Medical Claims Specialist Jobs in Florida

440 jobs

Company Confidential
Fast growing medical-billing company now hiring. We are in need of reliable and teachable employees to fill several full-time positions immediately and grow with the company. Positions include medical billers, claims follow-up specialists and administrative assistants. Offering competitive salaries along with performance based bonuses and the stability of 9-5, M-F office hours. We pride ourselv...

Claims Audit Specialist - Medical Claims Processing Experience Required-1500943 About WellCare: WellCare Health Plans, Inc. is a Fortune 500 company traded on the New York Stock Exchange (symbol: WCG). It provides managed care services targeted to government-sponsored health care programs, including Medicaid, Medicare, Prescription Drug Plans and the Health Insurance Marketplace. Headquartered in...

Independently performs end to end audits of Operational area to ensure accuracy of departmental processes as they trace back to source and identify (if necessary) process improvement opportunities. Essential Functions: Conducts daily quality reviews of operations department processes (i.e. eligibility, enrollment, claims processing and pricing, configuration contract loads, etc). Responds to fi...

Level 07 Reports to: Supervisor, Operations Location: Woodland Center Boulevard, Tampa Independently performs end to end audits of Operational area to ensure accuracy of departmental processes as they trace back to source and identify (if necessary) process improvement opportunities. Essential Functions: Conducts daily quality reviews of operations department processes (i.e. eligibility, enro...

Insurance Claims Resolution Specialist (Medical) Our Client is looking for a candidate who is experienced in researching and resolving Medical Insurance Claims that are on appeal or denied by an Insurance Carrier General Description: This position provides Claim follow up, and seeks resolution and payment of Billing already sent to Insurance Carriers and needing further research. No coding is ...

Insurance Claims Adjudication Specialist (Medical) Our Client is looking for a candidate who is experienced in researching and resolving Medical Insurance Claims that are on appeal or denied by an Insurance Carrier, with experience in the auditing of claims. General Description: This position provides Claim follow up, and seeks resolution and payment of Billing already sent to Insurance Carrier...

Full time position Are you looking to be part of a global insurance group that is innovative and exciting? MAPFRE Insurance is looking for you! About MAPFRE Founded in 1933, MAPFRE Insurance is the leading insurance company in Spain and the largest non-life insurance company in Latin America. Since 2008, MAPFRE Insurance has been building its market share in the US. With over 32,000 employees w...

National Employee Benefits Administrators, Inc. is a Third Party Administrator providing administration for a variety of benefit plans across the United States. Our Claims Department processes a high volume of medical, dental, vision and short term disability claims. We are looking for a highly detailed and organized individual with excellent computer skills to assist in the preparation of report...

Company Confidential
MEDICAL BILLER & CODER SUPERVISOR In-depth knowledge of procedural coding, specialist in identifying appropriate ICD-9 coding based on CMS/HCC categories, CPT, HCPCS CMS 1500 form, Super Bill, Electronic Claims Submission and Clearing House Operations, EOB and payments, denials and appeals. Ensures timely billing and follow up for patient services Prepares accurate reports of patient charges, p...

Review all medical insurance claims for resolution and payment. Resolve any incoming inquiries or payment denials from insurance providers for payment. Research, compile, and respond to documentation requests from insurance carriers in a timely basis. Contact insurance carriers to collect on open account balances. Requirements High School Diploma or GED Requried. The Medical Collector – Claims...

Healthcare/Medical Billing & Collections Business Operations Division Monday - Friday Work Week, Days Great Comprehensive Benefit Program Salary Range starts at $ 14.09 p/hour on up! (Quarterly monetary bonus incentive opportunity) Review all medical insurance claims for resolution and payment. Resolve any incoming inquiries or payment denials from insurance providers for payment. Research, c...

Claims Coding Specialist - CPC Preferred/Claims Processing Exp Required - 1407573 About WellCare: WellCare Health Plans, Inc. provides managed care services targeted to government-sponsored health care programs, focusing on Medicaid and Medicare. Headquartered in Tampa, Fla., WellCare offers a variety of health plans for families, children, and the aged, blind and disabled, as well as prescriptio...

Department: Operations, Claims Coding Reports To: Sr. Manager, Operations Claims Coding Location: Tampa, 33643 or Remote Hours: M-F Day Shift Manages claims coding rule process. Evaluates claims coding rule change request from clinical, financial, and claims operations perspectives. Provides regulatory and correct coding research on change requests and makes recommendations on correct payment ...

RESPONSIBILITIES: Kforce has a Healthcare client in Clearwater, FL that is looking for a strong, professional full time Medical Biller/Collector. This is a large, growing company that offers very favorable benefits, 10 paid Holidays, 2 weeks PTO, and unlimited overtime. Duties: Will be responsible for billing activities for the first half of the day and AR/Collections the second half of the day...

LOOKING FOR AN AWESOME COMPANY TO WORK FOR, MEDIVANCE IS THE PLACE! SEEKING EXPERIENCED BILLING & VERIFICATION SPECIALIST IN THE SUBSTANCE ABUSE AND MENTAL HEALTH FIELD Primary Purpose and Function This position provides claims submission for services rendered in the Behavioral Health and Medical Billing forum. This position is responsible for submitting claims, posting and managing account pay...

Medical Billing Specialist - Gainesville, FL Kelly Services is seeking Medical Billing Specialists for future employment opportunities with a leading Gainesville healthcare employer. Pay rate is $12/hr. Job Description As a Medical Billing Specialist you will take the data provided by the medical coders and use it to compile and submit claims to insurance companies and then subsequently bill pa...

Claims Processor - Medical Requisition ID 140900 Business Overview Humana Inc., headquartered in Louisville, Ky., is a leading health care company that offers a wide range of insurance products and health and wellness services that incorporate an integrated approach to lifelong well-being. By leveraging the strengths of its core businesses, Humana believes it can better explore opportunities for ...

Role: Claims Specialist - Medical Assignment: Service Operations Location: Tampa, FL We’re looking for associates who are dedicated to service and believe in following the Golden Rule of treating others the way you want to be treated. Humana was founded on this premise, and this value is reflected in our expectations for providing perfect service to our consumers, providers, employers, agents a...

Claims Processor - Medical Requisition ID 128315 Business Overview Humana Inc., headquartered in Louisville, Ky., is a leading health care company that offers a wide range of insurance products and health and wellness services that incorporate an integrated approach to lifelong well-being. By leveraging the strengths of its core businesses, Humana believes it can better explore opportunities for ...