- Mass Markets (FL)
- …and retention. + Respond to customer inquiries regarding coverage, benefits, claims , and other insurance-related questions. + Maintain accurate and up-to-date ... including encrypted ones, are not allowed for accessing the clients Work at Home systems . + You must provide your own headset. Specific models will be recommended… more
- Mass Markets (FL)
- …will apply the latest customer service techniques and learn our account management systems while helping improve the customer experience during a difficult time. Key ... + Improve the customer's experience + Utilize our service techniques and systems + Escalate customer dissatisfaction to proper channels In addition to becoming… more
- Mass Markets (Tampa, FL)
- …payments, and inquiries. + Process transactions using toll operations back-office systems . + Handle customer complaints and escalate complex issues as needed. ... hours, including weekends and holidays. + Experience with non-cash payment processing systems . + Ability to troubleshoot and follow up on customer issues. +… more
- DOCTORS HEALTHCARE PLANS, INC. (Miami, FL)
- …policies and procedures. + Thoroughly document all member related interactions into system for purpose of accurate tracking and analysis. + Coordinate with various ... and type of assistance the caller needs such as benefits, eligibility and claims , and correspondence. + Complete Outbound Enrollment Verification (OEV) calls to new… more
- Molina Healthcare (Miami, FL)
- …of pharmacy prior authorization requests and/or appeals. * Explains point-of-sale claims adjudication, state, NCQA and CMS policies/guidelines, and any other ... and appeals. * Records calls accurately within the pharmacy call tracking system . * Maintains established pharmacy call quality and quantity standards. * Interacts… more
- Paychex (St. Petersburg, FL)
- …prescribed guidelines to ensure good customer relations are maintained and customer claims and complaints are resolved fairly, effectively, and in accordance with ... issue completion in compliance with established Service Level Agreements + Uses systems and software packages, which may include HRIS, Salesforce, Flex, Core… more
- Insight Global (Miami, FL)
- …to routine phone inquiries and written correspondence related to authorizations and claims status * Screens and routes complex cases to the appropriate manager ... * Navigates multiple systems to obtain necessary data to issue GOP's * Verify payments and/or denials as well as treatment authorization status and inform the… more
- Molina Healthcare (Miami, FL)
- …member eligibility and covered benefits, Provider Portal, and status of submitted claims . * Ability to effectively communicate in a professionally setting. **Job ... combination of education and experience **PREFERRED EXPERIENCE** : + 1-3 years + Preferred Systems Training: + Microsoft Office + Genesys + Salesforce + Pega + QNXT… more
- Lithia & Driveway (West Palm Beach, FL)
- … claim until its final resolution. + Contact the appropriate warranty claims representative regarding any claims requiring additional authorization or ... + Track, review, and process all returned, rejected, or adjusted claims until final resolution. + Communicate with manufacturer warranty representatives for… more
- Strategic Systems Programs Office (Cape Canaveral, FL)
- …to this flyer. Responsibilities You will serve as the Quality Assurance Representative (QAR) managing team activities, progress, and scheduling to ensure successful ... comprehensive technical quality surveillance and assessment for TRIDENT Strategic Weapons Systems (SWS) Fleet Ballistic Missile (FBM) program at Cape Canaveral. You… more