- Adecco US, Inc. (Orlando, FL)
- …the FRM provides expert guidance on benefit investigations, prior authorizations, claims resolution, and appeals. This client- and customer-facing role requires ... high-impact reimbursement cases by overseeing benefit investigations, prior authorizations, claims escalations, and appeals, ensuring timely patient access. 3.… more
- Walgreens (Davie, FL)
- …questions to ensure a positive customer experience. + Models and shares customer service best practices with all team members to deliver a distinctive and delightful ... interpersonal habits (eg, greeting, eye contact, courtesy, etc.) and Walgreens service traits (eg, offering help proactively, identifying needs, servicing until… more
- Walgreens (Wellington, FL)
- …questions to ensure a positive customer experience. + Models and shares customer service best practices with all team members to deliver a distinctive and delightful ... interpersonal habits (eg, greeting, eye contact, courtesy, etc.) and Walgreens service traits (eg, offering help proactively, identifying needs, servicing until… more
- Walgreens (Aventura, FL)
- …questions to ensure a positive customer experience. + Models and shares customer service best practices with all team members to deliver a distinctive and delightful ... interpersonal habits (eg, greeting, eye contact, courtesy, etc.) and Walgreens service traits (eg, offering help proactively, identifying needs, servicing until… more
- AdventHealth (Altamonte Springs, FL)
- …counsel, and state/federal agencies in the resolution of employee relations issues. The service scope of the Employee Relations Manager may include, but may not be ... and co-workers with respect and dignity, aligning behavior with customer service principles, maintaining customer and patient confidentiality, abiding by employee… more
- Walgreens (Wellington, FL)
- …questions to ensure a positive customer experience. + Models and shares customer service best practices with all team members to deliver a distinctive and delightful ... interpersonal habits (eg, greeting, eye contact, courtesy, etc.) and Walgreens service traits (eg, offering help proactively, identifying needs, servicing until… more
- Humana (Tampa, FL)
- …operations for higher quality and operational efficiency. + Ensure enrollment and claims processes comply with regulatory requirements and guidelines. + Partner with ... (AEP). + Utilize tools such as Availity to streamline claims submission, eligibility verification, and authorization processes. + Directly...achieve their best health - delivering the care and service they need, when they need it. These efforts… more
- Sarasota County Government (Sarasota, FL)
- …with parties to encourage voluntary participation in mediation. + Facilitate small claims court proceedings and assign volunteers to mediate cases. + Schedule, ... Program Director and provide coverage for judges during small claims pre-trials, along with other duties as assigned. About...full-time employment with increasing accrual rates with years of service . (That adds up to a possible 30 days… more
- Humana (Tallahassee, FL)
- …closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid ... EAPG grouper logic + Experience processing or reviewing facility claims + Prior professional experience utilizing Microsoft Excel (eg...achieve their best health - delivering the care and service they need, when they need it. These efforts… more
- Devereux Advanced Behavioral Health (Orlando, FL)
- …charts, graphs and tables for data analysis. + Ensure accurate billing and claims submission for Medicaid, Managed Care, and other third-party payors + Hiring and ... and pursue timely collections. + Resolve denied or rejected claims , working closely with payors to ensure proper adjudication...off** (24 days per year, increase with years of service ); **Sick time** (64 hours per year) + **Retirement**… more