Claims Review Specialist jobs in Tarpon Springs, FL

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Clinical Investigator
Tampa, FL 33646 (Downtown area)
Healthcare Claims experience. Performs clinical coverage review of post - service claims, which requires interpretation of state and federal mandates,...
Desired Experience: ICD-10, RN, RHIT, CPT Coding, Medical Coding Certification, Managed Care
SIU Field Investigator
Tampa, FL 33607 (Carver City area)
FCLS (Fraud Claims Law Specialist). Responsible for identifying and handling all aspects of claims fraud investigations....
Desired Experience: Time Management, Microsoft Powerpoint, Microsoft Office
Commercial Claims Rep
Tampa, FL 33646 (Downtown area)
$70,000 - $85,000 a year
Also looking for Commercial Property Claims Specialists as well. Claims Representative / Commercial. Analyze and evaluate claims exposure, reserving all...
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Tampa, FL
Responsible for prompt and accurate follow-up of all unpaid claims. File both primary and secondary claims to the insurance carriers, with appropriate records...
Desired Experience: CPT Coding

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,...
Desired Experience: Time Management, Microsoft Powerpoint, Excel, CPT Coding, Microsoft Office, ICD-9, Microsoft Word, Medical Terminology, Managed Care

Technical Claims Specialist

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...
Desired Experience: Microsoft Word, Benefits Administration, CPT Coding, 10 Key Calculator
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Data Entry / Data Integrity Specialist

Clearwater, FL
Regularly reviews goals and objectives with supervisor. Reviews data and recognizes deviations in data from expected observations....
Desired Experience: Customer Service, Microsoft Office
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Sr Claim Benefit Spec

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

Payment Integrity Specialist

Clearwater, FL
Regularly reviews goals and objectives with supervisor. Zelis is a healthcare information technology company and market-leading provider of end-to-end...

Claims - Casualty Specialist II

Tampa, FL 33614
Assess actual damages associated with claims and conduct negotiations to settle claims. Assigned claims may involve routine to more complex soft tissue injuries...
Desired Experience: Time Management, Microsoft Office

Construction Defect Claims Specialist

Tampa, FL
Amerisure is currently recruiting for a Construction Defect Claims Specialist . Conduct investigation of complex construction defect claims....
Desired Experience: Microsoft Office, Construction Experience

Billing Specialist

Harmony Home Health
Largo, FL 33771
$14 - $16 an hour
Verify completeness and accuracy of all claims prior to submission. Ensure all claims are submitted with a goal of zero errors....
Desired Experience: Microsoft Office, Customer Service, CPT Coding, QuickBooks
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Subrogation Specialist

Tampa, FL
$15 - $17 an hour
Subrogation Specialist Description*. Review facts of liability, collection potential. Specialists provide work guidance and direction to less experienced...
Desired Experience: Coaching Experience
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Appeals Intake Specialist
Tampa, FL 33634
$13 - $16 an hour
1+ year of experience in a Claims. Ensures timely processing and review of documentation to meet departmental goals and state specific benchmarks for timeliness...
Desired Experience: Data Entry, Customer Service
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Recovery/Subrogation Specialist
Arbitration, claims handling:. Guide claims through process, diary and conducts reviews of losses to determine potential for each claim....
Desired Experience: Driver's License
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