- 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
- 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
- Robert Half Accountemps (Miami, FL)
- …partners and internal teams to resolve customer concerns effectively. * Process claims , invoices, and enrollment requests with accuracy and efficiency. * Ensure ... suppliers, and internal teams. * Familiarity with billing, invoicing, and claims processing procedures. * Excellent communication skills, both verbal and written,… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …completion, Hospital privileges verification, System Award Management (SAM), Claims history, Accreditation (ancillary facilities), Site Visits and obtaining ... OIG reports, SAM report, Board certification, Hospital privileges verification, claims history, Accreditation (ancillary facilities), and obtaining additional information… more
- Truist (Orlando, FL)
- …guidelines. 2. Independently analyze, research, and support electronic payment cases/ claims /inquiries escalated by internal departments and client service centers to ... resolution. Claims /inquiries related to Regulation E are met in accordance...the division of Truist offering the position. Truist offers medical , dental, vision, life insurance, disability, accidental death and… more
- Mass Markets (FL)
- …sometimes even cars! + Health Benefits: Full-time employees are eligible for comprehensive medical , dental, and vision coverage after 60 days of employment, and all ... employees have access to MEC medical plans after just 30 days. Benefit options vary by location. + Retirement Savings: Secure your future with retirement savings… more
- Option Care Health (Tallahassee, FL)
- …on invoices submitted to ensure prompt and timely payment. Calls to verify that claims submitted were received and are in processing. Sends letters to the patient or ... internal equity and alignment with market data. Pay Range is $17.02-$28.38 **Benefits:** - Medical , Dental, & Vision Insurance -Paid Time off -Bonding Time Off -401K… more