- ICW Group (Orlando, FL)
- …and workflows for Audit & Compliance program. + Works closely with training specialist and claims management staff to correct deficiencies and address technical ... purpose of this job is to supervise functions of claims internal controls and to monitor team activities with...$90,559.93 - $152,723.07 This range is exclusive of fringe benefits and potential bonuses. If hired at ICW Group,… 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 ... just a job - we provide competitive pay, robust benefits , and genuine opportunities for career advancement. If you're...you to grow with us. OVERVIEW The Prior Authorization Specialist is responsible for managing and identifying a portfolio… more
- BrightStar Care (Naples, FL)
- …into a database using this set medical protocol to produce a statement or claim . * Investigate rejected claims , verify this information with the health provider, ... We are looking for the an experienced medical Billing and Payroll Specialist . Responsibilities include weekly processing of billing and payroll.. Managing… more
- AdventHealth (Apopka, FL)
- …for all activities regarding Rx Plus Pharmacy's state licensed data entry, claims adjudication, prior authorization, pharmacy specialist , and technician quality ... **All the benefits and perks you need for you and...prescription order intake of various media, technician quality assurance, claims adjudication and copay assistance, prior authorization, and prescription… more
- AdventHealth (Maitland, FL)
- **All the benefits and perks you need for you and...not final billed and ensure we are billing clean claims . The APC Coordinator will assist in overseeing the ... your family:** + Benefits from Day One + Paid Days Off from...+ Reviews and resolves accounts in work queues, including claim edits, Discharged Not Billed (DNB) edits, combined accounts,… more
- Robert Half Office Team (Boca Raton, FL)
- …a highly motivated and customer-focused individual to join our team as a Customer Support Specialist in Boca Raton, FL. In this role, you will play a critical role ... Order placement -high volume multi-line and bulk ordering * Research, validate and process claim requests, * Act with an appropriate sense of urgency to resolve and… more
- MyFlorida (Tallahassee, FL)
- … specialist with reviewing and evaluating medical-only workers' compensation claims , processing and paying medical and legal bills associated with workers' ... EMPLOYMENT OPPORTUNITY DIVISION: RISK MANAGEMENT BUREAU: STATE EMPLOYEE WORKERS' COMPENSATION CLAIMS CITY: TALLAHASSEE COUNTY: LEON SPECIAL NOTES: Preferences: * Two… more
- Molina Healthcare (FL)
- …and abuse by medical providers. This position uses information from a tip, member benefits , and medical records to document relevant findings of a post pay clinical ... enforcement or for payment recovery. **KNOWLEDGE/SKILLS/ABILITIES** + Reviews post pay claims with corresponding medical records to determine accuracy of claims… more
- Carrier (Palm Beach Gardens, FL)
- …Administration, or a related field required. + Certifications such as CEBS (Certified Employee Benefits Specialist ) or similar in US benefits management are ... used to support and administer day-to-day benefits processes, such as benefits billing, enrollment, claims management, and employee eligibility monitoring. +… more
- AIG (Miami, FL)
- …are established and maintained for the Energy division. + Work with Claims , Finance, Operational, Accounting, Legal, and Actuarial support teams to support portfolio ... to monitoring of submission flow by distribution channels and analysis of losses/ claims behaviors, among others. + Support in the preparation of presentations to… more