- AssistRx (Maitland, FL)
- …provided for a specific pharmaceutical product. The Insurance Verification Specialist will support the healthcare providers addressing questions regarding coding ... to expedite patient access + Document and initiate prior authorization process and claims appeals + Report any reimbursement trends or delays in coverage to… more
- Command Investigations (Lake Mary, FL)
- …business located in Lake Mary has an immediate need for a full-time Data Entry Specialist . In this role, you will be responsible for case referral intake from our ... Suite) + Excellent written and verbal communication skills + Basic understanding of claims vocabulary + Investigative mindset (questioning the out of place) + High… more
- Molina Healthcare (Jacksonville, FL)
- …and FQHC/RHC reports. + Generates other provider-related reports, such as: claims report extractions; regularly scheduled reports related to Network Management (ER, ... + 3-5 years managed care experience, including 2+ years in Provider Claims and/or Provider Network Administration. + 3+ years' experience in Medical Terminology,… more
- Travelers Insurance Company (Orlando, FL)
- …professionals in multiple departments to assist with the timely resolution of claims , which may include: Properly documents claim files, including notes and diaries, ... and prepares claim documents for legal and medical reviews. Reports and assigns claims , and transitions closed files to and from off-site storage. Receives, sorts,… more
- Breakthru Beverage Group (Tampa, FL)
- …and/or compliance Ensure precise fulfillment, adequate inventory levels and accurate claims or vendor notices. + Review forecast data. Address critical fulfillment, ... delivery dates as needed. Troubleshoot undelivered orders. + Resolve freight claims , unpaid vendor notices and inventory exceptions. Manage unlisted and obsolete… more
- AdventHealth (Apopka, FL)
- …for all activities regarding Rx Plus Pharmacy's state licensed data entry, claims adjudication, prior authorization, pharmacy specialist , and technician quality ... prescription order intake of various media, technician quality assurance, claims adjudication and copay assistance, prior authorization, and prescription… more
- Molina Healthcare (FL)
- …credentialing database necessary for processing of recredentialing applications. * Reviews claims payment systems to determine provider status, as necessary. * ... Completes follow-up for provider files on 'watch' status, as necessary, following department guidelines and production goals. * Reviews and processes daily alerts for federal/state and license sanctions and exclusions reports to determine if providers have… more
- Acosta Group (Clearwater, FL)
- …to perform the essential duties. _Responsibilities With Regard to Workers' Compensation Claims :_ You are responsible for reporting all employment related injury you ... incur to your direct supervisor as soon as possible following an incident resulting in an injury. **QUALIFICATIONS** _Education/Experience:_ High school diploma or general education degree (GED); or one to three months' related experience and/or training; or… more
- Insight Global (Coleman, FL)
- …program coordination, medical coding or billing, appointment scheduling, medical claims processing, or administrative support within a medical office setting ... -Ability to obtain & maintain security clearance * Medical terminology, symbols, abbreviations * Security clearance (any level) * State or government work * Medical credentials or certification (helpful but not required) more
- NBC Universal (Orlando, FL)
- …departments - including Guest Experience, Guest Communications, Merchandise, Security, Legal/ Claims , Environmental Health & Safety, Digital & Technology, and ... third-party vendors. This position exercises independent judgment in managing key operational processes such as training coordination, scheduling, procurement, asset management, and compliance tracking to enhance efficiency and long-term planning. Serves as a… more