• Appeals & Grievances Specialist…

    Molina Healthcare (Miami, FL)
    …**Essential Job Duties** * Facilitates comprehensive research and resolution of appeals , disputes, grievances, and/or complaints from Molina members, providers, and ... to ensure that internal and/or regulatory timelines are met. * Researches claims appeals and grievances using support systems to determine appropriate appeals … more
    Molina Healthcare (12/14/25)
    - Related Jobs

  • Lead Specialist , Appeals…

    Molina Healthcare (FL)
    …* Serves as team lead for submission, intervention and resolution of appeals , grievances, and/or complaints from Molina members, providers and related outside ... and provides guidance to others with respect to complex appeals and grievances. * Researches and resolves escalated issues...etc. for use in presentations and audits; researches claims appeals and grievances using support systems to determine … more
    Molina Healthcare (01/18/26)
    - Related Jobs

  • Associate Specialist , Appeals…

    Molina Healthcare (FL)
    …Services (CMS). **Essential Job Duties** * Enters denials and requests for appeals into information system and prepares documentation for further review. * ... systems and other available resources. * Assures timeliness and appropriateness of appeals according to state, federal and Molina guidelines. * Requests and obtains… more
    Molina Healthcare (01/17/26)
    - Related Jobs

  • Accounts Receivable Specialist (remote)

    Cognizant (Tallahassee, FL)
    **Accounts Receivable Specialist (remote)** This is a remote position open to any qualified applicant in the United States. **Summary:** In this role the successful ... basket and follow up at regular intervals to collect outstanding Knowledge in writing appeals and following thru appeals process Resolve accounts to get paid… more
    Cognizant (01/16/26)
    - Related Jobs

  • Charge Entry Specialist

    HCA Healthcare (Tampa, FL)
    …We care like family! Jump-start your career as a(an) Charge Entry Specialist today with HCA FL Endocrine Institute. **Benefits** HCA FL Endocrine Institute ... location._** Come join our team as a(an) Charge Entry Specialist . We care for our community! Just last year,...quality issues with registration and scheduling activities + Initiate appeals when necessary + Ability to identify and correct… more
    HCA Healthcare (12/13/25)
    - Related Jobs

  • Bilingual Patient Access Specialist…

    AssistRx (Orlando, FL)
    …that they need. A Day in the Life as a Bilingual Patient Access Specialist : This role works directly with healthcare providers & insurance plans/payers to gather ... provided for a specific pharmaceutical product. The Bilingual Patient Access Specialist will support the healthcare providers addressing questions regarding coding… more
    AssistRx (11/02/25)
    - Related Jobs

  • Patient Access Specialist - Specialty…

    AssistRx (Maitland, FL)
    …coverage provided for a specific pharmaceutical product. The Patient Access Specialist will support the healthcare providers addressing questions regarding coding ... (PA) for an assigned caseload and helps navigate the appeals process to access medications. + Ensure cases move...+ Document and initiate prior authorization process and claims appeals + Report any reimbursement trends or delays in… more
    AssistRx (12/14/25)
    - Related Jobs

  • Insurance Verification Specialist

    AssistRx (Maitland, FL)
    …provided for a specific pharmaceutical product. The Insurance Verification Specialist will support the healthcare providers addressing questions regarding coding ... (PA) for an assigned caseload and helps navigate the appeals process to access medications. + Ensure cases move...+ Document and initiate prior authorization process and claims appeals + Report any reimbursement trends or delays in… more
    AssistRx (12/14/25)
    - Related Jobs

  • Revenue Specialist II

    MyFlorida (Miami, FL)
    REVENUE SPECIALIST II - 60023826 Date: Jan 12, 2026 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... No: 868138 Agency: Children and Families Working Title: REVENUE SPECIALIST II - 60023826 Pay Plan: Career Service Position...statements, and general inquiries. + Follow-up on court or Appeals Hearings to ensure decisions are updated on the… more
    MyFlorida (01/13/26)
    - Related Jobs

  • Clinical Denial Coding Review Specialist

    HCA Healthcare (Ocala, FL)
    …Do you have the career opportunities as a Clinical Denial Coding Review Specialist you want with your current employer? We have an exciting opportunity for ... of colleagues. Do you want to work as a Clinical Denial Coding Review Specialist where your passion for creating positive patient interactions is valued? If you are… more
    HCA Healthcare (12/17/25)
    - Related Jobs