- Walmart (Lady Lake, FL)
- …appropriately merchandising and completing required documentation Tracks and processes claims by returning damaged goods handling liquidation merchandise maintaining ... our Customers and Members Delivers results while putting the customer first Serve our Customers and Members Makes decisions...**-Paid time off benefits** include PTO, parental leave, family care leave, bereavement, jury duty, and voting. You will… more
- Humana (Tallahassee, FL)
- …+ Develop and recommend controls and cost-effective approaches to minimize claims processing risks. + Will perform advanced administrative/operational/ customer ... a part of our caring community and help us put health first** The Claims Risk Management Professional is responsible for ensuring payment quality of claims … more
- Surgery Care Affiliates (Jacksonville, FL)
- Overview At SCA Health, we believe health care is about people - the patients we serve, the physicians we support and the teammates who push us forward. Behind every ... our organization. As part of Optum, SCA Health is redefining specialty care by developing more accessible, patient-centered practice solutions for a network of… more
- Walmart (North Miami Beach, FL)
- …business objectives to teams effectively Models and demonstrates exceptional customer service standards to store associates by following and demonstrating ... the One Best Way OBWservice model managing and supporting customer service initiatives for example store of the community and community outreach programsensuring … more
- Cardinal Health (Doral, FL)
- **_What Customer Service Operations contributes to Cardinal Health_** Customer Service is responsible for establishing, maintaining and enhancing customer ... Collector is responsible for the timely follow-up and resolution of insurance claims . This role ensures accurate and efficient collection of outstanding balances… more
- Highmark Health (Tallahassee, FL)
- …+ High school diploma or GED + Experience in pharmacy prescription claims processing/submission/payment **Preferred** + Associate degree + Pharmacy technician ... completely in the appropriate systems. + Monitor member medication adherence through claims data analysis and other available resources. + Identify and resolve… more
- University of Miami (Miami, FL)
- …compensable events. + Facilitate resolution of complaints/grievances pertaining to quality-of- care issues. + Facilitate interventions as necessary with Patient ... and other regulatory agency reportable events and prepare submission for approval by Associate Medical Risk management Officer and the Chief Medical Risk Officer. +… more
- Walmart (Daytona Beach, FL)
- …programs (for example, Club Pick Up, Ship From Club, etc.); auditing on-line customer feedback; working to resolve customer complaints and escalating unresolved ... the ecommerce programs by training and providing resources to meet store associate needs; assigning duties; providing feedback; communicating goals; and ensuring … more
- Molina Healthcare (Miami, FL)
- …in FWA or related work. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION** : + Health Care Anti-Fraud Associate (HCAFA). + Accredited Health Care Fraud ... investigation, reporting, and when appropriate, recovery of money related to health care fraud, waste, and abuse. Duties include performing accurate and reliable… more
- Mass Markets (FL)
- …Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), ... operations management, excellent leadership abilities, and a passion for delivering exceptional customer service. To be considered for this role, you must complete a… more
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