Claims Review Specialist jobs in Tarpon Springs, FL

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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...
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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Regional HR Manager - Tampa
Work with Onboarding/Compliance Specialist to provide oversight of Tampa personnel records to insure compliance with APD regulations and in preparation for...
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Technical Claims Specialist

Zenith American - 74 reviews - 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 Coding Specialist

WellCare - 915 reviews - Tampa, FL 33634
Supv, Claims Coding Rules. Preferred 1 year of experience in claims coding Candidate Skills:. Identifies and escalates root cause issues to supervisor for...


University of South Florida Health - 81 reviews - Tampa, FL
Reviews assigned accounts, determines appropriate action to resolve outstanding balances. Responsible for prompt and accurate submission and follow-up of all...

Claims Operations Support Specialist

WellCare - 915 reviews - Tampa, FL 33634
The ideal candidate will have a claims background of at least 2 years and can translate claims process impacts/changes into tasks, to drive business...

Claims Audit Specialist

WellCare - 915 reviews - Tampa, FL 33614
Supv, Claims Audit. Conducts daily quality reviews of operations department processes (i.e. Eligibility, enrollment, claims processing and pricing,...

Benefits Specialist - CWIC

ServiceSource Inc. - 13 reviews - Clearwater, FL
These five duties and responsibilities will be rated on the Annual Performance Review. ServiceSource is committed to hiring and retaining a diverse workforce ....

Operations Support Specialist

WellCare - 915 reviews - Tampa, FL 33634
Intermediate Other Understanding of interdependencies on other business units such as Health Services, Provider Relations, Sales, Vendors, Claims....


BayCare - 258 reviews - Clearwater, FL
Assists in risk management activities, claims management, Root Cause Analysis/Quality Practice Review process and other duties as assigned....

Claims Coding Research Analyst

WellCare - 915 reviews - Tampa, FL 33614
Evaluates claims coding rule change request from clinical, financial, and claims operations perspectives. Seeks professional feedback from Health Services,...

Administrative Specialist

University of South Florida - 462 reviews - Tampa, FL
$31,500 - $39,000 a year
2204 / Administrative Specialist (This position is time-limited). Reviews budgets to actual, analyze monthly reports for Division....