- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Grievances & Appeals Representative 3 manages client denials and concerns by ... trained skillsets and/or partnerships with clinical and other Humana parties. The Grievances & Appeals Representative 3 performs advanced… more
- Centers Plan for Healthy Living (Margate, FL)
- …in related area of responsibility, (ie utilization management, quality management, grievances , and appeals ) Type of Experience Required: Strong analytical ... RN - Grievance and Appeals Clinical Reviewer 5297 W Copans Rd, Margate,...PHYSICAL REQUIREMENTS : The physical requirements described here are representative of those that must be met by an… more
- CVS Health (Tallahassee, FL)
- …claim hand-offs, and escalates issues as appropriate through the system for grievances and appeals . + Initiates out-reach/welcome calls to ensure constituents ... solutions to make health care more personal, convenient and affordable. **Customer Service Representative ** + You will work in front of a computer for approximately… more
- TEKsystems (Jacksonville, FL)
- …insurance related needs. Examples include: Inquiries regarding benefits, eligibility, appeals , grievances and troubleshooting medical devices. PAY: $16/hour ... REMOTE: 100% remote and equipment provided just need high speed internet REQUIREMENTS: Must be Fluent in Spanish DIRECT HIRE: NO CONTRACTS (Employee from day 1 with benefits: Medical, Dental, Vision, Life Ins, 401K and PTO) #prioritywest About TEKsystems:… more