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Claims Examiner III
Insurance · Doctors Healthcare Plans · Coral Gables, FLThe Claims Examiner III ensures that claims are processed according to department standards and assists the Claims manager in maintaining the workflow and processes, in order to achieve set goals. Responsibilities: Review and release profess...1 week ago on The ResumatorTools -
COB Coordinator
Jobs · Doctors Healthcare Plans · Coral Gables, FLThe Main function of a COB Coordinator is to coordinate benefits between Doctors Healthcare Plans, Inc. and other insurance carriers that may be liable for the services provided to our members. Responsibilities : Analyze, process, research and ...1 week ago on The ResumatorTools -
Credentialing Specialist
Jobs · Doctors Healthcare Plans · Coral Gables, FLScope of Position: Maintain an efficient provider credentials system by ensuring completed credentials CAQH profiles and/or applications are received and processed, correct data entry, and updated regulatory and credentialing documents are enter...2 weeks ago on The ResumatorTools -
Quality Improvement Director (Not a Remote Position)
Management & Exec · Doctors Healthcare Plans · Coral Gables, FLNot a Remote Position Position Purpose: This leadership position is responsible for the development, implementation and oversight of the Quality Improvement Program, related work plans, quality activities, HEDIS, and STARS. This leader will devel...2 weeks ago on The ResumatorTools