- Centene Corporation (Tallahassee, FL)
- …up accurately in the provider information system for state reporting, claims payment, and directories. Responsible for multiple state deliverables, network reporting ... and directories as well as claims payment resolution as it relates to provider set...offers a comprehensive benefits package including: competitive pay, health insurance , 401K and stock purchase plans, tuition reimbursement, paid… more
- TEKsystems (Miami, FL)
- Description The Technical Support Specialist is responsible for providing Level II technical hardware and software support. They will facilitate and resolve a wide ... technical knowledge of hardware and software. The Technical Support Specialist will work independently and as part of a...and special events. * Manage and process Hardware warranty claims and issues, and facilitate warranty repairs with third… more
- Southern Glazer's Wine and Spirits (Lakeland, FL)
- …dental and vision plans, tax-saving Flexible Spending Accounts, disability coverage, life insurance plans, and a 401(k) plan. We also offer tuition assistance, a ... grow with a company that truly cares about its people. **Overview** The EHS Specialist reports to the Director of EHS and supports Florida Southern Glazer's Wine &… more
- Collins Aerospace (Seminole, FL)
- …Heritage Raytheon programs Collins Aerospace is seeking a talented and driven Principal Specialist Material Program Manager (MPM) to join our Mission Systems team in ... customer communications and building a robust customer relationship + Supplier Claims /Request for Economical Adjustments (REA's) and mediation management + Conduct… more
- AssistRx (Maitland, FL)
- This role works directly with healthcare providers & insurance plans/payers to gather information about a patient's insurance and the coverage provided for a ... specific pharmaceutical product. The Patient Access Specialist will support the healthcare providers addressing questions regarding coding and billing and navigating… more
- Western Digital (Tallahassee, FL)
- …**Job Description** **Position Summary** We are looking for a **Retail Compliance Specialist ** to join the Western Digital Fulfillment Operations Team to be ... chargebacks, late deliveries, labeling errors, incorrect shipments. Review and validate claims received from retail partners to determine legitimacy and compliance… more
- Guidehouse (Tampa, FL)
- …plan when needed + Responsible for the daily resolution of assigned claims with applicable Revenue Integrity pre-bill edits and/or specific Revenue Integrity Hold ... and associated coding modifiers. + Responsible for daily resolution of assigned claims with Revenue Integrity specific denials in the Guidehouse METRIX℠ system. +… more
- BayCare Health System (Clearwater, FL)
- …+ Knowledge of health plan operations, benefit coverage, and claims processing. Familiarity with regulatory requirements governing grievance and appeal ... + Required - 3 years Customer Service (or similar) within a healthcare or insurance environment with HS/GED; Or - 1 year - Customer Service (or similar) within… more
- Centene Corporation (Tallahassee, FL)
- …fresh perspective on workplace flexibility. **Position Purpose:** The Senior Pharmacy Resolution Specialist will act as a subject matter expert and handles more ... calls with members and provider offices to provide resolution to claims (ie: additional information requests and medication determination updates) + Thoroughly… more
- AmeriHealth Caritas (Jacksonville, FL)
- …Discover more about us at www.amerihealthcaritas.com **Role Overview:** The Contract Specialist connects our team, the health plan, and key stakeholders. In ... and report compliance issues. + Maintain knowledge of Facets or other claims systems and relay contract corrections. + Communicate effectively and professionally… more