- Mass Markets (FL)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... MCI Federal Services (MFS), OnBrand24, The Sydney Call Center, Valor Intelligent Processing (VIP), BYC Aqua, EastWest BPO, TeleTechnology, and Vinculum. The purpose… more
- Mass Markets (FL)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... MCI Federal Services (MFS), OnBrand24, The Sydney Call Center, Valor Intelligent Processing (VIP), BYC Aqua, EastWest BPO, TeleTechnology, and Vinculum. The purpose… more
- Molina Healthcare (FL)
- …Medicare and Medicaid Services (CMS) standards. * Provides coordination and processing of pharmacy prior authorization requests and/or appeals. * Explains ... point-of-sale claims adjudication, state, NCQA and CMS policies/guidelines, and any other necessary information to providers, members and pharmacies. * Assists with… more
- Ryder System (Tallahassee, FL)
- …action plans if deficiencies are noted. Monitors staff's workflow to ensure accurate processing of claims , timely establishment of reserves, reviews and logs ... : **SUMMARY** This position supervises adjusters and directly handles claims within Ryder's self-insured, self-administered liability program. Oversees claim-handling… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- …is responsible for managing and identifying a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial ... + Manage and identify a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing...needs + Prepare and maintain reports and records for processing + Perform other tasks as assigned. + Follow… more
- Travelers Insurance Company (Orlando, FL)
- …Will You Do?** + CUSTOMER ENGAGEMENT: Serves as a customer service representative for the claim department by promptly and professionally addressing customer ... professionals in multiple departments to assist with the timely resolution of claims , which may include: Properly documents claim files, including notes and diaries,… more
- Sunrise Senior Living (Boca Raton, FL)
- …regulations. **Risk Management** + Partner with the department coordinators in the processing of light duty and worker's compensation claims in order ... Sunrise quality service standards. Key areas of responsibility include processing payroll, daily time and attendance and human resource...to expedite return to full duty, close the claims , promote positive team member relations, and to reduce… more
- MyFlorida (Tampa, FL)
- …service, sales of Lottery products, validation and payment of winning claims , preparation of promotional book inventory, and various administrative tasks. This ... validation and payments. + Serve as a customer service representative for calls made to the district office. +...office. + Pay/validation operator and assists players in completing claims in prizes greater than $599.00. + Primary or… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …in wider clinical development plans. + Serve as early-stage CMC representative of the department in effectively communicating program related updates, strategies, ... offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed,...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- GAP Solutions Inc (Tallahassee, FL)
- …into various personnel record systems. + Assisting with drafting SOP's. + Processing personal liability insurance reimbursement claims . + Initiating tentative ... of HR topics including but not limited to staffing, classification, processing , benefits, recruitment, compensation, SES programs, work life programs, policy and… more