Claims Review Specialist jobs in Tarpon Springs, FL

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Service Account Manager Associate
Tampa, FL 33646 (Downtown area)
Large claim file reviews. Liaison between legal and the claims contacts. Welcome to one of the toughest and most fulfilling ways to help people, including...
Medicare Billing Specialist
Medicare Billing Specialist - Summary:. Interface with nursing Business Office manager and other center staff in review of billing information to evaluate...
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Hospital Bill Nurse Auditor
Tampa, FL 33646 (Downtown area)
Appeals and / or Retro Claims Review Experience. Certified through American Association of Medical Audit Specialists....

Sr Claim Benefit Spec

Tampa, FL 33614
Reviews pre-specified claims or claims that exceed specialist adjudication authority or processing expertise. Reviews and adjudicates complex, sensitive, and/or...

IDI Claims Specialist

Provides timely, balanced and accurate claims reviews, documentation and recommended decisions in a time sensitive and fast-paced environment....

LTD Claims Supp Specialist

Of disability claims experience. Performs EA reviews on decisional and financial elements as needed. This role will partner with Unit Leaders to meet individual...

Contracts and Risk Specialist

Responsive employer
$42,500 - $47,500 a year
Prioritize and review claims on a monthly basis. Contracts & Risk Specialist will be responsible for review, revision and tracking of all contracts and leases...
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Workers' Comp Claims Specialist

Tampa, FL 33609 (Swann Estates area)
Assists other claims professionals with more complex or problematic claims as necessary. Adheres to client and carrier guidelines and participates in claims...

Claims Audit Specialist

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

Medical Only Claims Specialist-WC

Tampa, FL 33609 (Swann Estates area)
Assists other claims professionals with more complex or problematic claims as necessary. Adheres to client and carrier guidelines and participates in claims...

Claim Specialist- Bodily Injury

Refer claims to other company units when necessary (e.g., Underwriting, Recovery Units or Claims Special Investigation Unit)....

Medical Review Specialist II

Tampa, FL 33609 (Swann Estates area)
Medical Review Specialist II. The Medical Review Specialist II will perform clinical review, in partnership with the Medical Director, for redeterminations...

Case Manager - Litigated Claims

5+ years property claims adjusting experience, with direct experience in litigation or pre-litigation claims handling....
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Claim Team Manager
Effective written and oral communications related to claims discipline. Oversee specific unit personnel including claim specialists, associates and assistants....
Medical Billing Specialist
Encoda, LLC
Tampa, FL 33607
Our billing specialists utilize revolutionary revenue cycle platforms, Encoda BackOffice and Maestro Analytics....
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