- Prime Therapeutics (Tallahassee, FL)
- …analysis to include 3 years of experience in Pharmacy Benefit Management (PBM), claims processing , healthcare, and/or related field + Previous experience using ... Recommend new and revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other relevant data of… more
- Prime Therapeutics (Tallahassee, FL)
- …analysis to include 3 years of experience in Pharmacy Benefit Management (PBM), claims processing , healthcare, and/or related field. + Previous experience using ... Recommend new and revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other relevant data of… more
- Prime Therapeutics (Tallahassee, FL)
- …needs. + Provides clinical operations input and support of client specific claims processing programs, coordinates implementations of clinical projects and ... assurance of Service Level Agreement performance, assurance of accuracy of claims payment and administrative policies, rate maximization through ongoing benefit… more
- Molina Healthcare (St. Petersburg, FL)
- …in Medicaid, Medicare, and Marketplace lines of business. + Familiarity with QNXT claims processing platform. + Knowledge of legal procedures related to complex ... across a wide range of subrogation case types-including automobile-related claims (eg, no-fault/PIP), workers' compensation, general liability, medical malpractice,… more
- Molina Healthcare (Jacksonville, FL)
- …of healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing , etc.) + Knowledge of healthcare financial terms ... executive decision-making + Mine and manage information from large data sources. + Analyze claims and other data sources to identify early signs of trends or other… more
- Mass Markets (FL)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... and retention. + Respond to customer inquiries regarding coverage, benefits, claims , and other insurance-related questions. + Maintain accurate and up-to-date… more
- Mass Markets (Orlando, FL)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... to complete account management tasks + Accurately document and process customer claims in appropriate systems + Follow all required scripts, policies, and procedures… more
- US Tech Solutions (Orlando, FL)
- …assists in the dispensing process by performing data entry, prescription preparation, claims processing , labeling, packaging, packing and delivery of medications ... and related services to patients. **Responsibilities:** + Entering and processing new and refill prescription orders, supply and equipment requests while maintaining… more
- Mass Markets (Tampa, FL)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... face and voice assisting customers with toll account issues, payment processing , and general inquiries. If you're detail-oriented, tech-savvy, and love working… more
- Mass Markets (Tampa, FL)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... In this role, you will assist with outstanding toll balances, payment processing , resolution of account discrepancies, general questions, and concerns. This is a… more