Medical Claims Specialist Jobs in Florida

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29 Florida Medical Claims Specialist jobs found on Monster.

Jobs 1 to 20 of 29
Medical Claims Specialist/Examiner Job Duties: · Determines covered medical insurance losses by studying provisions of policy or certificate. · Establishes proof of loss by studying medical documentation; assembling additional information as required from outside sources, including claimant, physician, employer, hospital, and other insurance companies; initiating or conducting investigation of que...
Nationwide/Allied is looking to hire two Workers' Compensation Claims Specialist II to be staffed in our Harrisburg, PA office. Must have previous Workers' Compensation Claims handling experience. Please make sure to apply online. Please visit our website at https://careers.nationwide.com/hcm/Nationwide-jobs-apply.html Job ID: 19554 JOB SUMMARY: Investigates and handles complex medical and/or loss...
Nationwide Insurance is currently looking to hire several individuals for our Casualty Bodily Injury Claims organization in Gainesville, FL. This is an inside (desk adjuster) position. Previous casualty claims processing/handling experience is highly preferred. Two to three years of customer service preferred. College (4 year) degree highly preferred. Candidates bilingual in Spanish a plus. This p...
Job Title: Medical Collector / Denial Research Specialist Position Summary:Are you an experienced Medical Collector in the Miami Lakes area looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your Medical Collector career by joining a fortune 500 company that provides on-going training and development? Are you interested in working for a company t...
Parker + Lynch of Jacksonville is conducting a search for a Worker’s Compensation Senior Specialist job in Jacksonville, FL. If you are interested in working for a business that prides itself on community involvement, career development and work/life balance, then read on! To be considered for this job, you must possess a Bachelor’s degree in a business-related field, and have claims’ management e...
Great client, near downtown is looking for Insurance Verification Specialist (IVS). IVS is responsible for reviewing and assessing incoming referrals to ensure all requirements are met before the benefit investigation is initiated and/or transferred to the pharmacy for processing and dispensing. The IVS will set up patient referrals for adjudication and make the necessary outreach to the Pharmacy...
The CSI Companies is currently looking for a Payer Specialist for one of our clients in the Jacksonville, FL area. PURPOSE: This position reports to the Pharmacist in Charge and is responsible for all of the insurance aspects of pharmacy contracts, claims, and payments. This position supports the Pharmacist in Charge and related team with day-to-day patient account functions, including charge entr...
Disability Specialist CLAIM YOUR FUTURE AS A GREAT PERFORMER! Providing both satisfying and challenging work along with a highly professional and friendly work atmosphere, Sedgwick has a strong commitment to its colleagues and its clients. If you are seeking a place where you can do great things for those whose lives you touch while maximizing your own career possibilities, Sedgwick is the place f...
Renaissance Behavioral Health Systems, Inc. (RBHS), a comprehensive not-for-profit mental health and social services provider and Joint Commission accredited organization, is seeking a Billing Specialist to work in our corporate office in Jacksonville, Florida. This is a full time opportunity with a comprehensive benefits package. The Billing Specialist is responsible for accurate and timely claim...
Disability Specialist CLAIM YOUR FUTURE AS A GREAT PERFORMER! Providing both satisfying and challenging work along with a highly professional and friendly work atmosphere, Sedgwick has a strong commitment to its colleagues and its clients. If you are seeking a place where you can do great things for those whose lives you touch while maximizing your own career possibilities, Sedgwick is the place f...
Johnson & Johnson companies are equal opportunity employers. Sr. Executive Area Business Specialist, Oncology (Miami, FL) - Janssen Biotech, Inc.-4428140107 Description Janssen Biotech, Inc., a member of Johnson & Johnson's Family of Companies, is recruiting for a Sr. Executive Area Business Specialist to support the Miami, Florida geography which extends North to Orlando and West to Tampa. For mo...
HR Benefits Specialist - Vero Beach, FL Full time Human Resources position for private club in Vero Beach , Florida. Handle benefits eligibility, enrollments, changes, billing, claims issues, for all group insurance plans; LOAs, COBRA, FMLA; 401k plan eligibility & enrollments; PTO plan eligibility; workers' compensation claims & liaison with carriers. Assist with employment & projects. Must have...
Are you looking for a change? This position allows you to utilize the LPN and/or RN skills you have mastered but to work a 8 - 5 Monday - Friday position. If you are interested apply right away as the client is interviewing this week. 1.Reviews all directions per Medical Doctor (MD) orders and accurately coordinates all request for services and care as per contractual arrangements, policy and work...
Description As a part of the Tenet and Catholic Health Initiatives family, Conifer Health Solutions is a leading healthcare business process management services provider working to improve operational performance for more than 600 clients so they can support financial improvement, enhance the patient experience, and drive value-based performance. Through our revenue cycle management , patient comm...
Join the Leader in the Home Healthcare Industry! Let us be Your Road to Success We are seeking a Human Resources Specialist to join our team. In this role you will be responsible for supporting Employee Relations, Talent Management and other various HR support functions. Why work for Rotech? If we take a look at all the ways employees benefit from working at Rotech, we have a philosophy we like to...
JOB DESCRIPTION Medical Biller / Coder / Coding Specialist / CPC/ Certified Professional Coder The Coding Specialist is responsible for the following: · Coding claims directly from the H&P and/or operative reports; specialty and family practice · Researching and obtaining necessary information from provider and/or patients for claim processing. · Assisting with research of denied claims submitting...
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NeoGenomics Laboratories Billing Specialist - Ft. Myers & Tampa, FL Locations ARE YOU SEEKING A REWARDING CAREER IN CANCER DIAGNOSTICS? If you answered YES - then join our team of dedicated leaders in the cancer diagnostics marketplace! NeoGenomics is a state of the art comprehensive testing laboratory headquartered in Fort Myers, Florida with additional locations in Florida, Tennessee, and Califo...
Description Job duties include but are not limited to the following: A senior level position in the facility audit function. - Independently performs comprehensive, multi-dimensional audits for facility inpatient and outpatient claims, both field and in-house for all lines of business. - Ensures claims are paid according to the provider’s contract, standard claims processing procedures, proper cod...
LOOKING FOR AN AWESOME COMPANY TO WORK FOR, MEDIVANCE IS THE PLACE! SEEKING EXPERIENCED BILLING & COLLECTION SPECIALIST IN THE SUBSTANCE ABUSE AND MENTAL HEALTH FIELD Primary Purpose and Function This position provides claims for services rendered in the Substance Mental Health and Medical Billing forum. Must be experienced in Medical Insurance for Billing and Collections. Essential Functions and...
POSITION SUMMARY: Administers the medical insurance billing process ESSENTIAL RESPONSIBILITIES: · Works claims tracking reports in a practice management system · Works clearinghouse rejection and denial reports · Performs error/coding corrections via task communication with provider offices · Identifies error trends and communicates with management · Posts payments, adjustments and other transacti...
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Answers for Medical Claims Specialist Jobs

Questions & Answers Powered by Yahoo! Answers
Injury at work or medical negligence can I claim?
I'm a labourer and I'm constantly squatting down and carrying heavy loads. I have been doing this job for 4 and half years. After 2 years my knee started locking once or twice a week depending how lon...
What is medical billing and coding, and is it easy?
Im looking for a carrer, and i saw a medical billing and coding specialist. I I want a carrer that will be fast and easy to start and make good money. I want to know what i will have to do to become a...

Healthcare Career Tools

Medical Claims Specialist/Examiner

Salaries

$24,000.00 - $52,000.00
Typical Salary for Medical Claims Specialist/Examiner in Florida
(239 Respondents)
Source: Monster.com Careerbenchmarking Tool

Education / Training

Bachelor's
23.5%
Some College Coursework Completed
22.5%
Associates
16.6%
High School
14.4%
Certification
11.8%
Vocational
7.5%
(187 Respondents)
Source: Monster.com Careerbenchmarking Tool

Popular Medical Claims Specialist Articles

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