Claims Review Specialist jobs in Tarpon Springs, FL

Filter results by:
Sort by: relevance - date
You refined by: WellCare (undo)
Salary Estimate
Job Type
Location
Experience Level
Page 1 of 16 jobs
Upload your resume - Let employers find you
Compliance Oversight Specialist
Tampa, FL 33602 (Downtown area)
The Compliance Oversight Specialist performs job responsibilities primarily through conducting focused reviews, oversight and monitoring to assess compliance...
Quality Practice Advisor -Pediatric (Tampa)
Tampa, FL 33607
Required Certified Coding Specialist (CCS). Required 2 years of experience in directly related HEDIS medical record review and/or Quality Improvement with...

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,...

Claims Coding Specialist

Tampa, FL 33634
Supv, Claims Coding. Preferred 1 year of experience in claims coding. Identifies and escalates root cause issues to supervisor for escalated review....

Compliance Oversight Specialist

Tampa, FL 33602 (Downtown area)
The Compliance Oversight Specialist performs job responsibilities primarily through conducting focused reviews, oversight and monitoring to assess compliance...

Network Management Specialist

Tampa, FL 33634
Conducts site visits to service providers, resolves issues, educates staff/providers on policies, collects credentialing information, and reviews HEDIS...

Medical Coding Specialist

Tampa, FL 33634
Performs pre-payment and post-payment review of medical claims using diagnosis, CPT, and HCPCS codes and guidelines to identify incorrect coding....

Provider Relations Representative, Tampa, Florida

Tampa, FL 33607
Provides oversight on claims issues. Provides continual training to assigned providers on wellcare.com portal and other resources to assist with claims,...

Pharmacy Ops Support / Training Specialist - Tampa

Tampa, FL 33634
Intermediate Other Understanding of Pharmacy and the interdependencies on other business units such as Health Services, Claims, PBM, PDP, Customer Service, etc....

Senior Configuration Specialist

Tampa, FL 33634
Knowledge of claims processing. Resolves critical errors forwarded from the claims department. Reviews hospital or provider contracts to ensure they can be...

Network Management Representative - Tampa, Florida

Tampa, FL 33634
Provides oversight on claims issues. Reviews and amends provider’s contracts when necessary. Provides continual training to assigned providers on wellcare.com...

Learning & Development Spec

Tampa, FL 33634
Reviews all programs assigned and continuously ensures they meet the rigorous standards that are set forth. Government Programs, Medicare and Medicaid/Clinical...
Let Employers Find You
Every day, thousands of employers search Indeed.com for candidates like you.
Upload Your Resume