- Humana (Tallahassee, FL)
- …part of our caring community and help us put health first** The Claims Research & Resolution Representative 2 manages claims operations that involve ... the resolution to a pending call.** The Claims Research & Resolution Representative 2 works with insurance companies, providers, members, and… more
- Intermountain Health (Tallahassee, FL)
- …payments to patient accounts, using both electronic and manual posting systems + Research , validate and make adjustments to payment postings. Follow up in accordance ... procedures and policies with an overall goal of account resolution + Post correspondence, zero payments, denials and any...additional items received from insurance to patient accounts + Research and follow-up on missing information, such as EOB… more
- CHS (Clearwater, FL)
- …call resolution and satisfaction. The Member and Provider Service Representative (MPSR) is critical to PAS' success, effectively and efficiently handling calls ... **Overview** ** ** **Medical Insurance Call Center Representative | Member and Provider Services Representative...Supervisor. + For any calls or correspondence where additional research is necessary, clearly explaining to the caller the… more
- Molina Healthcare (Miami, FL)
- …member/provider impact and engagement including: Appeals and Grievances, Problem Research and Resolution , and the development/maintenance of Member/Provider ... of the call/ issue and following it through to resolution , on behalf of the customer, in real time...wide variety of inquiries and assistance involving their benefits, claims , premiums, and other areas including very complex issues.… more
- University of Miami (Miami, FL)
- … Representative 1 to work in Miami, FL. The Clinical Business Operations Representative 1 facilitates the prompt resolution of problems related to pre and ... necessary patient care and records. The Clinical Business Operations Representative 1 assists patients in a courteous, efficient and...work queues and resolve pending information in order for claims to be released to billing division. + Obtain… more
- Mass Markets (FL)
- …Listen to customers, understand their needs, and resolve customer issues + Research systems to find missing information; coordinate with other departments to resolve ... information + Escalate customer issues to the appropriate staff and managerial for resolution as needed + Attend meetings and training and review all new training… more
- Mass Markets (FL)
- …Listen to customers, understand their needs, and resolve customer issues + Research systems to find missing information as applicable; coordinate with other ... account management tasks + Accurately document and process customer claims in appropriate systems + Follow all required scripts,...customer issues to the appropriate staff and managerial for resolution as needed. + Ensure first call resolution… more
- Mass Markets (Tampa, FL)
- …Listen to customers, understand their needs, and resolve customer issues + Research systems to find missing information as applicable; coordinate with other ... account management tasks + Accurately document and process customer claims in appropriate systems + Follow all required scripts,...customer issues to the appropriate staff and managerial for resolution as needed. + Ensure first call resolution… more
- Mass Markets (FL)
- …video, and voice (VoIP Phone) service disruptions with a focus on first call resolution by problem solving and effective call handling + Ownership of resolving the ... reason for contacting Tech Support + Leverage multiple systems to research and troubleshoot service disruptions; coordinate with other departments to resolve… more
- Point32Health (FL)
- …regulatory requirements + Manage the collection of documents and records (medical, claims , administrative) needed to fully research the appeal or complaint ... works collaboratively with the member and/or the member's authorized representative and must demonstrate superior customer service and benefit interpretation… more