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Customer Service Advocate
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D.R. Horton Pensacola, United StatesD. R. Horton, Inc., the largest homebuilder in the U.S., was founded in 1978 and is a publicly traded company on the New York Stock Exchange. It is engaged in the construction and sale of high quality homes designed principally for the entry-level an Customer Service, Advocate, C ...
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Network Management, Service Advocate IV
2 weeks ago
Blue Cross Blue Shield companies Pensacola, United StatesJob SummaryThe Service Advocate IV - Network Management is part of a specialized call center who provides education and assistance for contracting, credentialing and Availity issues. This Service Advocate IV role assists the provider in maintenance and directs them on how to requ ...
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Network Management, Service Advocate IV
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GuideWell Pensacola, United StatesJob Summary · The Service Advocate IV - Network Management is part of a specialized call center who provides education and assistance for contracting, credentialing and Availity issues. This Service Advocate IV role assists the provider in maintenance and directs them on how to ...
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victim advocate
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Unified Strategic Resources Pensacola, United StatesYou will serve as a Sexual Assault Prevention and Response (SAPR) Victim Advocate (VA), facilitating care and providing non-clinical support to adult victims of sexual assault and sexual harassment. · You will assess safety concerns, inform victims of available reporting options ...
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Child Welfare Case Manager
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Nursing specialist in outpatient care
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Phoenix Innovations Tiger Point, United StatesWe have a spot available: For our Kiel Service House in Ellerbek, we are looking for you as of now as a · Ambulatory Care Nurse (m/f/d) for treatment care · In full-time and part-time · Sound good? Then let's get started · What awaits you with us: · A good training · Professional ...
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Access Center Specialist I
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Nemours Foundation Pensacola, United StatesNemours is seeking an Access Center Specialist (Full-Time), to join our team in Pensacola, Florida. · The Access Center Specialist communicates with patients/providers via telephone to ensure accurate, prompt, and courteous scheduling of specialty appointments according to establ ...
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Attorney - 60062091
3 weeks ago
State of Florida Pensacola, United StatesRequisition No: 806550 · Agency: Children and Families · Working Title: ATTORNEY · Position Number: · Salary: $55,000 · Posting Closing Date: 05/10/2024 · Children's Legal Services · Department of Children and Families · Pensacola, FL · Open Competitive · What you will do: · MA ...
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Attorney - 60062091
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State of Florida Pensacola, United StatesRequisition No: 806550 · Agency: Children and Families · Working Title: ATTORNEY · Position Number: · Salary: $55,000 · Posting Closing Date: 06/15/2024 · Children's Legal Services · Department of Children and Families · Pensacola, FL · Open Competitive · What you will do: · MA ...
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RN - Case Manager PRN
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Baptist Health Care Pensacola, FL, United StatesThe Case Manager acts as a patient advocate to hospital clients. This is an autonomous role that coordinates, negotiates, procures services, and resources for, and manages the care of patients throughout the continuum of care, which includes arranging post-acute services. The Cas ...
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attorney - 60062091
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MyFlorida PENSACOLA, United StatesATTORNEY · Date: Apr 20, 2024 · Location: · PENSACOLA, FL, US, 32501 · The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website \_operations/human\_resource\_management/for\_job\_applicants/e\_verify) . · Requisition No: · Agency ...
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Attorney Supervisor
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State of Florida Pensacola, United StatesRequisition No: 828710 · Agency: Children and Families · Working Title: ATTORNEY SUPERVISOR · Pay Plan: SES · Position Number: · Salary: 79,5000 · Posting Closing Date: 05/31/2024 · Total Compensation Estimator Tool · Children's Legal Services · Department of Children and Famil ...
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attorney - 60062091
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MyFlorida PENSACOLA, United StatesATTORNEY · Date: Apr 20, 2024 · Location: · PENSACOLA, FL, US, 32501 · The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website \_operations/human\_resource\_management/for\_job\_applicants/e\_verify) . · Requisition No: · Agency ...
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Regional Manager
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AIDS Healthcare Foundation Pensacola, United StatesWHO WE ARE · AMAZING INDIVIDUALS WORKING FOR POSITIVE PEOPLE at AIDS Healthcare Foundation · Does the idea of doing something that really makes a difference in people's lives while being well-compensated intrigue you? Are you looking to work for an organization that encourages gr ...
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attorney supervisor
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New Grad RN
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Registered Nurse RN
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Ascension Pensacola, United StatesJob Description · DetailsDepartment:Case Management · Schedule: Full time days; MOnday-Friday 8:00AM-5:00PM · Hospital: Ascension Sacred Heart Pensacola · Location: Pensacola, Florida · Benefits Paid time off (PTO) · Various health insurance options & wellness plans · Retiremen ...
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RN Med Surg PRN
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HCA Florida West Hospital Pensacola, United States HOSDescription · Introduction · Do you have the PRN career opportunities as a(an) RN Med Surg PRN you want with your current employer? We have an exciting opportunity for you to join HCA Florida West Hospital which is part of the nation's leading provider of healthcare services, HC ...
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RN Psychiatric Health Adult PRN
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HCA Florida West Hospital Pensacola, United States HOSDescription · Introduction · Do you have the PRN career opportunities as a(an) RN Psychiatric Health Adult PRN you want with your current employer? We have an exciting opportunity for you to join HCA Florida West Hospital which is part of the nation's leading provider of healthc ...
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RN Med Surg PRN
6 days ago
HCA Florida West Hospital Pensacola, United States HOSDescription · Introduction · Do you have the PRN career opportunities as a(an) RN Med Surg PRN you want with your current employer? We have an exciting opportunity for you to join HCA Florida West Hospital which is part of the nation's leading provider of healthcare services, HC ...
Network Management, Service Advocate IV - Pensacola, United States - Florida Blue
Description
Job SummaryThe Service Advocate IV - Network Management is part of a specialized call center who provides education and assistance for contracting, credentialing and Availity issues.
This Service Advocate IV role assists the provider in maintenance and directs them on how to request changes to their contract.
The position is responsible for providing the group or individual with the tools needed to make the updates via Availity and to give Credentialing data to the groups.
The team researches issues and documents the findings, using six or more systems on a daily basis.The position coordinates with multiple departments to correct data discrepancies and provide the group or individual the data needed, if the area cannot assist with the update, i.e.
update license in Availity when claims are impacted.Important to Know:
This is a remote position, and this role requires virtual one-on-one training for 3 months. This position is a fast-paced inbound call center supporting our providers with contracting and credentialing issues.
What You Will Be Doing:
Responsible for providing excellent customer service to provider community through accurate research, education and resolution of telephonic and written provider inquiries and requests.
Support the Network Management contracting process as it relates to initial contracting, re-contracting efforts, terminations, maintenance, and corporate initiatives.
Work closely with management to identify and complete personal development and continuous improvement opportunities.
Use web-based tools and other aids to educate and respond to provider inquiries.
The essential functions listed represent the major duties of this role, additional duties may be assigned.
What You Must Have:
2+ years related work experience
Experience Details:
in a healthcare or customer service environment
High school diploma or GED
Basic knowledge of HCFA and 1500 claim forms, medical terminology, HCPCS and CPT codes
Excellent verbal and written communication skills; ability to speak in a clear and articulate manner
Basic knowledge of Microsoft applications such as Outlook, Word, and Excel.
Demonstrated ability to develop and strengthen relationships with internal and external business partners
Able to successfully handle multiple tasks and changing priorities
Effectively display a positive attitude and work efficiently in a team environment
What We Would Prefer:
Inbound call center experience
Experience in a health care environment Bilingual in Spanish and English 1+ years' experience with Diamond, Siebel and PIP (Provider Information Platform)
General Physical Demands
Sedentary work:
Exerting up to 10 pounds of force occasionally to move objects. Jobs are sedentary if traversing activities are required only occasionally.
What We Offer:
As a Florida Blue employee, you will thrive in our Be Well, Work Well, GuideWell culture where being well as an individual, and working well as a team, are both important in serving our members and communities.
As an employee, you will have access to:
Medical, dental, vision, life and global travel health insurance;
Income protection benefits:
life insurance, Short- and long-term disability programs;
Leave programs to support personal circumstances;
Retirement Savings Plan includes employer contribution and employer match;
Paid time off, volunteer time off, 10 holidays and two flexible Well-Being days
Additional voluntary benefits available; and
A comprehensive wellness program
Employee benefits are designed to align with federal and state employment laws. Benefits may vary based on the state in which work is performed. Benefits for intern, part-time and seasonal employees may differ.
To support your financial wellbeing, we offer competitive pay as well as opportunities for incentive or commission compensation. We also conduct regular annual reviews with pay for performance considerations for base pay increases.
Typical
Hourly Pay Range:
$18 - $22
Hourly Pay Range:
$18 - $29
Final pay will be determined with consideration of market competitiveness, internal equity, and the job-related knowledge, skills, training, and experience you bring.
We are an Equal Opportunity/Protected Veteran/Disabled Employer committed to creating a diverse, inclusive and equitable culture for our employees and communities.
