- City of Jacksonville (Jacksonville, FL)
- Social Services Specialist Print (https://www.governmentjobs.com/careers/jacksonvillefl/jobs/newprint/5152917) Apply Social Services Specialist Location ... Services Department is actively seeking one (1) Social Services Specialist . Did you know as a City of Jacksonville...applications for benefits, social services, and public assistance and appeals of denial of such benefits, services, or assistance.… more
- Amgen (Tampa, FL)
- …other innovative, driven professionals in this meaningful role. **Benefit Verification Specialist / Pt. Enrollment** **Live** **What you will do** Let's do this! ... development, and valuable opportunities! **Job Overview:** The Benefits Verification Specialist assists in enabling access to progressive therapies that improve… more
- J&J Family of Companies (Jacksonville, FL)
- …We are searching for the best talent for Neuroscience Area Business Specialist to be in Jacksonville, FL. **About Neuroscience** Our expertise in Innovative ... of the way. Learn more at https://www.jnj.com/innovative-medicine **The Mood Area Business Specialist will:** + Educate doctors and staff in new and existing… more
- United Therapeutics (Melbourne, FL)
- …which transplant is not currently an option. The Access & Support Specialist provides limited reimbursement support services to healthcare providers and patients in ... to effectively handle questions pertaining to prior authorizations, denials and appeals + Essential telephone and electronic communication skills + Demonstrated… more
- MetLife (Tampa, FL)
- …provisions. These calls are used to gather essential details regarding medical condition(s) and treatment, occupational demands, financial information and any other ... attorneys, clinical/vocational consultants as needed to gather data such as medical /occupational information in order to ensure reasonable, thorough decisions. *… more
- HCA Healthcare (Aventura, FL)
- …and action taken on the account in accordance with policies and procedures. The Specialist will escalate medical review request and/or denial activities to the ... that invests in you as an Inpatient Authorization Review Specialist ? At Parallon you come first. HCA Healthcare has...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
- Evolent (Tallahassee, FL)
- …in a non-clinical setting? Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in interventional ... endovascular procedures, implantable cardiac devices, etc) that do not initially meet medical necessity guidelines or require further evaluation by a subject matter… more
- BrightStar Care (Naples, FL)
- …Collier counties for 19 years . We are looking for the an experienced medical Billing and Payroll Specialist . Responsibilities include weekly processing of ... billing and payroll.. Managing Authorizations , appeals and re- submission of claims . Posting cash...Bereavement pay * 401(k) Employer matching * Insurance: * Medical * Dental * Vision * Mileage Reimbursement for… more
- CVS Health (Tallahassee, FL)
- …within budgeted costs. **What you will do** + Acts as a top-level specialist on project management and develops a comprehensive plan that encompasses objectives, ... Product Experience + Experience with Part D Coverage Determination, Appeals and Grievances and/or Formulary Administration regulatory requirements and audit… more
- Bristol Myers Squibb (Tampa, FL)
- …for escalation and resolution of Tier 2 queries, plan interpretation and appeals . + Responsible for ensuring internal processes are documented and updated versions ... Workday, ServiceNow, ADP and vendor management. + Certified Employee Benefits Specialist (CEBS) or equivalent Industry designation, preferred. \#LI-Hybrid If you… more