• Bilingual Inbound Toll Collections Agent…

    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 (05/28/25)
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  • Bilingual Toll Collection Agent

    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
    Mass Markets (05/28/25)
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  • Junior Accountant

    Mass Markets (FL)
    …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... + Identifying and resolving payment discrepancies during daily reconciliations. + Processing daily payment returns and keying payments efficiently. + Ensuring the… more
    Mass Markets (07/31/25)
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  • Business Analyst Staff

    Intermountain Health (Tallahassee, FL)
    …New York, Rhode Island, Vermont, and Washington. **Minimum Qualifications** + 5-8 years claims processing or system set-up experience, managed care preferred + ... Central Business Unit (CBU) and performs moderate to complex tasks within our claims platform. This position may interface with system architects and corporate staff… more
    Intermountain Health (08/16/25)
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  • Nurse Audit Manager

    Humana (Tallahassee, FL)
    …Coder or coding knowledge. + Claims knowledge and understanding of claims processing . **Additional Information** + **Workstyle:** Remote, work from home. + ... **Typical Work days/hours:** Monday - Friday, 8:00am - 5:00pm EST. + **Direct Reports:** approximately 7 on-shore, 22 off-shore associates. **WAH Internet** To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet… more
    Humana (08/13/25)
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  • Fraud and Waste Investigator

    Humana (Tallahassee, FL)
    …Clinical Certifications, CPC, CCS, CFE, AHFI). * Understanding of healthcare industry, claims processing and investigative process development. * Experience in a ... Chart Review/Insurance Billing) or Internal/External Audit or Regulatory/Compliance OR Claims Investigations or Criminal Investigation/White Collar Crime); interacting with… more
    Humana (08/08/25)
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  • Manager, Risk & Compliance

    LCEC (North Fort Myers, FL)
    …liability, workers' compensation, cyber, and auto coverage. Oversee insurance renewals, claims processing , broker relationships, and cost analysis + Manage ... management skills (Required) + Experience working with insurance markets and claims processes. (Required) + Knowledge of risk assessment methodologies, internal… more
    LCEC (08/03/25)
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  • Associate Customer Account Specialist

    NextEra Energy (Miami, FL)
    …Responsibilities * Receives inbound calls and responds to customer requests, inquiries, claims processing inquires, billing or claim disputes. * Handle ... FPLES team, you will be responsible for assisting customer with filing claims , providing detailed explanations of services or products, listening to customers… more
    NextEra Energy (07/31/25)
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  • Dispute Repricing Analyst

    CVS Health (Tallahassee, FL)
    …analytical, critical-thinking, and problem-solving skills. **Preferred Qualifications** + Claims processing experience. + Customer service experience. ... and responding to provider participation and pricing inquiries. + Analyze post-paid healthcare claims as it relates to pricing needs. + Apply in-depth research to… more
    CVS Health (07/25/25)
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  • Mgr Medicare Part D Pharmacy Programs - Remote,…

    Prime Therapeutics (Tallahassee, FL)
    …Part D eligibility requirements, Part D plan designs, drug formularies, drug pricing, claims processing and reimbursements, True Out of Pocket expenditures, that ... are not limited to premium amounts, late enrollment penalties, and reimbursement of drug claims . + Ensures the accuracy of payments to Part D sponsors. + Resolves… more
    Prime Therapeutics (07/24/25)
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