Claims Review Specialist jobs in Tarpon Springs, FL

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MD Investigative Specialist
For claims involving injuries, has solid understanding of how to review, evaluate, and negotiate injury claims....
Medical Billing Specialist
South Tampa Immediate Care - Tampa, FL 33606
Prepares, reviews and sends patient statements. Responsible for the timely submission of clean claims to various insurance companies either electronically or by...
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On-Boarding/Credentialing Specialist

Origin Management Group/Gateway Advisory Services - Tampa, FL 33613
Prepare credentialing records for review by Origin Management Group's Chief Operating Officer. Serve as a resource specialist for business clients for daily...
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Claims Analyst

Greenway Health - 97 reviews - Tampa, FL 33607 (Carver City area)
Resolves outsource vendor’s escalates claims and claim rework. Prepare and analyze reports of audit reviews and performance issues with a focus on identifying...

MD Investigative Specialist

National General Insurance - 404 reviews - Tampa, FL
For claims involving injuries, has solid understanding of how to review, evaluate, and negotiate injury claims....

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 ....

Medical Record Technician (CDIS) Clinical Document Improveme...

Veterans Affairs, Veterans Health Administration - 4,028 reviews - Tampa, FL
$50,598 - $65,778 a year
Perform reviews of the health record documentation; Medical Record Technician (CDIS) Clinical Document Improvement Specialist / FS70210F....

Benefits & Authorizations Specialist

Orthopaedic Associates of West Florida - 5 reviews - Clearwater, FL 33756
Review physicians schedules for add-ons, verifying benefits and obtaining referrals when necessary. Review accuracy of insurance packages in system and make...
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RISK SPECIALIST

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

Administrative Specialist

University of South Florida - 461 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....

Claims Coding Research Analyst

WellCare - 913 reviews - Tampa, FL 33614
Evaluates claims coding rule change request from clinical, financial, and claims operations perspectives. Seeks professional feedback from Health Services,...

PEO Health & Benefits Underwriting Specialist

Paychex - 1,107 reviews - Saint Petersburg, FL 33702
Reviews PEO health and benefits new business prospect applications for accuracy and completeness. Provides operational and technical support to the PEO Health...
Sr. Claims Specialist / Commercial
Cameron Craig Group - 2 reviews - Tampa, FL 33646
$75,000 - $85,000 a year
Claims Specialist / Commercial. Also looking for Commercial Property Claims Specialists as well. Analyze and evaluate claims exposure, reserving all exposures...
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Recovery/Subrogation Specialist
SECOND LOOK INC - 6 reviews - Palm Harbor, FL
Arbitration, claims handling:. Guide claims through process, diary and conducts reviews of losses to determine potential for each claim....
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Utilization Management Specialist
Review Utilization Management submissions for accuracy and thoroughness based on company guidelines. Communicate external and internal concerns effectively with...
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