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Medical Claims Jobs in Tampa, Florida

44 jobs

Company Confidential
Revenue cycle management company has 2 openings in their North Pinellas Office. Medical Claims Specialist and Medical Billing. FT/PT, 2 years medical office experience required. Email: ***** Reference Code:329639 _ojrfc_ 329639 _rfc_ 169865584...
Responsibilities : 1. Processing basic & complex claims for multiple plans with automated and manual differences in benefits, as well as utilizing the system and written documentation to determine the appropriate payment for a specific benefit. 2. Approving, pending, or denying payment according to the accepted coverage guidelines. 3. Identifying and referring all claims with potential third pa...
Responsibilities : 1. Processing basic & complex claims for multiple plans with automated and manual differences in benefits, as well as utilizing the system and written documentation to determine the appropriate payment for a specific benefit. 2. Approving, pending, or denying payment according to the accepted coverage guidelines. 3. Identifying and referring all claims with potential third pa...
Claims Examiner IMMEDIATE HIRE Looking for experienced Claims Examiners with a minimum of one year experience in a fast paced claims environment. The candidate should have intimate knowledge of most Medicare fee schedules.Candidate should be able to maintain high production and quality standards. Primarily looking for experience with Medicare claims although will train on Medicare if candid...
About Imagenet Imagenet is a premier healthcare technology company that has taken medical claims processing and document management to new levels of service, security and efficiency. Our core business is helping our clients reduce costs and increase productivity by providing efficient document imaging, data validation, adjudication and on demand retrieval of documents and data. Job Description ...
Description: Expanding access to affordable, high quality health care starts here. This is where some of the most innovative ideas in health care are created every day. This is where bold people with big ideas are writing the next chapter in health care. This is the place to do your life's best work.(sm) The Director of Network Programs is responsible for the successful program design, complianc...
Description: Expanding access to affordable, high quality health care starts here. This is where some of the most innovative ideas in health care are created every day. This is where bold people with big ideas are writing the next chapter in health care. This is the place to do your life's best work.(sm) The Network Program Consultant is responsible for ensuring provider data integrity from a ne...
Description: Position Description:Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work.(sm) Responsible for all aspects of assigned cases for analyzing and appeal/dispute process of condi...
RESPONSIBILITIES: Kforce is assisting a large client in their search for a Medical Biller in Tampa, FL. This professional billing position and the selected candidate will be responsible for assisting patients with financial aspects of their medical services and following-up outstanding balances. Essential Functions: Call insurance companies and find out claims status and follow-up on all claims...
RESPONSIBILITIES: Kforce is assisting a large client in their search for a Billing Specialist in Tampa, FL. This professional billing position and the selected candidate will be responsible for assisting patients with financial aspects of their medical services and following-up outstanding balances. Essential Functions: Call insurance companies and find out claims status and follow-up on all cl...
Description: Grow your career with an industry leader! We have training classes starting soon. Apply now!Are you the person your friends and family go to when they need advice or a listening ear? In this fast growing healthcare industry, UnitedHealth Group is searching for those individuals who can serve as a trusted resource to our members. You can be a part of the brightest and best team that a...
Position Description:Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work.(sm) Responsible for all aspects of assigned cases for analyzing and appeal/dispute process of conditional payment...
Job Description: Our company is currently seeking ​a Medical Accounts Receivable Analyst to join our team! You will be responsible for posting insurance payments to patient claims and researching exceptions by filing reviews and appeals for correct payment. Responsibilities:Obtain electronic fund and remittance dataPost payments and contractual adjustments Identify payment discrepancies and submi...
Job Description: Intralign is seeking Medical Billing Account Representative for our Central Billing Office in Tampa, FL. The Medical Billing Account Representative is responsible for insurance denial and follow-up of unpaid claims. The goal of this position is to get each claim paid in an accurate and timely manner. Candidate must have a working knowledge of medical claims reimbursement, contrac...
Job Description: Our company is currently seeking ​a Medical Accounts Receivable Analyst to join our team! You will be responsible for posting insurance payments to patient claims and researching exceptions by filing reviews and appeals for correct payment. Responsibilities:Obtain electronic fund and remittance dataPost payments and contractual adjustments Identify payment discrepancies and submi...
POSITION SUMMARY Successful candidate will be responsible for the preparation of prior authorization, predetermination, medical claim review, high dollar claim review and other as required in a fast paced high volume environment. Fundamental Components: -Data enters requests for services including DME, physical therapy, inpatient and outpatient care, behavioral health services and testing as a...
Position Description:Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work.(sm) Responsible for all aspects of assigned cases for analyzing and appeal/dispute process of conditional payment...
POSITION SUMMARY This position will supervise and direct medical and dental claims analysts, assist with inventory management, motivate, coach and mentor staff. Interview, hire, train staff as needed, participate in projects as required, participate in client presentations/discussions and interact both internally and externally with customers. Fundamental Components: - Direct supervision of cla...
Join our collaborative team of dedicated individuals—and love what you do. Why Progressive? We’re an organization that celebrates and rewards hard work each and every day, with a goal of being a company people can trust. Medical Representative Trainee (PIP) Working as a Medical Representative Trainee, you will have an opportunity to use your customer service and investigative skills to successf...
HealthCare Partners, one of the country's largest operator of medical groups and physician networks, will continue to provide integrated care management as an operating division of DaVita HealthCare Partners, focusing on delivering outstanding healthcare across a broad range of services. HealthCare Partners works with its patients to help them live life to the fullest and strives to lead the ...