Medical Claims Jobs in Tampa, Florida

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13 Tampa, FL Medical Claims jobs found on Monster.

Jobs 1 to 13 of 13
Description: What makes your clinical career greater with UnitedHealth Group? You can improve the health of others and help heal the health care system. You can work with in an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you'll open doors for yourself that simply do not exist in any other organization, anywhere....
Our client is currently seeking several PIP / Medical Claims Adjusters for a temp to perm position. As a PIP / Medical Claims Adjuster you will provide great customer service as you administer and examine standard routine coverage for moderate to complex claim settlement determinations. This involves handling cases with attorney representation such as material misrepresentation, fatality losses a...
Wellcare Health Plans Inc Tampa, FL
Claims Audit Specialist - Medical Claims Processing-1408885 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 comp...
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...
Job description: 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,...
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...
The Audit Collector 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. • Follow-up with commercial and managed care healthcare insurance and verify claim status. •...
The Healthcare Auditor 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. • Follow-up with commercial and managed care healthcare insurance and verify claim status....
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...
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 ...
Wellcare Health Plans Inc Tampa, FL
Pharmacy Support Clerk-1408999 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 approximately 3.3 ...
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...
Carecentrix Tampa, FL, 33602
Join one of the fastest growing private equity-backed healthcare companies in the country! We are uniquely positioned in the hottest area of healthcare, providing Healthcare Plans and Providers with a one-stop solution that coordinates all our patient’s home healthcare needs, including skilled nursing services, home infusion therapies, physical therapy, and durable medical equipment. These compreh...

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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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