Claims Review Specialist jobs in Tarpon Springs, FL

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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,...

Claims Operations Support Specialist

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 - Senior

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

Claims Coding Specialist

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...

Document & Training Specialist

Tampa, FL 33634
Preferably in Claims or Configuration. Leads training programs for Claims and Configuration. Ability to perform detailed review, research, and analysis to...

Operations Support Specialist

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

Claims Coding Research Analyst

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

Coding Research Analyst - Associate

Tampa, FL 33634
Certified Coding Specialist (CCS). Supervisor, Claims Coding Rules Department:. Develops relationship with claims coding rule software vendors....

Provider Relations Representative - Managed Long Term Care

New Port Richey, FL 34652
Provides oversight on claims issues. Provides continual training to assigned providers on wellcare.com portal and other resources to assist with claims,...

Network Management Representative

Tampa, FL 33607 (Carver City area)
Provides oversight on claims issues. Reviews and amends provider's contracts when necessary. Provides continual training to assigned providers on wellcare.com...
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