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Claims Review Specialist jobs in Tarpon Springs, FL

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Specialist Collections Government
CareerStaff - 8 reviews - Tampa, FL
Escalate need for non-Medical Appeals to Specialist, Claims Resolution. Resolve Claim Denials (excluding Medical Review) • Review Denials and if Medical Denial,...
Sponsored by Genesis HealthCare
Forms Specialist, Personal Lines
UPC Insurance - Saint Petersburg, FL
Forms Specialist, Personal Lines. UPC Insurance, a fast growing, financially strong national stock company, is hiring multiple Claims Field Adjuster positions...
Billing Specialist
Health Care Navigator - Tampa, FL
Billing Specialist - Summary:. The Billing Specialist is expected to meet goals for claim submissions and collections with a team approach....
Easily apply


BayCare - 137 reviews - Clearwater, FL  +1 location
Coordinates the claims process with the hospital risk managers by opening claims, placing bills on hold, and performing other claims related activities,...

Recovery Audit Specialist

Change Healthcare - 117 reviews - Tampa, FL
Resolve claims audit issues; Review variances and take appropriate action. Identify over and under payments of claims;...

Insurance Authorization Specialist

Eye Site of Tampa Bay - 2 reviews - Clearwater, FL
Investigate claims status and collect sufficient data for claim approval. Complete clinical reviews. This individual handles pre-certification, authorizations...

Claims Coding Specialist - Senior

WellCare - 527 reviews - Tampa, FL 33634
Processes claim adjustment requests in system following all established adjustment and claim processing guidelines....

Benefits Specialist

Masonite - 85 reviews - Tampa, FL 33605 (East Ybor area)
Review annual elections; Resolves employee questions/problems regarding insurance coverage, claims and deductions....

Claims and Denials Specialist

DAS Health, LLC - Tampa, FL 33602 (Downtown area)
Prepare, review and send patient statements. Prepare claims appeals and overturn denials as necessary. Familiar with insurance companies' processes and nuances...
Easily apply

Compliance Oversight Specialist

WellCare - 527 reviews - Tampa, FL 33634
The Compliance Oversight Specialist performs job responsibilities primarily through conducting focused reviews, oversight and monitoring to assess compliance...

Medicare Set-Aside Specialist

OptumRx Workers Comp - Tampa, FL
Liability claims experience. 3+ years of Worker's Compensation experience as a claims adjuster. Works with claim adjusters to obtain clarification on...

Case Manager - Litigated Claims Unit

Homeowners Choice, Inc. - Tampa, FL 33607 (Carver City area)
The Case Manager - Litigated Claims Unit is responsible for reviewing and analyzing claim files, interacting with and managing assigned counsel, and efficiently...

Specialist - Functional Analyst

CareCentrix - Tampa, FL
Responds to inquiries regarding EDI issues with enrollment, claims, payments and/or clearinghouse activities....
Easily apply
Payroll & Client Service Specialist
Administers workers’ compensation claims; Reviews all data entry to assure accuracy. Gathers information necessary for workers’ compensation audits & reviews...
Associate Claims Specialist - Workers Compensation, Commerci...
Liberty Mutual - 1,123 reviews - Tampa, FL
$46,300 - $90,500 a year
Associate Claims Specialist - Workers Compensation, Commercial Insurance. As an Associate Claims Specialist or a Senior Claims Specialist you will develop the...

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Company with Claims Review Specialist jobs
Liberty Mutual Insurance is a diversified global insurer with over 50,000 employees located in more than 900 offices throughout the world.