- Centene Corporation (Tallahassee, FL)
- …team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. **Position Purpose:** ... The Senior Pharmacy Resolution Specialist will act as a subject matter expert and...from clinical pharmacists. + Takes member/prescriber/pharmacist inquiry calls for benefit questions including prior authorization requests + Offers options… more
- TEKsystems (Miami, FL)
- Description The Technical Support Specialist is responsible for providing Level II technical hardware and software support. They will facilitate and resolve a wide ... technical knowledge of hardware and software. The Technical Support Specialist will work independently and as part of a...and special events. * Manage and process Hardware warranty claims and issues, and facilitate warranty repairs with third… more
- Allied Universal (Miami, FL)
- …platform to claim open shifts at client sites + Support operations across a range of environments including commercial real estate, healthcare, and education ... we serve. As a **Security Professional - Unarmed Patrol Specialist CRE** in **Miami, FL** , you will serve...technology for real-time shift visibility and claiming. + Full-Time Benefits : Health insurance, 401(k) plans, and a comprehensive … more
- AmeriHealth Caritas (Miami, FL)
- …who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other ... Discover more about us at www.amerihealthcaritas.com **Role Overview:** The Contract Specialist connects our team, the health plan, and key stakeholders. In… more
- BayCare Health System (Clearwater, FL)
- …Requires deep understanding of gap closure specifications. + Knowledge of health plan operations , benefit coverage, and claims processing. Familiarity with ... working remotely?** Hybrid Equal Opportunity Employer Veterans/Disabled **Position** Grievance Specialist -Health Plan **Location** Clearwater:Park Place | Business and Administrative… more
- AssistRx (Maitland, FL)
- …transforming the patient support experience. Position Summary The Copay Accounting Specialist is responsible for managing the accounting, cash flow, and financial ... operations of AssistRx's copay and drug assistance programs. This...escrow and bank balances, promptly resolving discrepancies. + Reconcile claims , enrollments, and transaction details across financial and operational… more
- Mass Markets (FL)
- …companies in the USA, with a strong call center footprint and operations that extend across multiple countries. We deliver Customer Experience (CX), Business ... and budget-compliant project delivery. Partner with marketing, product, and operations teams to deliver contract-winning solutions. CANDIDATE QUALIFICATIONS WONDER… more
- Cardinal Health (Tallahassee, FL)
- …Account Receivable Specialist is responsible for verifying patient insurance and benefits , preparing and submitting claims to payers, correcting rejected ... claims using billing software including electronic and paper claim processing + Following up on unpaid claims...per hour - $32 per hour **Bonus eligible:** No ** Benefits :** Cardinal Health offers a wide variety of … 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)
- …years of experience working in the group health business preferred, particularly within claims processing or operations . + A demonstrated working knowledge of ... 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… more