- Mass Markets (FL)
- …a trusted partner in the industry. We are seeking a dynamic and experienced Training Specialist to join our team. This role is critical in ensuring that new hire ... sometimes even cars! + Health Benefits:Full-time employees are eligible for comprehensive medical , dental, and vision coverage after 60 days of employment, and all… more
- AssistRx (Maitland, FL)
- …coverage provided for a specific pharmaceutical product. The Patient Access Specialist will support the healthcare providers addressing questions regarding coding ... access + Document and initiate prior authorization process and claims appeals + Report any reimbursement trends or delays...patients Requirements + In-depth understanding and experience with Major Medical & Pharmacy Benefit Coverage + 2 to 3… more
- AssistRx (Orlando, FL)
- …provided for a specific pharmaceutical product. The Insurance Verification Specialist will support the healthcare providers addressing questions regarding coding ... access + Document and initiate prior authorization process and claims appeals + Report any reimbursement trends or delays...In-depth understanding and experience with Buy & Bill, Major Medical & Pharmacy Benefit Coverage. + 2 to 5… more
- Centene Corporation (Tallahassee, FL)
- …for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering ... perspective on workplace flexibility. **Position Purpose:** The Pharmacy Resolution Specialist receives and responds to calls from members, provider/physician's… more
- Devereux Advanced Behavioral Health (Orlando, FL)
- …and adults whose needs are extra ordinary. As a Contracts / Managed Care Specialist , you will: + Distribute monthly rosters to programs for updates on new hires, ... MMAs. + Coordinate with contract representatives and network providers to resolve claims issues. + Facilitate the credentialing process for new programs joining MMAs… more
- Molina Healthcare (FL)
- …and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system ... and FQHC/RHC reports. + Generates other provider-related reports, such as: claims report extractions; regularly scheduled reports related to Network Management (ER,… more
- Regions Bank (Jacksonville, FL)
- …Description:** At Regions, the Commercial Banking Solutions Relationship Support Specialist supports Commercial Banking Solutions Relationship Managers and their ... needed + Serves as point of contact for fraud claims and research requests which require escalation and investigation...Paid Vacation/Sick Time + 401K with Company Match + Medical , Dental and Vision Benefits + Disability Benefits +… more
- Molina Healthcare (FL)
- …to state and federal and Molina Healthcare guidelines. + Requests and obtains medical records, notes, and/or detailed bills as appropriate to assist with research. + ... and grievances. + Elevates appropriate appeals to the Appeals Specialist . + Generates and mails denial letters. + Assists...**C** **E:** + 1 year of Molina experience, health claims experience, OR one year of customer service/provider service… more
- Citigroup (Miami, FL)
- The Telesales Specialist role is a Client Service and Sales support position responsible for servicing and supporting internal and/or external clients primarily ... associate and will be treated with a closed loop process. + Ensures customer claims and complaints are handled in accordance with FINRA and firm policy. + Ensures… 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 ... written and verbal communication skills + Basic understanding of claims vocabulary + Investigative mindset (questioning the out of...High School diploma Benefits Include: + Full-time employment + Medical , dental and vision insurance + 401K + PTO… more