- Prime Therapeutics (Tallahassee, FL)
- …drives every decision we make. **Job Posting Title** Business Intelligence Specialist - Sacramento, California market **Job Description** Delivers against business ... that may be in use in a Pharmacy Benefit Management setting ( Claims Processing, Prior Authorization, Telephony, Membership, etc.). + Consideration will be given… more
- AssistRx (Orlando, FL)
- …provided for a specific pharmaceutical product. The Insurance Verification Specialist will support the healthcare providers addressing questions regarding coding ... to expedite patient access + Document and initiate prior authorization process and claims appeals + Report any reimbursement trends or delays in coverage to… more
- GAP Solutions Inc (Tallahassee, FL)
- **Position Objective:** As a Junior Human Resource Specialist , apply HR skills in support of managers, program staff and customers on the full range of HR topics ... Assisting with drafting SOP's. + Processing personal liability insurance reimbursement claims . + Initiating tentative selection notifications, notice of results or… more
- Command Investigations (Lake Mary, FL)
- …business located in Lake Mary has an immediate need for a full-time Data Entry Specialist . In this role, you will be responsible for case referral intake from our ... Suite) + Excellent written and verbal communication skills + Basic understanding of claims vocabulary + Investigative mindset (questioning the out of place) + High… more
- Mass Markets (FL)
- …partner in the industry. We are seeking a detail-oriented and analytical Quality Assurance Specialist to join our team. This role is critical in ensuring the highest ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more
- Mass Markets (FL)
- …a trusted partner in the industry. We are seeking a dynamic and experienced Training Specialist to join our team. This role is critical in ensuring that new hire ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more
- Robert Half Accountemps (Miami, FL)
- …partners and internal teams to resolve customer concerns effectively. * Process claims , invoices, and enrollment requests with accuracy and efficiency. * Ensure ... suppliers, and internal teams. * Familiarity with billing, invoicing, and claims processing procedures. * Excellent communication skills, both verbal and written,… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …completion, Hospital privileges verification, System Award Management (SAM), Claims history, Accreditation (ancillary facilities), Site Visits and obtaining ... OIG reports, SAM report, Board certification, Hospital privileges verification, claims history, Accreditation (ancillary facilities), and obtaining additional information… more
- Truist (Orlando, FL)
- …guidelines. 2. Independently analyze, research, and support electronic payment cases/ claims /inquiries escalated by internal departments and client service centers to ... resolution. Claims /inquiries related to Regulation E are met in accordance with the CFPB (Consumer Finance Protection Board). 3. Adhere to department standards… more
- Sysco (Jacksonville, FL)
- …Finance. + KPI generation on brand fill rates, on time deliveries, customer claims + Management of brand limited time offerings, order guides, Sysco Shop compliance ... updates and coordination of onboarding for new brands + Assist and track all CMU events **QUALIFICATIONS** **Education** + HSD/GED, Bachelor's Degree preferred **Experience** + 4 years of sales related experience within the food industry. **Professional… more