- Prime Therapeutics (Tallahassee, FL)
- …needs. + Provides clinical operations input and support of client specific claims processing programs, coordinates implementations of clinical projects and ... make. **Job Posting Title** Clinical Account Manager - Georgia PDL - Remote in Georgia **Job Description** Innovative business clinician accountable for building and… more
- Mass Markets (FL)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... ourselves as a trusted partner in the industry. We are looking for motivated Remote Call Center Sales Representatives to join our growing team. If you have a… more
- Prime Therapeutics (Tallahassee, FL)
- …Part D eligibility requirements, Part D plan designs, drug formularies, drug pricing, claims processing and reimbursements, True Out of Pocket expenditures, that ... we make. **Job Posting Title** Mgr Medicare Part D Pharmacy Programs - Remote , Pennsylvania **Job Description** Manages the coordination of benefits in the pharmacy… more
- Mass Markets (FL)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... MCI Federal Services (MFS), OnBrand24, The Sydney Call Center, Valor Intelligent Processing (VIP), BYC Aqua, EastWest BPO, TeleTechnology, and Vinculum. The purpose… more
- Mass Markets (FL)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... MCI Federal Services (MFS), OnBrand24, The Sydney Call Center, Valor Intelligent Processing (VIP), BYC Aqua, EastWest BPO, TeleTechnology, and Vinculum. The purpose… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …being asked to pay or offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed, this is not Otsuka. These ... claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Molina Healthcare (St. Petersburg, FL)
- …in Medicaid, Medicare, and Marketplace lines of business. + Familiarity with QNXT claims processing platform. + Knowledge of legal procedures related to complex ... across a wide range of subrogation case types-including automobile-related claims (eg, no-fault/PIP), workers' compensation, general liability, medical malpractice,… more
- Molina Healthcare (Jacksonville, FL)
- …of healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing , etc.) + Knowledge of healthcare financial terms ... executive decision-making + Mine and manage information from large data sources. + Analyze claims and other data sources to identify early signs of trends or other… more
- Mass Markets (Orlando, FL)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... to complete account management tasks + Accurately document and process customer claims in appropriate systems + Follow all required scripts, policies, and procedures… more
- AdventHealth (Altamonte Springs, FL)
- …Team of any coding or coding related issues that adversely impact the claims processing , coding accuracy, and compliance.e. Monitors the queue holds and ... understanding that together we are even better. **Job Location: Monday-Friday - Remote ** **The role you'll contribute:** Assigns codes to hospital inpatient accounts… more