Medical Claims Jobs in Tampa, Florida

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21 Tampa, FL Medical Claims jobs found on Monster.

Jobs 1 to 20 of 21
Wellcare Health Plans Inc Tampa, FL
Claims Audit Specialist - Medical Claims Processing Experience Required - 1405610 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...
Summary: Responsible for assisting with the implementation and successful execution of Corporate Claims initiatives impacting our medical claims operations. Works with Corporate Claims and Audit to identify skill or execution gaps and supports the Field Operations team in developing and executing improvement plans. Acts as a subject matter expert to help drive compliance with state regulations an...
WellCare Health Plans Inc. Tampa, FL, 33602
Department - Finance - Audit and Recovery Reports to: Director, Claims Audit Location: Woodland Center Boulevard (Tampa, FL) Hours - Monday through Friday 8:00 am - 5:00 pm 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: Con...
Job Description: Fortunate 500 Company Great Pay Great benefits PTO Claims Analyst Processor duties include to process patient health-care claims. Must be able to interpret the codes and terminology commonly used in medical billing to fully understand the paperwork that is submitted by health care providers. The medical claims analyst must determine whether to accept or deny coverage for pa...
Moten Tate, Inc. a Human Resource Services Company is seeking to fill a 12 TO 24 Month Contract position as in Medical Billing/AR Specialist in the Tampa, FL area. Job Description: Researching bills that remain outstanding for a certain number of days (80-90 days old); If payment has not been received they are responsible to reaching out to the client (payers) to get status; would also be respon...
We are Farmers Since our start in 1928, Farmers has focused on being a values-based, performance-driven learning organization. We have grown and adapted to meet the changing needs of our customers with an unwavering commitment to upholding the ideals with which we began by providing industry-leading products and services to the customers we're privileged to serve. Today, Farmers Insurance Group ...
Possess and apply a thorough knowledge of auditing claims and ability to apply the knowledge to all aspects of auditing; Identify over and under payments of claims; Resolve claims audit issues; Review notes, payments, refunds, recoups, etc. calculate reimbursements, payments, etc.; Review variances and take appropriate action. Request and review additional information as appropriate. • Follow-up ...
Possess and apply a thorough knowledge of auditing claims and ability to apply the knowledge to all aspects of auditing; Identify over and under payments of claims; Resolve claims audit issues; Review notes, payments, refunds, recoups, etc. calculate reimbursements, payments, etc.; Review variances and take appropriate action. Request and review additional information as appropriate. • Follow-up ...
The Audit Specialist will possess and apply thorough knowledge of auditing hospital claims and the ability to apply the knowledge to all aspects of patient account including insurance, billing, and collection processes. Identify problem accounts and reviews accounts for discrepancies and potential issues. Job Description • Follow-up with commercial and managed care healthcare insurance and verif...
AssuranceAmerica is seeking an experienced PIP Adjuster to join our Claims Department team in the Florida area. The PIP adjuster is responsible for the proper investigation and handling of all assigned Florida PIP exposures from inception to closer. Caseload will consist of claims requiring investigative skills to resolve typical non standard auto claims coverage and qualification issues. Job Du...
Wellcare Health Plans Inc Tampa, FL
* Claims Coding Research Analyst - 1406616 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 prescription drug plans. The company serves approx...
Farmers Insurance Group Tampa, FL
We are Farmers Since our start in 1928, Farmers has focused on being a values-based, performance-driven learning organization. We have grown and adapted to meet the changing needs of our customers with an unwavering commitment to upholding the ideals with which we began by providing industry-leading products and services to the customers we're privileged to serve. Today, Farmers Insurance Group ...
Humana Inc. Tampa, FL
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 ...
WellCare Health Plans Inc. Tampa, FL, 33602
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 policy and edit functionality. Manages the external Provider Dispute Process, supporting the frontline Provider Resolution Team, evaluating escala...
Southeast based carrier provides auto insurance services through retail and wholesale operations. They currently offer an opportunity to join their growing organization in either a PIP Adjuster or PIP Litigation Adjuster role depending on experience. Both positions available. The PIP adjuster is responsible for the proper investigation and handling of all assigned Florida PIP exposures from incept...
Carecentrix Tampa, FL, 33602
POSITION SUMMARY Reviews and investigates claims, enters claims into the company computer system, matches claim data with the appropriate authorizations and determines correct claims payment, denial or adjustment. Analyzes, resolves or refers questionable claims and authorizations or system issues as appropriate. Completes special assignments and analyzes provider requests. Assists other departme...
Carecentrix Tampa, FL, 33602
Performs invoice processing activities for national contracts, to ensure receivables are reimbursed in an accurate and timely basis. Works directly with payers, internal and external customers, and other contracted clients to obtain efficient and effective collection results. Works under moderate supervision. Primary Responsibilities Abides by and demonstrates the company Mission – Vision – Valu...
Job Preview: We are currently seeking talented Bodily Injury Adjuster Professionals (3rd Party) for our Tampa, FL facility. PURPOSE OF JOB Investigates, evaluates, negotiates and adjusts moderately complex auto claims presented by or against our insured to confirm coverage, determine legal liability and equitably settle/defend in compliance with all state regulatory requirements. Works under li...
WellCare Health Plans Inc. Tampa, FL, 33602
Department: Compliance, SIU Reports To: Sr. Director, SIU Compliance Location: Tampa, 33634 Hours: M-F Day Shift Conduct healthcare fraud and abuse investigations as a member of the Special Investigations unit within the Corporate Compliance department. Essential Functions: Investigates allegations and issues pertaining to potential health care fraud by providers or members. Documents inves...
The Progressive Corporation Riverview, FL
Medical Pay Rep Job Number : 122639 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 Pay Representative Work Schedule: Monday – Friday 11:00 a.m. – 8:00 p.m. The start date for this position will be 10/6/2014. As ...

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Insurance Career Tools

Claims/Policy Processing Clerk

Salaries

$20,000.00 - $38,000.00
Typical Salary for Claims/Policy Processing Clerk in Tampa
(47 Respondents)
Source: Monster.com Careerbenchmarking Tool

Education / Training

Some College Coursework Completed
41.3%
Associates
21.7%
Bachelor's
21.7%
High School
10.9%
Master's
4.3%
(46 Respondents)
Source: Monster.com Careerbenchmarking Tool

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