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Fraud Specialist

Clearwater FL

Base Pay: 14.00 per HOUR

Fraud Specialist  Clearwater , FL Pay $14.00 per hour Monday through Friday 8:00 to 4:30 PM   This position will train Monday through thr...

Fraud Specialist 

Clearwater , FL

Pay $14.00 per hour

Monday through Friday 8:00 to 4:30 PM

 

This position will train Monday through through Friday from 8:00 to 4:30 for the first 3-4 weeks

The Fraud Specialist assists with the development, implementation, maintenance of and adherence to the organizations policies and procedures covering auditing performed trips of patients, as well as addressing fraud waste and abuse matters as they arise.

 

Essential Duties and Responsibilities

  • Identify, implement and maintain audit policies and procedures with management.
  • Conduct internal oversight, risk assessments, and monitoring of audit results.
  • Conduct or assist in compliance investigations, including fraud, waste and abuse matters.
  • Support the development of auditing training materials.
  • Support the development and modification of tracking systems for investigations.
  • Initiate, facilitate and promote activities to foster informational audit awareness to management.
  • Provide various support services within the billing and claims department.
  • Ability to effectively communicate and resent to all levels of management.
  • Manage daily inbound/outbound telephone calls to facilitate explanation of audit results.
  • Maintain confidentiality at all times whether in reference to confidential information or as it relates to medical information for specific patients.
  • Communicate effectively and professionally with external customers, including phone verification of visits with medical providers.
  • Mett daily productivity quotas on a consistent basis.

 

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Inbound Call Center Representative

Clearwater FL

Base Pay: 14.00 per HOUR

Inbound Call Center Representative Work from home after 2 - 4 weeks onsite training in Clearwater Starting at $14- $16 per hour Temp to hire NO SAL...

Inbound Call Center Representative

Work from home after 2 - 4 weeks onsite training in Clearwater

Starting at $14- $16 per hour

Temp to hire

NO SALES

40 hours per week plus overtime

1st, 2nd and 3rd shift available

  • Industry-leading benefits Excellent advancement opportunities
  • Work in a unique call center environment with various vendors and exciting opportunities to grow
  • Be part of an industry-leading training program that sets you up for success
  • Answer calls from patients requiring transportation arrangements
  • Excellent advancement opportunities
  • Full Benefits
  • Referral Bonus

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Dispatcher

Clearwater FL

Base Pay: 14.50 per HOUR

Hiring Dispatchers in Clearwater, FL Pay range $14.50 to $16.50 depending on shift plus $1 differential for Bilingual Spanish 1st, 2nd and 3rd...

Hiring Dispatchers in Clearwater, FL

Pay range $14.50 to $16.50 depending on shift

plus $1 differential for Bilingual Spanish

1st, 2nd and 3rd shift

Responsible for scheduling non emergency medical transportation for insurance customers.

This opportunity includes the following perks!

• Health, Dental and Vision Offered

• Discounts through major retailers such as Verizon, AT&T & Sam's Club Memberships

• Free Online courses thorough Penn & Foster. The largest online educational institution

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Service Recovery Specialist

Clearwater FL

Base Pay: 14.00 per HOUR

Customer Complaint Representative Clearwater FL $14.00 per hour $15 Bilingual Spanish Monday through Friday 8:00 AM to 4:30 PM Manage, coordinate...

Customer Complaint Representative

Clearwater FL

$14.00 per hour $15 Bilingual Spanish

Monday through Friday 8:00 AM to 4:30 PM

  • Manage, coordinate and communicate with health plans and internal departments regarding escalated complaints.
  • Contact clients in a timely and professional manner to deliver contract required information.
  • Review and complete annual health plan audits with strict deadlines.
  • Analyze and review policies for application towards internal correspondence and annual audits.
  • Maintain working relationships with internal departments as well as external client contacts using a high level of both written and oral communication.
  • Meet deadlines, working within tight time constraints.
  • Correspond with management staff regarding customer service complaints including the gathering of data for problem resolution.
  • Monitor and track via excel and/or other computer software tools the type and quantity of escalated complaints.
  • Gather information necessary to respond to escalating complaints and/or grievances that extend beyond normal channels: complaints on appeal, legislative inquires and issues that meet the organization’s significant event policy.
  • Produce internal reports on complaints and participant in monthly Quality Assurance meetings.

 

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Data Entry Specialist

Palm Harbor FL

Base Pay: 12.00 per HOUR

Data Entry Specialist in Palm Harbor Starting pay $12.00 per hour - Earn up to $15.00 once training is complete First Shift This position involves...

Data Entry Specialist in Palm Harbor

Starting pay $12.00 per hour - Earn up to $15.00 once training is complete

  • First Shift
  • This position involves looking through mortgage documents and inputting data while following current state and county requirements.
  • This position is full time Monday-Friday 8:30 am - 5:00 m.
  • Once employees are out of their initial training period, we offer a flexible schedule which allows you to arrive any time between 7:00 am and 9:00 am, and leave between 3:30 pm and 5:30 pm.
  • Become permanent employee after 520 hours worked

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File Clerk

Palm Harbor FL

Base Pay: 13.00 per HOUR

Hiring File / Mail room clerks Palm Harbor Full time First Shift or Mid Shift $13.00 to $14.00 per hour Monday through Friday   Maintain stat...

Hiring File / Mail room clerks

Palm Harbor

Full time

First Shift or Mid Shift $13.00 to $14.00 per hour

Monday through Friday

 

  • Maintain statistical quantity, quality and KPI's.
  • Prep documents for scanning: remove staples from documents so documents can be fed through the scanning machine individually; review and separate collateral files from other documents.
  • Post scan document: includes organizing documents by their loan numbers; create a folder with correct labeling to place the documents in.
  • Reconcile Contents in Iron Mountain “General Box.”: ensure transmittal received shows all contents in the box.
  • Create general box: after reconciliation, log each individual file into.
  • Become permanent after 520 hours

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