- Humana (Tallahassee, FL)
- …part of our caring community and help us put health first** The Claims Research and Resolution Representative 2 manages claims operations that ... of both for and against the organization. The Claims Research & Resolution Representative 2 manages intakes with insurance companies, providers, members,… more
- Humana (Tallahassee, FL)
- …workflow and success of the Call Center * Assist Customer Service team with claims research / resolution *Assist with new hires training **Billing:** . Assist ... us put health first** Job Description Summary The Pharmacy Claims Representative assists local pharmacies with ...hospice to hospice . Assist Customer Service team with claims research / resolution via dispensing systems,… more
- HCA Healthcare (Miami, FL)
- …you want to join an organization that invests in you as a Medical Insurance Claims Specialist? At Parallon, you come first. HCA Healthcare has committed up to $300 ... difference. We are looking for a dedicated Medical Insurance Claims Specialist like you to be a part of...**Job Summary and Qualifications** As an **Insurance Follow up Representative ** , you will be responsible for processing insurance… more
- CHS (Clearwater, FL)
- …mandate a high level of service, including telephone service, accuracy, call resolution and satisfaction. TheMember and Provider Service Representative (MPSR) is ... **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
- AdventHealth (Tampa, FL)
- …a recognized leader in cardiovascular disease prevention, diagnosis, treatment and leading-edge research - caring for Tampa Bay's hearts for over 35 years. . ... The Kiran C. Patel Research Institute, also located at AdventHealth Tampa, leads the...all. Under general supervision, is responsible for processing insurance claims , expediting billing and payments for insurance claims… 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
- Cardinal Health (Tallahassee, FL)
- …and/or other services by acting as a liaison in problem-solving, research and problem/dispute resolution **Responsibilities:** + Conducts in-depth insurance ... customer business through contract administration, customer orders, and problem resolution . Customer Service Operations is responsible for providing outsourced… more
- Publix (Lakeland, FL)
- …operates, and + Associate of Risk Management designation or Certified Claims Representative Designation. **Zip Code:** 33811-3311 **Benefits Information:** + ... applicable laws and regulations. + Oversee the handling and resolution of claims to minimize legal risks...ensure effective and efficient legal support. + Conduct legal research and analysis to support decision-making and policy development.… more