- City of Boca Raton (Boca Raton, FL)
- …+ Assists and advises employees on benefits matters regarding eligibility, claims resolution, coverage, and provisions. + Assist in coordinating and planning ... Healthcare Administration, Public or Business Administration, Human Resources, or a related field WITH + Four (4) years of progressively responsible experience in… more
- Molina Healthcare (Miami, FL)
- …and the Provider community that serves Molina members. It's an external-facing, field -based position requiring a high degree of job knowledge, communication, and ... **Required Experience** + 2 - 3 years customer service, provider service, or claims experience in a managed care setting. + Working familiarity with various managed… more
- Mass Markets (FL)
- …possess the below qualities: + Bachelor's degree in Business, Marketing, or related field ; MBA preferred + 10+ years of progressive sales experience, with at least ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more
- Mass Markets (FL)
- …+ Bachelor's degree or equivalent experience in business, communications, or related field . + 5+ years of leadership experience in sales, proposal writing, or ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more
- Monte Nido (Miami, FL)
- …with our client's insurance most successfully. + Communicate with billing regarding billing/ claims issues and status of single case agreements as needed. + ... + Master's Degree in Psychology, Social Work, Nursing, Nutrition, or mental health-related field required + At least one year of experience relating to insurance… more
- Raymond James Financial, Inc. (St. Petersburg, FL)
- **Job Summary:** Under limited supervision, uses specialized knowledge in (particular field or specialization) and skills obtained through experience and/or formal ... records for annuity contracts and life insurance held in Trust. . Files death claims on annuity, life and pension contracts as necessary. . Secures and confirms… more
- RWE Clean Energy (Tampa, FL)
- …+ Undergraduate Degree in Construction Management, Engineering, Business or related field + Project Management PMP certification preferred + Plan, monitor, and ... a team setting + Oversee Residential Business Workmanship warranty and production claims . + Negotiate with subcontractors or EPCs as appropriate **Job Requirements… more
- Elevance Health (Tampa, FL)
- …problem solving for members and providers related to access to care, vendors, claims or service issues, etc. **Minimum Requirements:** + Requires BA/BS in a health ... related field and minimum of 3 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. + Current,… more
- MyFlorida (Orlando, FL)
- …but are not limited to: fraud against the Medicaid Program, false claims against the Medicaid program, investigating possible criminal violations of any applicable ... chain-of-command delineated in MFCU SOP 2.02. This position will also require field deployment, possible staffing of the State Emergency Operations Center (SEOC),… more
- AssistRx (Maitland, FL)
- …to expedite patient access + Document and initiate prior authorization process and claims appeals + Report any reimbursement trends or delays in coverage to ... management + Act as a liaison for field representatives, health care providers and patients Requirements + In-depth understanding and experience with Major Medical &… more