Claims Review Specialist jobs in Tarpon Springs, FL

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Recovery/Subrogation Specialist
Responsive employer
Arbitration, claims handling:. Guide claims through process, diary and conducts reviews of losses to determine potential for each claim....
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BI Field Claims Specialist
Work in connection with Claims and SIU departments to ensure proper investigation, evaluation and negotiation of claims....
Medical Laboratory Billing Specialist
Also will be responsible for generating insurance aging reports for Billing Manager’s review. Responsible for managing denials by conducting a comprehensive...
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CLAIMS RESOLUTION SPECIALIST

Resubmit denied claims when appropriate, via electronic or paper resubmission. Reviews assigned accounts to determine appropriate action to resolve such as:....

IDI Claims Specialist

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

Provider Data Specialist

Tampa, FL 33646 (Downtown area)
Review system results to determine whether keyed data is correct or updates are necessary. 1+ years of experience utilizing at least one of the following...

Collections Specialist

Emperic Health
Tampa, FL
$16 - $22 an hour
Primarily responsible for the thorough review of managed care and other insurance contracts, comparison of such contracts against healthcare claims to identify...
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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,...

FINANCIAL SPECIALIST/PSR

Reviews patient accounts to identify need to collect past due balances and problems with claims adjudication that need patient involvement to ensure that all...

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...

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...

Appeals Intake Specialist

Tampa, FL 33634
Ensures timely processing and review of documentation to meet departmental goals and state specific benchmarks for timeliness....

Operations Specialist, Claim

Tampa, FL 33609 (Swann Estates area)
Reports claims to other insurance companies. Reviews medical bills for proper billing and coding. Prints and prepares claim documents for legal and medical...
Audit & Recovery Specialist
Emperic Health
Tampa, FL
$14 - $18 an hour
Primarily responsible for the thorough review of managed care and other insurance contracts; Comparison of such contracts against healthcare claims to identify...
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