- MyFlorida (Orlando, FL)
- …. Requisition No: 863200 Agency: Business and Professional Regulations Working Title: ... INVESTIGATION SPECIALIST II - 79001462 Date: Oct 15, 2025...**Open Competitive** Our Organization and Mission: The Department of Business and Professional Regulation (DBPR) is the agency charged… more
- 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 ... TX, WI, WV This Role: As a Provider Enrollment Specialist at LogixHealth, you will perform all provider enrollment...and bring your expertise to ensure groups can submit claims to insurance carriers for reimbursement . The ideal… more
- Advantive (Tampa, FL)
- We are hiring a detail-oriented and proactive HR Benefits Specialist to join our global HR team. This mid-level role will be responsible for owning the end-to-end ... primary contact for employee inquiries regarding benefits policies, programs, and claims . + Create and deliver clear, employee-friendly communication materials and… more
- BayCare Health System (Clearwater, FL)
- …specifications. + Knowledge of health plan operations, benefit coverage, and claims processing . Familiarity with regulatory requirements governing grievance and ... working remotely?** Hybrid Equal Opportunity Employer Veterans/Disabled **Position** Grievance Specialist -Health Plan **Location** Clearwater:Park Place | Business … more
- Republic Finance, LLC (Orlando, FL)
- …in the financial services industry for you, apply today! As a Sr. Consumer Loan Specialist , you will be a key team member in the branch. Your primary responsibility ... are as follows: + Actively seeks opportunities to originate new loan business with new and existing customers. + Evaluates customer needs to recommend… more
- Cognizant (Tallahassee, FL)
- …to the Health Plan/Payer. The comprehensive process includes analyzing, reviewing, and processing medical necessity denials for resolution. You will be a valued ... accounts. . Maintain working knowledge of applicable health insurers' internal claims , appeals, and retro-authorization as well as timely filing deadlines and… more
- Boar's Head Brand/Frank Brunckhorst Co., LLC (Sarasota, FL)
- …to insurance audit requests + Assist with annual renewal process + Oversee claims process from inception to closure + Oversee the Purveyor insurance company policy ... Regulation + Tracking, preparing, and submitting licenses for all companies + Processing state qualifications + Process all name registrations + Prepare sales and… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- …Remote Position Type Full Time Job Category Pharmaceutical Description PRIOR AUTHORIZATION SPECIALIST (REMOTE) WHO WE ARE At Polaris Pharmacy Services, we're more ... it most, we invite you to grow with us. OVERVIEW The Prior Authorization Specialist is responsible for managing and identifying a portfolio of rejected pharmacy … more
- Cardinal Health (Tallahassee, FL)
- …Hours: Monday - Friday, 7:00 AM - 3:30 PM PST (or based on business need)** **_What Accounts Receivable Specialist contributes to Cardinal Health_** Account ... and transmitting claims using billing software including electronic and paper claim processing + Following up on unpaid claims within standard billing cycle… more
- Molina Healthcare (Orlando, FL)
- …and tests assumptions through data, but leads with contextual knowledge of claims processing , provider contracts, and operational realities. + Creates succinct ... Uses a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. + Applies understanding of… more
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