- CHS (Clearwater, FL)
- …for Claims Department strategy, planning, staffing projection, budgeting and quality assurance and improvement. * Responsibility for final hiring decisions ... claims administration, is where submissions for payment/reimbursement/sharing from medical providers and covered individuals are reviewed, subject to cost… more
- Mass Markets (FL)
- …as a trusted partner in the industry. We are seeking a detail-oriented and analytical Quality Assurance Specialist to join our team. This role is critical in ... for detail, strong communication skills, and a passion for quality assurance within a BPO environment. To...cars! + Health Benefits:Full-time employees are eligible for comprehensive medical , dental, and vision coverage after 60 days of… more
- CHS (Clearwater, FL)
- …Experience:** + A high school diploma or equivalent is required + Experience in medical customer service, quality assurance , or insurance training is ... (Call Center QC) - Clearwater, FL** ** ** **Summary** The Claims & Call Auditor audits processed medical insurance claims and customer service calls to… more
- Cognizant (Tallahassee, FL)
- …coverage guidelines and regulations. * Experience in the analysis and processing of claims , utilization review/ quality assurance procedures. * Must be able ... - 4:30pm ET **Experience:** A minimum of 1 years claims processing is required. **Travel:** None required **About the...HCFA paper or EDI information. * Responsible for reviewing medical records when necessary to determine if service rendered… more
- Elevance Health (Tampa, FL)
- …we are actively defining our innovative role in the industry. **Pharmacy Quality Assurance Specialist** **Location:** This role requires associates to be ... as required by law._ **Schedule: Monday - Friday; 8:00am-5:00pm** The **Pharmacy Quality Assurance Specialist** is responsible for evaluating the quality… more
- MyFlorida (Tallahassee, FL)
- …than 30 claim determinations processed, and 50 expenses paid monthly. + Finalizes quality assurance corrective actions within 5 business days of notification. ... VICTIM COMPENSATION CLAIMS ANALYST - 41000639 Date: Jul 15, 2025...from victims, applicants, attorneys, centers, financial institutions, insurance carriers, medical providers, and/or criminal justice agencies to finalize determinations.… more
- Mass Markets (Macdill AFB, FL)
- …in the industry. We are hiring an Experienced QA Supervisor to lead our quality assurance efforts across multiple BPO campaigns. You'll oversee QA analysts, ... with client standards, and drive continuous improvement in service quality . To be considered for this role, you must...cars! + Health Benefits:Full-time employees are eligible for comprehensive medical , dental, and vision coverage after 60 days of… more
- Bank of America (Jacksonville, FL)
- …**Join us!** **Job Description:** This job is responsible for performing Inline Quality Assurance (ILQA) reviews for depository and treasury product ... ensure tasks, timelines and responsibilities are met. + Meet or exceed strict quality assurance standards. **Required Qualifications:** + Minimum 4 years of… more
- Banner Health (FL)
- …documentation completed by the health care team for the health record(s) and for quality assurance in the alignment of clinical documentation and billing codes. ... different focuses (Facility vs Profee)._ In this **Inpatient Facility-based HIMS Coding Quality Associate** position, you bring your **5 years of acute care… more
- Bank of America (Miami, FL)
- …1+ years of experience working with customers (internal/external) + Experience interpreting quality assurance standards and procedures for the organization. + ... + Monitoring, Surveillance, and Testing + Policies, Procedures, and Guidelines Management + Quality Assurance + Attention to Detail + Investigation Management +… more