- Rising Medical Solutions (Tampa, FL)
- …With offices, providers, and case managers nationwide, RISING provides comprehensive medical claims solutions to our valued clients: insurance carriers, ... Experience + 2-4 years of insurance or healthcare experience, preferably in claims or medical billing-related position(s) Skills/Competencies + Knowledge of… more
- CHS (Clearwater, FL)
- **Overview** **Health Insurance Medical Claims Examiner** **Monday-Friday Schedule with daytime hours** **Responsibilities** **Summary:** The Medical ... Claims Examiner adjudicates medical claims based on health policy provisions and established guidelines....guidelines. **Essential Duties and Responsibilities:** + Reviews and adjudicates medical claims based on health policy provisions… more
- TEKsystems (Orlando, FL)
- Senior Medical Claims Analyst (Remote) Contract Duration: Through January 2026 (with potential for extension) Location: Remote (US based) Schedule: Flexible ... is ideal for someone with strong technical skills and a background in pharmacy or medical claims . You'll play a key role in ensuring the accuracy of claims … more
- IQVIA (Miami, FL)
- **Patient Support Medical Claims Processing Representative** _Contract Remote Role - Location (Open to Remote US)_ As the only global provider of commercial ... looking for a 100% remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative** to join our team. In this position, you will… more
- Sedgwick (Tampa, FL)
- …is correct. + May process routine payments and prescriptions and status reports for lifetime medical claims and/or defined period medical claims . + ... and industry best practices **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Adjusts medical -only claims and minor lost-time workers compensation claims… more
- Sedgwick (Tampa, FL)
- …properly documented and claims coding is correct. + May process complex lifetime medical and/or defined period medical claims which include state and ... Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Adjuster - Workers Compensation (Remote - Southeast State exp needed) Are you… more
- AssistRx (Orlando, FL)
- …internal program team members. + Subject Matter Expert on reviewing and processing of medical claims submitted for copay programs where the therapy is primarily ... The Copay Support/ Claims Processing Specialist is a critical role within...Required engagement is with pharmacy claim adjudicators, third party medical claim administrators, merchant vendors, finance for manual claim… more
- CHS (Clearwater, FL)
- … and Call Auditor (Call Center QC) - Clearwater, FL** ** ** **Summary** The Claims & Call Auditor audits processed medical insurance claims and customer ... Duties and Responsibilities:** + In accordance with company guidelines, performs random medical audits, target audits, re-audits, etc and audits for claims … more
- Modernizing Medicine (Tampa, FL)
- …previous healthcare administration or related experience required + Basic understanding of medical billing claims submission process and working with insurance ... cloud platform. Our vision is a world where the software we build increases medical practice success and improves patient outcomes. Founded in 2010 by Daniel Cane… more
- Humana (Tallahassee, FL)
- …a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make ... reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare, Medicare Advantage, and Medicaid requirements… more