- CVS Health (Tallahassee, FL)
- …And we do it all with heart, each and every day. **Position Summary** The Customer Service Representative is the face of Aetna and impacts members' service ... complex nature. CSR engages, consults and educates members based upon the member 's unique needs, preferences and understanding while using tools and resources… more
- CVS Health (Tallahassee, FL)
- …for high volume inbound provider calls for the Claims Inquiry/Claims Research Medicaid team. Extensive claims research on multiple platforms to assist providers with ... answer the unasked questions, eg, additional plan details, benefit plan details, provider self- service tools, etc. + Use customer service threshold framework to… more
- Humana (Tallahassee, FL)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ... experiences **Preferred Qualifications** + Proven knowledge in Medicare and Medicaid regulations + Certifications (BA, MBA, JD, MSN, Clinical Certifications,… more
- MyFlorida (Fort Pierce, FL)
- …. Requisition No: 859967 Agency: Department of Health Working Title: HEALTH SERVICES REPRESENTATIVE - 64057641 Pay Plan: Career Service Position Number: 64057641 ... HEALTH SERVICES REPRESENTATIVE - 64057641 Date: Sep 2, 2025 The...supporting documentation with each submission that includes character of service (for example, DD Form 214 Member … more
- Molina Healthcare (FL)
- …Molina healthcare policies and procedures while achieving the highest level of customer service . **Job Duties** This role serves as the primary point of contact ... that services Molina members, including but not limited to Fee-For- Service and Pay for Performance Providers. It is an...monthly site visit goals. A key responsibility of the Representative during these visits is to proactively engage with… more
- Humana (Tallahassee, FL)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ... our caring community and help us put health first** The Claims Processing Representative 2 adjudicates pharmacy claims and processes pharmacy claims for payment &… more
- Humana (Tallahassee, FL)
- …part of our caring community and help us put health first** The Appeals Representative 4 Investigates and resolves member and practitioner issues. manages client ... grievance, appeal or further request is warranted. The Appeals Representative 4 + Review documents + Building cases +...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and… more
- Molina Healthcare (Jacksonville, FL)
- …programs in accordance with all federal and state laws. The MTM Pharmacy Service Representative is responsible for performing outreach attempts and handle ... is current and up to date. + Effectively communicate general Medicare and Medicaid plan benefits to existing members. + Interact with appropriate primary care… more
- Molina Healthcare (Tampa, FL)
- …product and service information, and identifies opportunities to improve our member and provider experiences. **Job Duties** * Provide service support to ... **JOB DESCRIPTION** **Job Summary** Provides customer support and stellar service to meet the needs of our Molina members and providers. Resolves issues and… more
- Humana (Tallahassee, FL)
- … Medicaid drug strategies. + Works across multiple departments to support Medicaid drug list changes for member communications (monthly, quarterly, and ... line of business. + Serves as a key representative for Medicaid strategies across the organization....a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and… more