Health Insurance Claims Adjuster - Medical Claims Adjudication (CMS‑1500/UB‑04) Insurance Administrative Solutions LLCHealth Insurance Claims Adjuster - Medical Claims Adjudication (CMS‑1500/UB‑04)Clearwater, FLAdjusters who handle the potential fraud or waste claims will investigate, track via clear and complete system notes and accurately report on each file/case in a timely manner. Insurance Administrative Solutions, L.L.C. ("IAS"), an Integrity company headquartered in Clearwater, Florida, is a third-party administrator providing business process outsourcing for insurance carriers.
Health Insurance Claims Adjuster - Medical Claims Adjudication (CMS‑1500/UB‑04) Integrity Marketing Group, LLCHealth Insurance Claims Adjuster - Medical Claims Adjudication (CMS‑1500/UB‑04)Clearwater, FLAdjusters who handle the potential fraud or waste claims will investigate, track via clear and complete system notes and accurately report on each file/case in a timely manner. Insurance Administrative Solutions, L.L.C. ("IAS"), an Integrity company headquartered in Clearwater, Florida, is a third-party administrator providing business process outsourcing for insurance carriers.
Medical Billing Claims Clerk Global Channel ManagementMedical Billing Claims ClerkPalm Harbor, FloridaMedical Billing Claims Clerk duties: following up with customers, verifying the clients information, scheduling installations, sending emails, creating customer accounts, utilizing product and pricing information to assist in answering questions and provide quotes. Proficient in medical billing clearinghouse Availity and Emdeon (Change Healthcare) Accounts payable and receivable knowledge is a plus.
Medical Billing & Claims Assistant – Entry Level Move VerticalMedical Billing & Claims Assistant – Entry LevelTampa, FloridaThis entry-level position assists with claims processing, patient account information, insurance verification, and general billing support. We are seeking detail-oriented candidates interested in beginning a career in medical billing, insurance, and healthcare revenue-cycle operations.
Medical Health Insurance Claims Adjuster Insurance Administrative Solutions LLCMedical Health Insurance Claims AdjusterClearwater, FLAdjusters who handle the potential fraud or waste claims will investigate, track via clear and complete system notes and accurately report on each file/case in a timely manner. Insurance Administrative Solutions, L.L.C. ("IAS"), an Integrity company headquartered in Clearwater, Florida, is a third-party administrator providing business process outsourcing for insurance carriers.
Medical Health Insurance Claims Adjuster Integrity Marketing GroupMedical Health Insurance Claims AdjusterClearwater, FloridaAdjusters who handle the potential fraud or waste claims will investigate, track via clear and complete system notes and accurately report on each file/case in a timely manner. Insurance Administrative Solutions, L.L.C. (“IAS”), an Integrity company headquartered in Clearwater, Florida, is a third-party administrator providing business process outsourcing for insurance carriers.
Medical Billing Claims Rep GlobalchannelmanagementMedical Billing Claims RepPalm Harbor, FloridaMedical Billing Claims Rep duties: Follow up with customers, verifying the clients information, scheduling installations, sending emails, creating customer accounts, utilizing product and pricing information to assist in answering questions and provide quotes. Provide support in other departments if needed when requested by management and provide superior customer service to internal and external customers.
Senior Property Claims Adjuster (Complex, Large Loss Claims) HCC Life Insurance CompanySenior Property Claims Adjuster (Complex, Large Loss Claims)FLRemoteThe Company will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, such as the Violent Crime Control and Law Enforcement Act of 1994 (18 USC § 1033(e))(the "VCCLEA"), which restricts financial institutions and insurers such as TMHCC from employing individuals with certain types of criminal convictions. In this role, you will handle claims from initial investigation through resolution, applying advanced coverage knowledge and strong analytical judgment to deliver fair, timely outcomes while providing exceptional service to our insureds and partners.
Senior Property Claims Adjuster (Complex, Large Loss Claims) Tokio Marine HCCSenior Property Claims Adjuster (Complex, Large Loss Claims)FloridaRemoteThe Company will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, such as the Violent Crime Control and Law Enforcement Act of 1994 (18 USC § 1033(e))(the “VCCLEA”), which restricts financial institutions and insurers such as TMHCC from employing individuals with certain types of criminal convictions. In this role, you will handle claims from initial investigation through resolution, applying advanced coverage knowledge and strong analytical judgment to deliver fair, timely outcomes while providing exceptional service to our insureds and partners.
Claims Specialist/Senior Claims Specialist-Alternative Markets Great American Insurance CompanyClaims Specialist/Senior Claims Specialist-Alternative MarketsFlorida, FL$85,000–$106,000 / yearAt Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. https://www.greatamericaninsurancegroup.com/about-us/business-operations/division/alternative-markets .
Admin Processor n Global Channel ManagementAdmin Processor nPalm Harbor, FloridaAdmin Processor duties: Follow up with customers, verifying the clients information, sending emails, utilizing product and pricing information to assist in answering questions. Proficient in medical billing clearinghouse Availity and Emdeon (Change Healthcare) Accounts payable and receivable knowledge is a plus.
Admin Processor Global Channel ManagementAdmin ProcessorPalm Harbor, FloridaAdmin Processor duties: Follow up with customers, verifying the clients information, sending emails, utilizing product and pricing information to assist in answering questions. Proficient in medical billing clearinghouse Availity and Emdeon (Change Healthcare) Accounts payable and receivable knowledge is a plus.
NewClaim Benefit Specialist CVS Health CorpClaim Benefit SpecialistFL$17–$31.30 / hourThe candidate will serve as a medical/hospital claim processor for rework projects, compliance, and complex issues for a specific provider/network or large-scale rework projects generated as a result of plan sponsor issues, release fallout and/or legal/regulatory/compliance concerns. CVS Health is currently looking for a highly motivated candidate who can effectively and accurately review and rework sensitive, complex medical and hospital claims for our rework project department.
Claims & Billing Analyst Independent Living Systems LLCClaims & Billing AnalystMiami, FLILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations. The analyst collaborates closely with healthcare providers, insurance companies, and internal departments to verify claims, identify discrepancies, and facilitate timely reimbursements.
Claims Examiner Independent Living Systems LLCClaims ExaminerMiami, FLILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations. By maintaining up-to-date knowledge of healthcare regulations and insurance policies, the Claims Examiner helps protect the organization from financial loss and supports the delivery of fair and efficient claims processing.
Processor - Title Documents Dealer Services NetworkProcessor - Title DocumentsDeerfield Beach, FloridaDue to the nature of the confidential documents, we work with, no cell phones, blue tooth or smart watches are allowed at the employees’ workstation, we do provide lockers to store your personal items. If you’re looking for an opportunity to join a great team, work in a positive and welcoming environment, learn new skills, and have opportunities to grow within the company, this could be a great fit for you.
Claims Analyst South Florida Community Care NetworkClaims AnalystSunrise, FLThis role reviews professional and facility claims, identifies payment discrepancies, evaluates claims against benefits, contracts, reimbursement methodologies, and applicable policies, and works with internal teams to resolve issues and improve claims processing. In this role, you'll use your claims expertise and analytical skills to protect payment accuracy, identify opportunities for improvement, and help strengthen the processes that support our members and providers.
Epic Certified Applications Analyst III Claims Expert In Recruitment SolutionsEpic Certified Applications Analyst III ClaimsHealth First, FLThe Epic Applications Analyst III drives performance improvement through data reporting, advanced configuration, and proactive system enhancements, ensuring reliable, secure, and user-friendly application functionality. Partners with cross-functional teams manage major EHR upgrades, requests for enhancements, testing cycles, and change management initiatives to drive performance improvement.
Claims Correspondence Coordinator Independent Living Systems LLCClaims Correspondence CoordinatorMiami, FLILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations. The Claims Correspondence Coordinator acts as a liaison to clarify claim statuses, respond to inquiries, and support disputes and appeals processing team by maintaining organized records and documentation.
NewClaims Processing Representative Humana IncClaims Processing RepresentativeMiramar, FL$40,000–$52,300 / yearThrough our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. About OneHome: OneHome coordinates a full range of post-acute care ranging from home health, infusion therapy and durable medical equipment services at patients' homes.