- AssistRx (Orlando, FL)
- …claim reimbursement, Sites of Care and Health Care Providers. The Copay Support/ Claims Processing Specialist will adjudication , troubleshoot claim ... The Copay Support/ Claims Processing Specialist is a critical...discrepancies (missing info and duplicates) + Partners with claim adjudication vendors ensure proper claims processing and… more
- CVS Health (Tallahassee, FL)
- …inquiries and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication authority or ... day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject… more
- AdventHealth (Apopka, FL)
- …for all activities regarding Rx Plus Pharmacy's state licensed data entry, claims adjudication , prior authorization, pharmacy specialist , and technician ... of prescription order intake of various media, technician quality assurance, claims adjudication and copay assistance, prior authorization, and prescription… more
- Zelis (St. Petersburg, FL)
- …and the personal interests that shape who you are. Position Overview The Client Policy Specialist is a client facing role that will act as the subject matter expert ... support of the growth, and expansion of assigned clients. The Client Policy Specialist will lead the sales overview discussion of new/existing opportunities for the… more
- US Army Corps of Engineers (Jacksonville, FL)
- Summary About the Position: Serve as a Realty Specialist in the Real Estate Division's located in Jacksonville, Florida. You will provide realty support to the ... real estate-related support for utility relocations. Review crediting and reimbursement claims submitted by the non-federal sponsor for completeness, accuracy, and… more
- Molina Healthcare (FL)
- …Partners to ensure resolution within 30 days of error issuance. * Evaluates the adjudication of claims using standard principles and state specific policies and ... clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it pertains… more
- Datavant (Tallahassee, FL)
- …and life experiences to realize our bold vision for healthcare. The Specialist is responsible for identifying, analyzing, and resolving claim denials across the ... practices, and proficiency in multiple electronic systems and software tools. The specialist serves as a key liaison between coding, billing, utilization review,… more
- MyFlorida (Miami, FL)
- …THIS IS AN OPS POSITION TITLE: OPS MEDICAL DISABILITY CASE RECORD SPECIALIST POSITION LOCATION: MIAMI/DADE COUNTY POSITION #: 64858448 SALARY: $18.40/Per hour Your ... records management activities relating to Social Security and Medically Needy disability claims . This includes receipt from the Social Security field offices and… more
- MyFlorida (Tallahassee, FL)
- …issues and the chargeability of employer accounts for benefit payments on claims . This may be accomplished telephonically, through written correspondence, or through ... of first payments when potential issues are detected on initial or additional claims . This is accomplished through tracking the assigned claim load and utilizing the… more