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Claims Review Specialist jobs in Tarpon Springs, FL

SIU Field Investigator
Tampa, FL 33607 (Carver City area)
FCLS (Fraud Claims Law Specialist). Responsible for identifying and handling all aspects of claims fraud investigations....
Billing Specialist
Harmony Home Health
Largo, FL 33771
$14 - $16 an hour
Verify completeness and accuracy of all claims prior to submission. Ensure all claims are submitted with a goal of zero errors....
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HEDIS Abstractor
2+ years of experience in directly related HEDIS medical record review and/or Quality Improvement with experience in data and chart reviews to provide...

LTD Claims Supp Specialist

Tampa, FL
5+ years Disability claims and/or clinical experience. Performs EA and Claim reviews on decisional and financial elements as needed....

Technical Claims Specialist

Tampa, FL 33607 (Carver City area)
Title:Technical Claims Specialist Department:. Responsible for the accurate review, input and adjudication of claims using established payment policies and...
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Claims Audit Specialist

Tampa, FL 33634
Conducts daily quality reviews of operations department processes (i.e. Eligibility, enrollment, claims processing and pricing, configuration contract loads,...

MEDICAL BILLING/COLLECTIONS

Largo, FL
$13 - $14 an hour
\*Must have prior experience with claims follow up. \*Ability to review explanation of benefits and troubleshoot denials. WORK 2-3 DAYS PER WEEK\*\*\*\*\*....
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Construction Defect Claims Specialist

Tampa, FL
Amerisure is currently recruiting for a Construction Defect Claims Specialist . Conduct investigation of complex construction defect claims....

Billing Specialist

Harmony Home Health
Largo, FL 33771
$14 - $16 an hour
Verify completeness and accuracy of all claims prior to submission. Ensure all claims are submitted with a goal of zero errors....
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Vendor Specialist

Saint Petersburg, FL 33716
The Vendor Specialist is responsible for expanding and managing our service network by locating and negotiating with service providers within the U.S....
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Claims Audit Specialist - Senior

Tampa, FL 33634
Supv, Claims Audit. Conducts daily quality reviews of operations department processes (i.e. Eligibility, enrollment, claims processing and pricing,...

Operations Support Specialist

Tampa, FL 33634
Intermediate Other Understanding of interdependencies on other business units such as Health Services, Provider Relations, Sales, Vendors, Claims....

Proposal Specialist

Oldsmar, FL 34677
Conduct peer to peer quality review prior to shipment and thoroughly review proposal product before shipment, insure final questionnaire accuracy and overall...
Medical Billing and Insurance Specialist
The Center for Bone and Joint Disease
Hudson, FL 34667
Research and appeal denied claims; Follow up on unpaid claims within standard billing cycle time frame;...
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