- Towne Park (Miami Beach, FL)
- …- 15% Understands and drives business metrics for forecasting, productivity, claims , customer service, and turnover. Ensures all associates accurately identify and ... PHYSICAL DEMANDS** _The_ **_working conditions and physical demands_** _described here are representative of those that must be met by an associate to_… more
- Sedgwick (Miami, FL)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative - Workers Compensation | Jurisdiction: Multi State | ... or equivalent combination of education and experience or successful completion of Claims Representative training required. Jurisdiction: Multi State - 15 states… more
- Sedgwick (Miami, FL)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative - Workers Compensation (REMOTE- State License Required)) Are ... or equivalent combination of education and experience or successful completion of Claims Representative training required. **TAKING CARE OF YOU** + Flexible… more
- Elevance Health (Miami, FL)
- ** Claims Representative I** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... Friday, 8:30 am - 5:00 pm EST The **Claim Representative I** is responsible for successfully completing the required...for technical accuracy and soundness. + Codes and processes claims forms for payment ensuring all information is supplied… more
- IQVIA (Miami, FL)
- **Patient Support Medical Claims Processing Representative ** _Contract Remote Role - Location (Open to Remote US)_ As the only global provider of commercial ... are looking for a 100% remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative ** to join our team. In this position, you… more
- University of Miami (Miami, FL)
- …of Neurological Surgery is currently seeking a full time Sr. Patient Accounts Representative to work in Miami, FL. The Senior Patient Accounts Representative ... source is billed and collected appropriately. The Senior Patient Accounts Representative uses advanced knowledge of billing procedures and coding expertise to… more
- Sedgwick (Miami, FL)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Client Service Representative (REMOTE) Are you looking for an opportunity to join a global ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating… more
- University of Miami (Miami, FL)
- …of Dermatology has an exciting opportunity for a full-time Clinical Business Operations Representative 1 to work in Miami, FL. The Clinical Business Operations ... Representative 1 facilitates the prompt resolution of problems related...work queues and resolve pending information in order for claims to be released to billing division. + Obtain… more
- University of Miami (Medley, FL)
- …Business Office has an exciting opportunity for a full-time Insurance Verification Representative to work remotely. CORE RESPONSIBILITIES + Accounts are completed in ... listed in patient's account with accurate subscriber information, policy number, and claims address and plan order. + Completes the checklist and document co-pay.… more
- Elevance Health (Miami, FL)
- **Utilization Management Representative I** **Location** : This role enables associates to work virtually full-time, with the exception of required in-person ... may require reporting to the nearest office.** The **Utilization Management Representative I** is responsible for coordinating cases for precertification and prior… more
- Elevance Health (Miami, FL)
- **Utilization Management Representative II** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training ... accommodation is granted as required by law._ The **Utilization Management Representative II** is responsible for managing incoming calls, including triage, opening… more
- Elevance Health (Miami, FL)
- **Utilization Management Representative I** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training ... an accommodation is granted as required by law._ The **Utilization Management Representative I** will be responsible for coordinating cases for precertification and… more
- Molina Healthcare (Miami, FL)
- …or exceed the Plan's monthly site visit goals. A key responsibility of the Representative during these visits is to proactively engage with the provider and staff to ... arise, making an assessment when escalation to a Senior Representative , Supervisor, or another Molina department is needed. Takes...2 - 3 years customer service, provider service, or claims experience in a managed care setting. + Working… more
- 1-800 Water Damage (Miami Gardens, FL)
- Sales Representative Full Time * Hybrid - US Company Overview 1-800 WATER DAMAGE is a trusted property restoration company serving customer across the nation. With ... insured for your safety. Job Summary The ideal Sales Representative should have mold remediation and water damage experience,...to speak with homeowners and walk them through the claims process for water damage and mold remediation. Make… more
- University of Miami (North Miami, FL)
- …UHealth SoLe Mia has an exciting opportunity for a full-time Insurance Verification Representative to work remotely. CORE JOB SUMMARY The individual in this position ... listed in patient's account with accurate subscriber information, policy number, and claims address and plan order. + Completes the checklist and document co-pay.… more
- DOCTORS HEALTHCARE PLANS, INC. (Miami, FL)
- …a supportive team, this role is for you. As a Member Services Representative , you'll help members understand their healthcare benefits, access care, and feel ... from members, caregivers, and providers + Help with questions about benefits, eligibility, claims , and enrollment + Resolve most questions on the first contact; work… more
- Insight Global (Miami, FL)
- …to routine phone inquiries and written correspondence related to authorizations and claims status * Screens and routes complex cases to the appropriate manager ... * Navigates multiple systems to obtain necessary data to issue GOP's * Verify payments and/or denials as well as treatment authorization status and inform the appropriate party accordingly We are a company committed to creating diverse and inclusive… more
- Molina Healthcare (Miami, FL)
- …setting. **Required Experience** + 3 - 5 years customer service, provider service, or claims experience in a managed care setting. + 3-5 years' experience in managed ... healthcare administration and/or Provider Services. + 5 years' experience in provider contract negotiations in a managed healthcare setting ideally in negotiating different provider contract types, ie, physician, group and hospital contracting, etc. + Working… more
- Molina Healthcare (Miami, FL)
- …member eligibility and covered benefits, Provider Portal, and status of submitted claims . * Ability to effectively communicate in a professionally setting. **Job ... Qualifications** **REQUIRED EDUCATION** : HS Diploma or equivalent combination of education and experience **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : 1-3 years Sales and/or Customer Service experience in a fast paced, high volume environment… more
- CDM Smith (Miami, FL)
- …and maintaining a project risk register. Claim management: Early support for claims and disputes on the project. Identify contractual requirements to maintain and ... prosecute claims , and assist project team in managing to those...above. This pay range is a good faith estimate representative of all experience levels for this position based… more
