- Molina Healthcare (St. Petersburg, FL)
- …rejections. Address a variety of enrollment questions or concerns received via claims , call tracking, or e-mail. Maintain records in the enrollment database. ... oversight of data entered through both automated process and manual input + Ensure quality control of data entered into QNXT and sent to external vendors + Oversees… more
- Mass Markets (FL)
- …regulations. + Identify and implement process enhancements to improve efficiency and service quality . + Lead and mentor a team of managers, supervisors, and call ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more
- University of Miami (North Miami, FL)
- …of Miami UHealth at SoLe Mia opening September 2025, will bring high- quality academic medicine to North Miami, Aventura, and surrounding communities.Our expert team ... listed in patient's account with accurate subscriber information, policy number, and claims address and plan order. + Completes the checklist and document co-pay.… more
- AssistRx (Orlando, FL)
- …and procedures; in a manner that provides the best level of service and quality + Conduct benefit investigations for patients by making outbound phone call to payers ... to expedite patient access + Document and initiate prior authorization process and claims appeals + Report any reimbursement trends or delays in coverage to… more
- LogixHealth (Dania, FL)
- …services, offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting dashboards for clients ... valuable financial, clinical, and other data insights that directly improve the quality and efficiency of patient care. At LogixHealth, we're committed to Making… more
- The Cigna Group (Tampa, FL)
- …of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales ... + Creates and manages initiatives that improve total medical cost and quality . + Drives change with external provider partners by assessing clinical informatics… more
- Prime Therapeutics (Tallahassee, FL)
- …Team and guidance to the Accounting, Finance, Information Technology and Claims operation functions. **Responsibilities** + Develop, manage, and advance complex ... for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members. If you are looking to advance… more
- Exl Service (Jacksonville, FL)
- …excellent communication skills, computer proficiency, and a commitment to meeting client quality and timeliness standards. Those with these skills as well as ... Control + Commercial Lines Property/Casualty Underwriting + Commercial Lines Property/Casualty Claims Adjuster + Commercial insurance inspections + Fire and Life… more
- Saia, Inc (West Palm Beach, FL)
- …for both loading and unloading trailers. + Follows established bill and quality control procedures to ensure timely, claims -free, and cost-efficient shipments. ... + Logs, reports, and processes any shortages and damages to freight. + Promotes and maintains a safe and clean work environment. **Preferred Qualifications** + High school diploma or GED. + Warehouse, freight, dock, forklift, or pallet jack experience. +… more
- The Cigna Group (Sunrise, FL)
- …of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales ... competitive position. + Supports initiatives that improve total medical cost and quality . + Drives change with external provider partners by offering consultative… more