• PedIM Healthcare (Crystal River, FL)
    …and completeness. Verify patient billing data and resolve any discrepancies. Generate and submit insurance claims to payers promptly. Follow up on unpaid or ... Florida. We are currently seeking a detail-oriented and experienced Medical Billing Specialist to join our team. If you're...hear from you. Benefits: Comprehensive healthcare, dental, and vision insurance . 401K with 4% match after 1 year of… more
    job goal (12/04/25)
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  • Medical Insurance Claims…

    HCA Healthcare (Brooksville, FL)
    …TX, UT, VA). Do you want to join an organization that invests in you as a Medical Insurance Claims Follow -up Specialist? At Parallon, you come first. HCA ... and you have the opportunity to make a difference. We are looking for a dedicated Medical Insurance Claims Follow -up Spec like you to be a part of our… more
    HCA Healthcare (12/20/25)
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  • Medical Claims Analyst

    TEKsystems (Tampa, FL)
    …outreach, and refund resolution. The ideal candidate will have strong analytical skills, medical claims experience, and the ability to navigate complex systems ... and maintain reports, pivot tables, and document research findings. - Follow -Ups: Ensure timely receipt of bills (within 10 business...of the Revenue Cycle + Experience working as a Medical Claims Analyst + Experience and knowledge… more
    TEKsystems (12/20/25)
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  • Claims Auditor I, II & Senior

    Elevance Health (Tampa, FL)
    …+ Stop loss claims experience highly preferred. + Working knowledge of insurance industry and medical terminology; working knowledge of relevant systems and ... Auditor II** - all the above, plus: Independently interprets Medical Policy and Clinical Guidelines. + ** Claims ...in a quality audit capacity (preferably in healthcare or insurance sector); or any combination of education and experience… more
    Elevance Health (12/13/25)
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  • Claims Analyst

    WTW (Miami, FL)
    …and loss advices for reinsurers and internal use. + Monitor the progress of claims , coordinate settlements, follow up on recoveries, and reconcile balances with ... highly motivated individual to join our Company as a Claims Analyst based in Miami. The candidate will have...or a related discipline. + 5-year experience in an insurance or reinsurance environment, ideally within a broker or… more
    WTW (11/20/25)
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  • Claims Investigator - Part-Time

    Allied Universal (Cape Coral, FL)
    Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and ... Claims Investigator. Claim Investigators validate the facts of loss for Insurance claims through scene Investigations, claimant and witness Interviews,… more
    Allied Universal (12/06/25)
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  • Benefit and Claims Analyst

    Highmark Health (Tallahassee, FL)
    …including but not limited to, Clinical Strategy, Sales/Client Management, Customer Service, Claims , and Medical Policy. The person in this position must ... a related field **EXPERIENCE** **Required** + 3 years of customer service, health insurance benefits and claims experience. + Working knowledge of Highmark… more
    Highmark Health (12/18/25)
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  • Mechanical Claims Adjuster (Remote)

    DriveTime (Tampa, FL)
    …adherence to department process flows and policies. + Manages list of assigned pending claims and provides timely follow up with repair facilities to decision ... which provides quality warranty and ancillary products, and a customer-friendly claims process. SilverRock offers a variety of ancillary products and administrative… more
    DriveTime (12/20/25)
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  • Stop Loss Claims Operations Manager, Remote

    CVS Health (Tallahassee, FL)
    …**Preferred Qualifications** * Prior experience managing large teams * Medical Claims Operations exposure **Education** bachelor's degree preferred/specialized ... who are responsible for the filing of Stop Loss claims to partner Managing General Underwriter (MGU) and Stop...partner Managing General Underwriter (MGU) and Stop Loss Carriers, follow up, reconciliation and posting of Stop Loss reimbursements.… more
    CVS Health (12/04/25)
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  • Hospital Billing and Claims Application…

    Deloitte (Jacksonville, FL)
    …you'll do/Responsibilities + Support Epic enterprise implementation for a large academic medical center and health system in the Southeast region. + Conduct Epic ... applications are well supported and implementations are properly executed + Follow defined standards, promote best practice principles, and participate in change… more
    Deloitte (10/31/25)
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