Medical Claim jobs in Tarpon Springs, FL

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Medicare Set-Aside Specialist
Helios 20 reviews - Tampa, FL
Preferred catastrophic claims experience. Medical Insurance and Prescription Drug Coverage. 2+ years Medicare Set-Aside and Workers’ Compensation or liability...
Sponsored by Helios
Senior Claims Appeals Representative - Oldsmar, FL
UnitedHealth Group 2,059 reviews - Oldsmar, FL
Medical benefits, eligibility and claim payments. Pharmacy benefits, eligibility and claims. The role of an M&R Senior Claims Appeals Representative is to serve...
Sponsored by UnitedHealth Group
Remote Medical Auditor Inpatient (CCS, RHIA, RHIT)
Pyramid Healthcare Solutions 18 reviews - United States
Reviews claim denials and rejections pertaining to coding and medical necessity issues. In the Remote Medical Coding Quality Auditor Inpatient role you will be...
Sponsored by Pyramid Healthcare Solutions

Total Loss Claims Adjuster

Allstate Insurance 1,823 reviews - Saint Petersburg, FL 33702
You will be challenged to manage multiple cases simultaneously, and document every step of activity for each claim on Allstate’s state-of-the-art, computerized...

Customer Service Rep

Aetna 507 reviews - Tampa, FL 33614
Claims experience is preferred. Call Center and medical terminology/insurance experience. Handle incoming calls from members and providers regarding claims...

Claims Service Manager

USAA 487 reviews - Tampa, FL
5 years experience in adjusting bodily injury claims. We are currently seeking talented Claims Service Manager for our Tampa, FL facility....

Sr. Reimbursement Specialist - Tampa, FL

AxelaCare Health Solutions, LLC - Tampa, FL
Prepareand generate accurate clean medical claims for submission to all payor typesincluding PBM, Major Medical/Commercial, and Government....

PIP Claims Adjuster

Direct General Auto Insurance - Tampa, FL
The Claims Representative, PIP (PIP Adjuster) is responsible for managing the investigative, negotiation and claim resolution process for liability claims...

Sr Claims Adjuster - Casualty Claims

MetLife 1,066 reviews - Tampa, FL
Assessment of injury claims and negotiates with claimants and/or attorneys moving the claim to closure. Manages pending claims to meet company quality criteria....

Integrated Services Specialist

Aetna 507 reviews - Tampa, FL
Functional - Customer Service/Customer service - Medical billing/1-3 Years. Minimum of one year recent and related Contact Center customer service or enrollment...

CODING DENIALS SPECIALIST

Moffitt Cancer Center 105 reviews - Tampa, FL
Audits medical records and other documentation; Writes appeals to facilitate reversal of denied claims. To resolve denials realated to billing/coding issues in...

Claims Assistant

Sedgwick Claims Management Services 241 reviews - Tampa, FL
Sets up and enters new claims into claims management system. CLAIM YOUR FUTURE AS A GREAT PERFORMER! Inputs and reviews notes/diaries in claims management...

Claims Approver - LTC

MetLife 1,066 reviews - Tampa, FL
Reviews claim data to make claim payment decisions. Investigates long-term care claims and makes determination on claims payments within authorized guidelines....
Treatment Authorization Specialist
One Call Care Management 35 reviews - Tampa, FL
Relevant experience includes Assistant Office Manager, Claims Manager, or Adjuster. Clinical medical background (Medical Assistant, Dental Assistant) preferred...
Sponsored by One Call Care Management
Senior Appeals Representative - Tampa/ Oldsmar, FL
UnitedHealth Group 2,059 reviews - Oldsmar, FL
Their coverage or claims. Medical benefits, eligibility and claim payments Deductible limits and co-payments Pharmacy benefits, eligibility and claims Billing...
Sponsored by UnitedHealth Group

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