Eligibility Specialist II - Long-Term Care Claims
WellCove
WellCove is looking for a Claims - Eligibility Specialist 2 in Pensacola, Florida. The position involves reviewing policy benefit eligibility and determining appropriate approvals in line with guidelines. Qualified candidates should have excellent communication skills, attention to detail, and relevant experience in claims processing. This role supports the company’s commitment to providing exceptional service to clients while ensuring compliance with regulations. #J-18808-Ljbffr
- ...processed matters for those who are hungry, caring for others, in need of assistance to... ...an impact The primary function of an Eligibility Specialist involves determining the eligibility... ...educational requirements. Candidates claiming Veterans’ Preference must attach supporting...ClaimsWork at officeLocal areaRemote workMonday to FridayFlexible hours
- ...insurance senior market sector, focusing on long-term care and Medicare Supplement plans. However,... ...for the review of policy benefit eligibility in accordance with policy, company, state... ...provisions to accurately determine claim benefits in accordance with policy benefits...ClaimsWork at office
- ...ELIGIBILITY SUPERVISOR - SES - 60050239 This position will be located at... ...processing insurance policies or claims or providing customer service. OR... ...as an Economic Self-Sufficiency Specialist I or an Economic Self-Sufficiency Specialist II (Eligibility Specialist I or...ClaimsWork at officeLocal area
- ...Debit Card Dispute Resolution Specialist - Hybrid Location: Hybrid at... ...and resolve debit card dispute claims while researching and... ...regarding disputes, contract terms, and conditions. You'll remain... ...must complete the Employment Eligibility Verification Form I-9 and provide...ClaimsContract workSecond jobLocal area
$151k - $201k
...Underwriting Specialist – Entertainment (Hybrid or Remote) Our employees are at the heart... ...with other departments, including claims, actuary and risk control staff in an effort... ...salary, full time Intact employees are also eligible for bonus potential and a full range of...ClaimsFull timeWork at officeRemote workFlexible hours$37.74k
...Classification Title: Maintenance Specialist Working Title: Painter... ...requires fingerprinting. This position is eligible for veterans’ preference. Special Instructions... ...eligible veterans and their spouses to claim Veterans’ Preference pursuant to Section...ClaimsApprenticeshipSeasonal workLocal areaImmediate start$34.76k
...LICENSING SPECIALIST - CHILD CARE OPS - 60901013 1 Date: Jun 8, 2026 The State Personnel System... ...as required by statute, determines eligibility and makes recommendations for licensure... ...educational requirements. Candidates claiming Veterans’ Preference must attach...ClaimsWork at officeLocal areaFlexible hours- ...The State of Florida is seeking an Eligibility Specialist to determine eligibility for government assistance programs in Pensacola. Responsibilities include interviewing applicants, processing data, and maintaining accurate records while ensuring compliance with state...Remote work
- ...Project Controls Specialist II Career Opportunity Position: Project Control Specialist II Hybrid in Service Territory: OH, PA, DE, MD, VA, FL What makes us great… At the heart of our Company is a dedication to delivering energy that drives progress. We put...Contract workFlexible hours
- ...MedPro Revenue Cycle Specialist Under the direction of the VP, MedPro... .../or adjustments through open claims and data entry in a timely... ...accuracy. Utilize the Managed Care Worklist to track receipt,... ...temporary, as well as long term, support in all MedPro and MCC...ClaimsTemporary work
- ...EHS Specialist As a premier global food provider, the OSI Group partners with the world... ...workers compensation, liability or property claim investigations as related to root cause... ...& Benefits: This role is also eligible to participate in the company annual discretionary...ClaimsHourly payWork experience placementWork at officeLocal areaAll shifts
- ...Access. Lead Markets. Transform Care. We are seeking a RN Executive Director Specialist – Hospice to join our leadership... ...Units (CEUs) Company-paid Life & Long-Term Disability Insurance Voluntary... ...meet minimum requirements to be eligible for benefits Where applicable, employee...Daily paidFull timePart timeLocal area
- ...this role. The Home Health Care Transition Coordinator is... ...ability to understand and digest claims data, and use of predictive... ...required. Hospital and/or long-term care clinical experience... ...Experience with home health eligibility admission requirements, COPs,...ClaimsFlexible hours
$104.8k - $144.1k
...healthcare company with a long legacy of solving... ...3M Health Care is now Solventum At... ...acute Wound Healing Specialist You Will Have The... ...maintain ongoing eligibility, including compliance... ...that falsely claim to represent Solventum... ...Solventum Global Terms of Use and Privacy...ClaimsH1bWork at officeRemote workRelocation packageFlexible hoursNight shift- ...Job Posting Be the First to Apply Specialist, (Non Supervisory), Fund/Client Accounting Representative II At BNY, our culture allows us to run our company better and enables employees' growth and success. As a leading global financial services company at the heart...Work experience placementWorldwideFlexible hours
- ...technical, and program support in medical billing within the Health Services Division. Responsibilities include processing complex medical claims, ensuring accuracy, and coordinating billing activities. The ideal candidate has a minimum of three years' experience in healthcare...ClaimsWork at office
$500 per month
...medical consultants performing essential VA Claim (C&P) Exams. Attractive Compensation... ...available. Advance Scheduling: Benefit from long-range planning with exam schedules... ...documentation, eliminating the burden of follow-up care and ongoing treatment. Professional...ClaimsLocal areaFlexible hoursWeekend workWeekday work$85.39k - $116.98k
...solutions deployed to production Implement long-term solutions and building blocks within the... ...Data Interchange X.12 (EDI) Medical Claims ~ X.12 medical claims (837, 834, 277,... ...security investigation and must meet eligibility requirements for access to classified information...ClaimsFull timeRemote work- ...solutions span the insurance senior market sector, focusing on long-term care and Medicare Supplement plans. However, we don't stop there.... ...flexibility. Responsibilities Working with the Claims Manager, provides daily direction and communication to...Claims
- ...solutions span the insurance senior market sector, focusing on long-term care and Medicare Supplement plans. However, we don't stop there.... ...Summary Manage and handle all Outbound calls and adjudicate claims. Duties/Responsibilities: Adjudicating HP/AD claims...ClaimsRemote work
- ...solutions span the insurance senior market sector, focusing on long-term care and Medicare Supplement plans. However, we don't stop there.... ...services and customized care solutions to manage policies and claims. CHCS Supports some of the largest senior market insurance companies...ClaimsWork at officeRemote workWork from home
- ...clients in all types of mass tort claims, including prescription drugs,... ...Spending Account (FSA) Group Term Life insurance (GTL)/Voluntary Term Life insurance (VTL) Long Term Disability (LTD) Annual... ...to the Florida Bar or eligibility to sit for the bar exam as soon...ClaimsFull timeInternshipImmediate startFlexible hours
$20.22 - $21.85 per hour
...provides comprehensive behavioral health care to adults and children with mental... ...Vision * Basic Life and AD&D * Voluntary Term Life * Employer Paid Long Term Disability * Flexible Spending... ...Employer, DRUG TESTING REQUIRED A Level II background screening is required. For...Hourly payTemporary workRelocation packageFlexible hoursShift workDay shift- ...Job Title: Culinary Specialist Category / Component: Enlisted • Both Overview Culinary Specialists operate and manage Navy dining and... ...enlistment or commissioning standards, which typically include: Eligibility to serve in the United States Navy, which may involve United...ApprenticeshipWorldwide
- ...Thurmond Eye Associates is seeking a Retina Specialist to join their highly regarded team of... ...custom business solutions for eye care professionals, allowing Ophthalmologists... ...Medicine (DO) degree. Board certification or eligibility in Ophthalmology. State medical license...Full timeRelocationRelocation package
$41.52k - $55.12k
...Lead Legal Assistant (Operations Analyst II) Pensacola This is an Internal Agency... ...on or after October 1, 1962, will not be eligible for hireor promotionunless they are... ...postsecondary educational requirements. Candidates claiming Veterans' Preference must attach...ClaimsWork at officeMonday to Friday- ...behavioral health/employee assistance), health care reimbursement account, dependent care assistance plan, short-term disability and long-term disability insurance, AD&D insurance, life insurance, 401(k), and stock purchase plan to eligible employees. #J-18808-Ljbffr...Temporary work
$15 - $16.12 per hour
...comprehensive behavioral health care to adults and children with... ...Planning) LEAP TEAM is a short term to intermediate term multidisciplinary... ...case managers, nurses, peer specialists, counselors, and a physician's... ...TESTING REQUIRED. A Level II background screening is...Temporary workPart time- ...Delivery Specialist The Delivery Specialist will maintain and operate store vehicles to deliver parts and/or products to professional... ...possess a legally required state driver’s license and meet company eligibility requirements. Desired: Familiar with automotive parts....Immediate start
- ...needed Able to pass a standardized color blindness test Benefits Employees regularly scheduled to work 20 or more hours per week are eligible for comprehensive benefits including Medical, Dental, Vision, Life, STD/LTD, 401(k), Paid Time Off (PTO) or Flexible Time Off (FTO...Temporary workWork experience placementCasual workInternshipFlexible hoursNight shift
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