Top 12 Distribution center quality control specialist Jobs in Miramar, Fl

Healthcare Configuration and Data Integrity Manager
Provider Network Solutions LLC —Miami, FL
- $60,000 - $70,000 a year
- Full-time
- Microsoft Excel
- Microsoft Access
- Microsoft Outlook
Quick Apply
8d
NETWORK SUPPORT SPECIALIST II - 55008955
The State of Florida —Fort Lauderdale, FL
- $53,494.50 - $62,410.25 a year
- Full-time
- Computer science
- Computer Science
- Mid-level
- Paid holidays
- Health insurance
5d
Big Ticket Order Picker Operator, Miami - Full Time
Macy’s —Miami, FL
- $16.50 - $25.22 an hour
- Weekends as needed
- English
- High school diploma or GED
- Quality control
- Disability insurance
- Health insurance
Distribution Center Quality Control Specialist
The Watches of Switzerland Group —Fort Lauderdale, FL
- Writing skills
- Bachelor's degree
- Warehouse experience
IT Business Analyst - Asset Management
TekSynap —Miami, FL
- $58,000 - $64,000 a year
- Weekends as needed
- Pass drug screening
- Mid-level
- Ability to lift 50 pounds
- Disability insurance
- Health insurance
Quick Apply
Supervisory Medical Supply Technician (Sterile Processing)
US Veterans Health Administration —Miami, FL
- $84,487 - $109,828 a year
- Part-time
- Background check
- Surgery
- Pass drug screening
- Paid parental leave
- Paid holidays
5d
Inventory Control Specialist
The Fresh Market —Coral Springs, FL
- Weekends as needed
- 18 years or older
- Culinary experience
- Mid-level
- Store discount
- Disability insurance
Inventory Control Specialist
The Fresh Market Inc —Coral Springs, FL
- Weekends as needed
- Hospitality
- 18 years or older
- Culinary experience
- Store discount
- Disability insurance
Fisheries Monitoring Specialist – Commercial Logbook Support
Lynker Corporation —Miami, FL
- $45,000 - $68,000 a year
- Overtime
- Word processing
- Computer literacy
- Bachelor of Science
- Paid holidays
- Disability insurance
Veterinary Practice Manager
Petco —Oakland Park, FL
- Full-time
- OSHA
- Computer literacy
- Bachelor's degree
- Health insurance
- 401(k)

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Distribution Center Quality Control Specialist
The Watches of Switzerland Group —Fort Lauderdale, FL
;Experience in the jewelry field. ;Using tools like microscopes and polariscopes for the inspections of jewelry. Luxury jewelry and watch product knowledge.
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FOH, INC. —North Miami, FL
In addition to multiple medical and dental options with supplemental insurance and employer-matching 401(k) plans (fully vested) and bonus incentives, we offer…
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Contact Center Service Agent
Telhio Credit Union —Columbus, OH
Answer and handle 90% of calls being sent per individual agent. They are problem solvers and solutions specialists who may also conduct various transactions.
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Controls Engineer
Amazon Data Services, Inc. —Hilliard, OH
5+ years of construction management of large, complex projects involving large-scale mechanical, electrical and plumbing (MEP) plants experience.
$111,300 - $186,100 a year

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distribution center quality control specialist jobs near miramar, fl

Healthcare Configuration and Data Integrity Manager

Provider Network Solutions LLC -
Miami, FL

Quick Apply

Job Details

Full-time
$60,000 - $70,000 a year
8 days ago

Qualifications

Computer operation
Microsoft Excel
Microsoft Access
Microsoft Outlook
Medical claims processing
Customer service
Desktop applications
Medical terminology
Master data management

Full Job Description

Description:

Position Summary

The Configuration and Data Integrity Manager is responsible for implementing and interpreting the organization's overall claims, provider configuration, eligibility and provider database management, security, and operations. The Configuration Manager will work with internal departments and external organizations to assure secure data exchanges, integrity, reliability, and availability; plans, organizes and coordinates activities related to the analysis and implementation of network database systems; provides technical guidance and database compliance audits; and consults with business users regarding the use and management of data.

Duties and Responsibilities

Responsible for benefit configuration covered services, copay, deductibles, coinsurance and max out of pocket in TPA system. Ensure mapping and testing behind the scenes and maintain Matrix of Benefit Packages

Responsible for provider records configuration and contract rate load create vendors, practice locations, medical group, networks, reimbursement rate. Collaborate with Provider Relations Department and Credentialing to ensure Responsible for work distribution and resource management of configuration specialist and data integrity specialist.

Configuration support to provider contracts-question if specific agreement received can be entered as noted.
Conduct unit testing to ensure design meets specifications as it relates to product upgrades or new releases.
Responsible for accurately interpreting specific contracts as well as additional business requirements and converting these terms to configuration parameters.
Quality control of all information uploaded in TPA system, i.e., Provider data, fee schedules, network assignment, team member’s responsibilities.
Collaborate with provider call center, clinical and claims department when asked to verify specific provider configuration or benefit configuration information.
Provide system configuration support to organization based on changing business needs.
Review and recommend changes to existing configuration processes.
Analyze and resolve Claims Workflow regarding Benefit & Contract configuration issues in a in with 3 business days.
Provide technical guidance to Data Integrity Specialist in their assigned job duties.
Oversee Configure Medicare/Medicaid/Commercial interest rates in TPA system.
Resolve Eligibility Issues with Health Plans.
Validate reports ran by Data Integrity Specialist on a weekly, monthly, and quarterly basis.
Load and Maintain Fee Schedule in TPA System
Act as liaison between Corporate and the health plan regarding programming development needs related to reporting.

Requirements:

Knowledge

3-5 years of Claims Processing experience required.
1-2 years’ experience in healthcare data management.
Broad knowledge of medical terminology, customer service, claims processing and/or customary and reasonable cost containment, and coordination of benefits and diagnosis coding.

Skills

Advanced knowledge of Microsoft applications: Outlook, access database, excel, word and basic computer navigation.

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Refine Your Search

distribution center quality control specialist jobs in miramar, fl

Healthcare Configuration and Data Integrity Manager

NETWORK SUPPORT SPECIALIST II - 55008955

Big Ticket Order Picker Operator, Miami - Full Time

Distribution Center Quality Control Specialist

IT Business Analyst - Asset Management

Supervisory Medical Supply Technician (Sterile Processing)

Inventory Control Specialist

Inventory Control Specialist

Fisheries Monitoring Specialist – Commercial Logbook Support

Veterinary Practice Manager

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