28 Claims Processing job postings in the Tampa, Florida area
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Job listings, help wanted ads and employment postings (last updated on Monday, May 21)
Appeals Representative - Oldsmar, FLMonster.com FL-Oldsmar, Position Description: For this excellent growth opportunity, we seek an individual with background in the health care industry (for example, medical claims, appeals, customer service, etc. ) who thrives in a fast-paced environment. Primary Responsibilities: Review correspondence related to appeals and grievances. Research complaints to determine appropriate action. Write letters. Ensure policies an … MORE INFO |
Claims and Policy ProcessorMonster.com FL-Clearwater, Job Description: Third Party Claims Administrator located in Clearwater, FL is seeking experienced Claim Examiner. Experience with STM, Limited Medical and Travel Insurance as well as Trizrtto/RIMS systems is helpful but not required. We offer a competitive salary, growth potential and an excellent benefits package. Daily responsibilites of the position include: Analyze and research claim issues. … MORE INFO |
Clinical Claim Review LPN - U.S.Monster.com MultiLocation, UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health. Position Description: By tapping into our extensive knowledge base to manage care plans for elderly, disabl … MORE INFO |
Healthcare Claims Configuration Business Analyst (Telecommute) - U.S.Monster.com MultiLocation, UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health. Primary Responsibilities: Manage all daily activities of the Codes Set and Support Table Maintenance staff … MORE INFO |
Shown below: Tampa claims processing area jobs provided by  |
Team Leader, ClaimsDirect General – Tampa, FL – Indeed.com Supervise claims adjusters processing claims for a. . . claims. Key Responsiblities : Supervises claims adjusters processing claims for a single product line. . . … MORE INFO |
Claims Data Analyst - Testing TeamWellCare – Tampa, FL – Indeed.com 3-4 years experience in claims processing with a solid understanding of internal company claims functions. . . in instituational claims processing software. (Xcelys. . . … MORE INFO |
Claims Representative, PIPDirect General – Tampa, FL – Indeed.com and claim resolution process for liability claims. . . associated with the processing and payment of claims. Staying current on claim settlement process. . . … MORE INFO |
Claims Representative TraineeDirect General Corporation – Tampa, FL – Indeed.com claims handling, coverage investigations, negotiations, settlements, diary management and overall claims. . . with the processing and payment of claims. Records. . . … MORE INFO |
Claims AssistantAdecco – Clearwater, FL – Indeed.com claim filing, review documentation for processing, assist claimants with filing process questions and other related functions. |
Claims AdjudicatorHealth Integrated – Tampa, FL – Indeed.com in processing inpatient and outpatient claims using. . . aspects of claims processing functions. Processes claims in accordance with claims processing rules and. . . … MORE INFO |
Cost Containment CoordinatorWellCare – Tampa, FL – Indeed.com requests. While processing unsolicited refunds. . . Requires 1 year of facility and professional claims processing experience in a healthcare organization. . . … MORE INFO |
Medical CoderHiregy – Tampa, FL – Indeed.com a claim adjustment is necessary. Processes claim adjustment requests in Xcelys following all established adjustment and claim processing guidelines Utilized. . . … MORE INFO |
Lead Software Engineer (EDI)Vitaver & Associates – Tampa, FL – Indeed.com Oracle / SQL Server; • Experience with HIPAA EDI X12 experience (837 Claims processing, 835 Claim payment, 834 Enrollment, 820 Premium Payments); • Experience. . . … MORE INFO |
Litigation Representative, PIPDirect General Corporation – Tampa, FL – Indeed.com What's your CLAIM to fame?Are you an Auto claims. . . claims professionals. Summary: Complex position in connection with reviewing, investigating and processing. . . … MORE INFO |
Accounts Receivable Rep FE - Insurance Verification RepresentativeChapters Health System, Inc. – Temple Terrace, FL – Indeed.com eligibility, benefits and claim status. Exercises. . . of any billing errors, payer trends in claims processing, denials or payment fluctuations, to ensure. . . … MORE INFO |
UAT Validation AnalystKeystone Mercy Health Plan – Keystone, FL – Indeed.com testing (UAT) according to requirements, current claims processing guidelines, and standards. - Perform. . . Proficiency in claims processing systems, such as. . . … MORE INFO |
Data AdministratorCareCentrix – Tampa, FL – Indeed.com major system data used for contracts, billing, claims payment and business administration purposes. . . reports. Administer processing of scheduled and ad. . . … MORE INFO |
Integrated Service Specialist JobCoventry Health Care – Tampa, FL – Indeed.com claims to determinethe appropriateness of the claim. . . service or enrollment, accounts receivableor claims processing experience. - Able to effectively handle. . . … MORE INFO |
Revenue Integrity Analyst - Work From Home - EFL - Full-timeRI - Tampa – Palm Harbor, FL – Indeed.com during system processing of the claim in Patient. . . clinical expertise and that are delaying claims from processing in the Patient Accounting and/or SSI. . . … MORE INFO |
Revenue Integrity Analyst - Work From Home - EFLRI - Tampa – Palm Harbor, FL – Indeed.com during system processing of the claim in Patient. . . clinical expertise and that are delaying claims from processing in the Patient Accounting and/or SSI. . . … MORE INFO |
DRG Auditor (Certification Req'd) (Telecommute)iHealth Technologies – Tampa, FL – Indeed.com the claim. Manages individual work queue of claims. . . or coding review experience in ICD-9-CM with claims processing and data management responsibilities a plus. . . … MORE INFO |
Customer Information Representative, Commercial Markets - TampaLiberty Mutual – Tampa, FL – Indeed.com on Workers' Compensation claims. You will perform a. . . responding to inquiries or problems and explaining processing procedures. Superior customer focus is our. . . … MORE INFO |
Configuration Specialist, SrWellCare – Tampa, FL – Indeed.com Claims Processing Knowledge of CPT/HCPCS coding Knowledge of Access sufficient to pull queries related to provider loads, price rules, and claims processing. . . … MORE INFO |
Leave CoordinatorTake Care Health – Tampa, FL – Indeed.com work accommodations, workers’ compensation claims, fitness for duty, state, federal and company leaves. . . software and Word Processing software Preferred. . . … MORE INFO |
Customer Service Representative - Commercial MarketsLiberty Mutual – Tampa, FL – Indeed.com responding to inquiries or problems and explaining processing procedures. Superior customer focus is our. . . to customers regarding claim reporting, routine. . . … MORE INFO |
Medical/Insurance Compliance ManagerAll's Well – Tampa, FL – Indeed.com experience IN AN INSURANCE COMPANY IN claims analysis (part A, B, C, and D); Medicare/Medicaid Advantage FFS, HMO/PPO claims processing; and experience with. . . … MORE INFO |
Coord, Medicare Appeals & GrivKeystone Mercy Health Plan – Keystone, FL – Indeed.com of appeals submitted by members, the analysis of claims and appeals and the review of medical management. . . Completes the processing of all appeals and. . . … MORE INFO |
PROJECT MANAGER - Transportation Infrastructure GroupPCL Civil Constructors Inc – Tampa, FL – Indeed.com all change orders, including negotiating, processing and assessing cost and schedule impacts, and preparation of claims. • Prepare/verify and monitor progress. . . … MORE INFO |