist II

    MyFlorida (Tallahassee, FL)
    …. Requisition No: 862025 Agency: Business and Professional Regulations Working Title: ... REGULATORY SPECIALIST II - 79001229 Date: Oct 10, 2025...the testing of new application software and changes in processing procedures. Reports events, errors or trends to supervisor.… more
    MyFlorida (10/11/25)
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  • Eligibility Specialist II

    MyFlorida (Tampa, FL)
    …interviews, providing counseling, recruiting, billing or collecting accounts, checking credit, processing insurance policies or claims or providing customer ... ELIGIBILITY SPECIALIST II - 60050365 Date: Oct 21, 2025...orally and in writing. + Ability to apply ethical business practices. MINIMUM REQUIREMENTS: + Two Years Paraprofessional experience… more
    MyFlorida (10/22/25)
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