• Prior Authorization Technician - Remote

    Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
    …change as determined by the needs of the business. BENEFITS for full time employees + Medical , Dental, and Vision insurance + 401 (k) (available for Part Time & ... for managing and identifying a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing...by working with national Medicare D plans, third party insurance companies, and all state Medicaid plans to ensure… more
    Polaris Pharmacy Services, LLC (09/04/25)
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  • Human Resources Generalist

    Select Medical (Pensacola, FL)
    …$50K-$65K (based on experience)** At Select Specialty Hospitals, a division of Select Medical , we care for chronically and critically ill or post-ICU patients who ... require extended hospital care. Select Medical employs over 48,000 people across the country and...compliance purposes. + Processing and maintaining all workers' compensation claims , unemployment requests, FMLA and leaves of absences. +… more
    Select Medical (08/09/25)
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  • Patient Medical Collection Specialist

    Butterfly Effects (Deerfield Beach, FL)
    …a related healthcare administrative role preferred. + Experience with electronic medical records and insurance verification preferred. + Excellent interpersonal ... of a purpose-driven healthcare team? Butterfly Effects is looking for a Patient Medical Collection Specialist to join our team at our corporate office in Deerfield… more
    Butterfly Effects (08/21/25)
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  • Employee Benefits Account Manager- Select

    HUB International (Gainesville, FL)
    …and organization. We offer: + Competitive salaries and benefits offerings + Medical /dental/vision insurance and voluntary insurance options + Health ... claims or coverage concerns. + Assist advisor in insurance business, quotes, and other such matters as may...proper documentation and filing of correspondence and activity with insurance company and insured on problem claims .… more
    HUB International (06/18/25)
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  • Medical Management Coordinator, RN

    DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
    …MCG(R) screening criteria. Responsibilities: + Manages appropriate cases that require medical necessity review such as home care, elective inpatient and outpatient ... requests. + Reviews cases referred by the prior-authorization non-clinical medical management coordinator and pre-certification technician staff according to member… more
    DOCTORS HEALTHCARE PLANS, INC. (08/26/25)
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  • Acct Rep I-Billing/Coll/Den

    AdventHealth (Maitland, FL)
    …Processes administrative and Medical appeals, refunds, reinstatements and rejections of insurance claims with the oversight of the Supervisor and/or Manager ... and billing insurance in a timely manner. Reviews assigned electronic claims and submission reports. Resolves and resubmits rejected claims appropriately as… more
    AdventHealth (09/03/25)
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  • Technician, Workers' Compensation

    Polk County Public Schools (Bartow, FL)
    …and risk management administration. This position gathers information, reviews claims , communicates and coordinates information to third-party administrators (TPA), ... ensure timely payment of indemnity benefits and settlement of claims . * Updates Payroll personnel on employee workers' compensation...to In Line of Duty Days. * Ensures all insurance refund checks are deposited and recorded according to… more
    Polk County Public Schools (08/29/25)
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  • Manager, Case Management, MD

    Carnival Cruise Line (Miami, FL)
    …to assess fitness for duty per International Maritime Health standards. + **Crew Medical Claims Management** + Escalate high-risk crew cases to risk management, ... reviewing care plans, coordinating with internal stakeholders, supporting disability claims , and facilitating return-to-work planning. The Manager also escalates… more
    Carnival Cruise Line (08/29/25)
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  • Executive General Adjuster - Southeast Region

    Sedgwick (Miami, FL)
    …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Executive General Adjuster - Southeast Region **PRIMARY PURPOSE** **:** To ... investigate losses or claims internationally on any size National Account (Maintaining a...total combined anticipated revenue of at least $500,000) against insurance or other companies for personal, casualty, or property… more
    Sedgwick (06/29/25)
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  • (USA) Asset Protection Operations Coach

    Walmart (La Belle, FL)
    …Manages facilitylevel training and execution of asset protection safety and claims and receiving procedures by reviewing the application of policiesprocedures ... Determines training needs Develops and delivers training as needed Manages claims and receiving operations by ensuring proper policies and procedures are… more
    Walmart (08/30/25)
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