- Highmark Health (Tallahassee, FL)
- …dental offices. Formally present and effectively communicate UCD's administrative and claim guidelines and policies, benefits of participation, fee schedules, plan ... to ensure they utilize various means of automated communication, as well as, claims and electronic data interchange and electronic funds transfer. Collaborate with … more
- J&J Family of Companies (Jacksonville, FL)
- …health for humanity. Learn more at https://www.jnj.com **Job Function:** Pharmaceutical Sales **Job Sub** **Function:** Sales - Neuroscience (Commission) **Job ... processes (ie, eligibility and benefit verification, pre-authorization, billing, coding, claims , and appeals/grievances); REMs certification; Medicare and Medicaid rules… more
- Highmark Health (Tallahassee, FL)
- …:** Highmark Health **Job Description :** **JOB SUMMARY:** This job collaborates with Sales Client Management and the Sales Executive team. The position will ... with AHN or other community providers and providing assistance with resolving claim or billing issues.Educate members about access to comprehensiveclinical care and… more
- Highmark Health (Tallahassee, FL)
- …to several functions, including insurance premium and pricing development, claim trend analysis, experience studies, medical economics, profitability analysis, ... wellness studies, predictive modeling, benefit benchmarking, claim reserving and strategic client support that is both client facing and supportive to Sales … more
- Bombardier (Opa Locka, FL)
- …system updates and close the work order + Manage OEM invoice disputes and claims (from claim filing to resolving disputes and securing payments) + Support ... the team?** + Adhere to General Work Requirements + Review and analyze sales proposal to ensure that commitments for flat rates, special incentives, requirements for… more
- Robert Half Office Team (Boca Raton, FL)
- …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 ... satisfy customer needs and timelines. * Serve the internal Sales team with customer needs and requests. * Maintain client confidentiality and account security… more
- Amgen (Miami, FL)
- …access + Investigate access challenges pre and post-infusion to include support for denied claims and claim reviews + Partner with Safety and PV and report ... team environment and manage communication with case Liaisons and sales reps. + Ability to respond immediately when necessary...+ A discretionary annual bonus program, or for field sales representatives, a sales -based incentive plan +… more
- Towne Park (Miami Beach, FL)
- …the ability to positively move the metrics for forecasting, productivity, claims , customer service, and turnover. Manages payroll and ensures that controls ... have been adequately trained in safety and loss prevention procedures. Ensures claims are reported timely and accurately and cooperates with the Risk Management… more
- Highmark Health (Tallahassee, FL)
- …rates utilizing Company rating algorithms, adjusting accordingly to cover questionable claim patterns or unusual situations not otherwise contemplated within the ... Process Analyst role or experience in a related operational area (eg claims , billing, customer service, etc.) **Preferred** + Experience in a financial analysis,… more
- Cognizant (Tallahassee, FL)
- …requirements within CRM Analytics . Ability to troubleshoot and navigate within Salesforce, including Sales Cloud and Claim Vantage . Nice to have Skills : ... Claims vantage, SQL or Snowflake **Salary and Other Compensation:** Applications will be accepted until 12/05/2025. The annual salary for this position is between $ 80,000- $ 130,000 depending on experience and other qualifications of the successful… more