Claims Specialist GEICOClaims SpecialistRiverview, FL$28.29–$37.72Customer Interaction: Manage incoming calls, collect accident facts, investigate claim details, collect statements from involved parties, and assist in the process of getting our customers back on the road. . Enjoy GEICO Flex, additional weeks annually to work off-site, meeting location and work guidelines. .
NewDisability Claims Specialist (Part Time) Software Guidance & AssistanceDisability Claims Specialist (Part Time)Tampa, FLRemote$0–$50 / hourProvides frequent, proactive verbal communication with our claimants and/or their representatives demonstrating empathy and active listening while providing clear updates, direction and explanations regarding the claim process, benefits and other pertinent plan provisions. Collaborates with both external and internal resources, such as physicians, attorneys, clinical/vocational consultants as needed to gather data such as medical/occupational information in order to ensure reasonable, thorough decisions.
NewDisability Claims Specialist (Part Time) SGA Inc.Disability Claims Specialist (Part Time)Tampa, FLRemoteProvides frequent, proactive verbal communication with our claimants and/or their representatives demonstrating empathy and active listening while providing clear updates, direction and explanations regarding the claim process, benefits and other pertinent plan provisions. Collaborates with both external and internal resources, such as physicians, attorneys, clinical/vocational consultants as needed to gather data such as medical/occupational information in order to ensure reasonable, thorough decisions.
Individual Disability Claims Specialist II MetLife IncIndividual Disability Claims Specialist IITampa, FL$60,000–$70,000 / yearRecognized on Fortune magazine\''s list of the "World\''s Most Admired Companies", Fortune World's 25 Best Workplaces, as well as the Fortune 100 Best Companies to Work For, MetLife, through its subsidiaries and affiliates, is one of the world's leading financial services companies; providing insurance, annuities, employee benefits and asset management to individual and institutional customers. All employment decisions are made without regards to race, color, national origin, religion, creed, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, marital or domestic/civil partnership status, genetic information, citizenship status (although applicants and employees must be legally authorized to work in the United States), uniformed service member or veteran status, or any other characteristic protected by applicable federal, state, or local law ("protected characteristics").
Individual Disability Claims Specialist MetLife IncIndividual Disability Claims SpecialistTampa, FL$47,000–$63,000 / yearRecognized on Fortune magazine\''s list of the "World\''s Most Admired Companies", Fortune World's 25 Best Workplaces, as well as the Fortune 100 Best Companies to Work For, MetLife, through its subsidiaries and affiliates, is one of the world's leading financial services companies; providing insurance, annuities, employee benefits and asset management to individual and institutional customers. All employment decisions are made without regards to race, color, national origin, religion, creed, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, marital or domestic/civil partnership status, genetic information, citizenship status (although applicants and employees must be legally authorized to work in the United States), uniformed service member or veteran status, or any other characteristic protected by applicable federal, state, or local law ("protected characteristics").
Claims Specialist CorVel Enterprise Claims, Inc.Claims SpecialistTampa, FL$52,999–$85,473 / yearPart timeThe Workers’ CompensationClaims Specialist manages within company best practices lower-level, non-complex and non-problematic workers’ compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions.
Claims Specialist GEICO GENERAL INSURANCE COMPANYClaims SpecialistTampa, FL$28.29–$37.72 / hourCustomer Interaction: Manage incoming calls, collect accident facts, investigate claim details, collect statements from involved parties, and assist in the process of getting our customers back on the road. Enjoy GEICO Flex, additional weeks annually to work off-site, meeting location and work guidelines.
Construction Defect Technical Claims Specialist Frank Winston Crum InsuranceConstruction Defect Technical Claims SpecialistClearwater, FL$105,000–$125,000 / yearThe pay offered to the selected candidate will be based on factors including, but not limited to qualifications, knowledge, licensure, skills, abilities, work experience, education, budget, training, employment trends, internal wage considerations, market dynamics, certifications, geographical location, assessments, and other business and organizational needs. Understands construction defect coverage issues and handles complex coverage issues related to sub-contractors, additional insured tenders by General Contractors and developers, Florida Chapter 558 process and issuing reservation of rights letters and denial of coverage letters.
Health Insurance Claims Specialist - Largo Prosper InfusionHealth Insurance Claims Specialist - LargoLargo, FLInsurance companies frequently deny or underpay claims—your role is to dig into the details, challenge discrepancies, and drive appropriate payment. Partner with internal teams to support patient care and resolve billing issues efficiently.
Claims Specialist CorVel CorpClaims SpecialistTampa, FL$52,999–$85,473 / yearThe Workers' Compensation Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers' compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions.
Long Term Disability Claims Specialist I MetLife IncLong Term Disability Claims Specialist ITampa, FL$41,600–$60,500 / yearRecognized on Fortune magazine\''s list of the "World\''s Most Admired Companies", Fortune World's 25 Best Workplaces, as well as the Fortune 100 Best Companies to Work For, MetLife, through its subsidiaries and affiliates, is one of the world's leading financial services companies; providing insurance, annuities, employee benefits and asset management to individual and institutional customers. All employment decisions are made without regards to race, color, national origin, religion, creed, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, marital or domestic/civil partnership status, genetic information, citizenship status (although applicants and employees must be legally authorized to work in the United States), uniformed service member or veteran status, or any other characteristic protected by applicable federal, state, or local law ("protected characteristics").
Travel Orders and Claims Specialist LukosTravel Orders and Claims SpecialistTampa, FloridaTravel: Contractor personnel must support the projected travel in support of government requirements to MARCENT AOR and supporting locations, which includes but not limited to the following countries: Bahrain, United Arab Emirates (UAE), Saudi Arabia, Jordan, Egypt, France, Germany, United Kingdom, Oman, Qatar, Kuwait, Iraq, Israel, Afghanistan, Syria, Lebanon, Yemen, Pakistan, Turkmenistan, Uzbekistan, Kyrgyz Republic, Tajikistan, Kazakhstan, Djibouti, Cyprus, Turkey, Italy, and Greece. Additionally, the G-1 advises and assists the Commander in matters relating to personnel operations, management, policy, administration, awards, correspondence, travel management, the Government Travel Charge Card (GTCC) Program, and administrative support to all Marines stationed at MacDill AFB as well as individual augments in the USCENTCOM Area of Responsibility (AOR).
ESIS Claims Specialist, AGL Chubb LtdESIS Claims Specialist, AGLTampa, FLThe company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally. Contacts, interviews and obtains statements(recorded or in person) from insureds, claimants, witnesses, physicians, attorneys, police officers, etc. to secure necessary claim information.
Temporary Construction Defect Technical Claims Specialist Frank Winston Crum InsuranceTemporary Construction Defect Technical Claims SpecialistClearwater, FL$40–$45 / hourThe pay offered to the selected candidate will be based on factors including, but not limited to qualifications, knowledge, licensure, skills, abilities, work experience, education, budget, training, employment trends, internal wage considerations, market dynamics, certifications, geographical location, assessments, and other business and organizational needs. Understands construction defect coverage issues and handles complex coverage issues related to sub-contractors, additional insured tenders by General Contractors and developers, Florida Chapter 558 process and issuing reservation of rights letters and denial of coverage letters.
Bodily Injury Claims Specialist Auto-Owners Insurance CoBodily Injury Claims SpecialistLakeland, FLThe position requires the person to: Assemble facts, determine coverage, evaluate the amount of loss, analyze legal liability, make payments in accordance with coverage, damage and liability determination, and perform other functions or duties to properly adjust the loss. Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs.
Senior Casualty Claims Specialist - Southeast Liberty Mutual Holding Company IncSenior Casualty Claims Specialist - SoutheastTampa, FLRemoteThe full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role.
ESIS Claims Compliance Specialist, WC Chubb LtdESIS Claims Compliance Specialist, WCTampa, FLThey will report into the Claim Vice President and will be responsible for managing all the EDI, penalties, compliance, legal communications, and regulatory inquiries tracking and identifying trends for root cause analysis and training. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally.
Claims Resolution Specialist 1 - Usftgp Umsa RCO Back End The Tampa General Hospital Foundation IncClaims Resolution Specialist 1 - Usftgp Umsa RCO Back EndTampa, FLThis position reviews assigned accounts, conducts status inquiries, processes appeals, and determines appropriate actions needed to resolve outstanding balances in accordance with departmental policies, payer guidelines, and regulatory requirements. The Specialist identifies trends impacting claims, assists with clean claim filing, and participates in special projects related to accounts receivable management.
Claims Resolution Specialist 1 - USFTGP UMSA RCO Back End Tampa General HospitalClaims Resolution Specialist 1 - USFTGP UMSA RCO Back EndTampa, FL681564'',''true'',''681564'',''false'',''Submission for the position: Claims Resolution Specialist 1 - USFTGP UMSA RCO Back End - (Job Number: 260002IM)'',''false'',''681564'',''false'',''true'',''Claims Resolution Specialist 1 - USFTGP UMSA RCO Back End'',''260002IM'',''!*! This position reviews assigned accounts, conducts status inquiries, processes appeals, and determines appropriate actions needed to resolve outstanding balances in accordance with departmental policies, payer guidelines, and regulatory requirements.
Manager - Construction Claims Markel Group IncManager - Construction ClaimsTampa, FL$97,520–$134,090 / yearThis includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. Pay information: The base salary offered for the successful candidate will be based on compensable factors such as job-relevant education, job-relevant experience, training, licensure, demonstrated competencies, geographic location, and other factors.
Manager, Construction Claims Markel CorporationManager, Construction ClaimsTampa, FL$97,520–$134,090 / yearThis includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. Pay information: The base salary offered for the successful candidate will be based on compensable factors such as job-relevant education, job-relevant experience, training, licensure, demonstrated competencies, geographic location, and other factors.
Claims Examiner Markel Group IncClaims ExaminerTampa, FL$62,000–$85,800 / yearThis includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. Provides timely service throughout the life cycle of the claim by meeting all service level agreements, initiating timely contact to all appropriate parties, and responding to incoming inquiries according to company policy and procedures.
Claims Examiner Markel CorporationClaims ExaminerTampa, FL$62,000–$85,800 / yearThis includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. Provides timely service throughout the life cycle of the claim by meeting all service level agreements, initiating timely contact to all appropriate parties, and responding to incoming inquiries according to company policy and procedures.
Executive Claims Examiner Markel Group IncExecutive Claims ExaminerTampa, FL$97,520–$134,090 / yearThis includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. Manage litigation filed nationwide against insureds; appoint, direct and manage defense counsel; proactively work toward expeditious and economical resolution of claims; assist Company claims vendor management, disbursement and legal collections teams with defense counsel, bill payment and collection issues.
Executive Claims Examiner, Miscellaneous Professional E&O Markel CorporationExecutive Claims Examiner, Miscellaneous Professional E&OTampa, FL$97,520–$134,090 / yearThis includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. Manage litigation filed nationwide against insureds; appoint, direct and manage defense counsel; proactively work toward expeditious and economical resolution of claims; assist Company claims vendor management, disbursement and legal collections teams with defense counsel, bill payment and collection issues.
Missing Heir Sales - Estate Claim Sales Representative Lauth Investigations International IncMissing Heir Sales - Estate Claim Sales RepresentativeTampa, FLRemoteCompany Overview We are a professional estate research and heir location firm that helps individuals discover and claim inheritances from estates where beneficiaries could not initially be located. Your responsibility is to explain the opportunity, verify their interest, and secure a signed contingent fee agreement allowing our firm to represent them in recovering their inheritance.
Estate Claim Sales Representative Lauth Investigations International IncEstate Claim Sales RepresentativeTampa, FLRemoteCompany Overview We are a professional estate research and heir location firm that helps individuals discover and claim inheritances from estates where beneficiaries could not initially be located. Your responsibility is to explain the opportunity, verify their interest, and secure a signed contingent fee agreement allowing our firm to represent them in recovering their inheritance.
Healthcare Appeals Specialist TempExpertsHealthcare Appeals SpecialistClearwater, FLThe ideal candidate will have experience with medical billing, insurance claims, appeals, or revenue cycle management and be comfortable researching claim issues, communicating with insurance providers, and managing multiple cases in a fast-paced healthcare environment. This role plays an important part in ensuring accurate and timely resolution of insurance claim denials while helping improve financial outcomes and support patient access to critical medical services.
Medical Billing/Coding Specialist Gastro FloridaMedical Billing/Coding SpecialistClearwater, FLFull timescreening & treatment, colon cancer prevention, non-surgical cancer intervention, IBD infusions & therapy, nutrition & weight loss services, monitoring between visits, pharmacy & pathology services, and the latest therapies, including clinical research, to provide an integrated patient experience. Medical Billing/ Coding SpecialistGastro Florida is the largest gastroenterology group in Tampa Bay with over 65 providers and over 25 locations in Pinellas, Hillsborough, Pasco, Hernando and Polk counties.
Medical Accounts Receivable Specialist - Home Infusion Prosper InfusionMedical Accounts Receivable Specialist - Home InfusionWestchase, FLResponsible for handling all correspondence related to an insurance or patient accounts, contacting insurance carriers and patients as needed to secure maximum payment. Prosper Infusion is a national home infusion company located in Tampa, FL that is seeking a Medical Accounts Receivable Specialist.
Medical Billing Specialist Ledgent Finance & AccountingMedical Billing SpecialistTampa, Florida$22–$30 / hourThese roles are ideal for experienced healthcare revenue cycle professionals who thrive in fast-paced environments and are seeking flexible temporary or temp-to-hire opportunities. We are recruiting Revenue Cycle Billing and Collection Specialists for a client in the Tampa Bay area.
NewSpecialist, Insurance Revenue Cycle Sherloq SolutionsSpecialist, Insurance Revenue CycleTampa, FLFull timePosition SummaryThis position will require the employee to effectively communicate between healthcare providers and health insurance payers to expedite claim resolution. Over 100 years later, SHERLOQ continues as a vibrant company serving hospitals, healthcare systems, physician practices and utilities nationwide.
Auto Glass Specialist / Service Drive Greeter Dayton Andrews Chrysler Dodge Jeep RamAuto Glass Specialist / Service Drive GreeterClearwater, FloridaDayton Andrews Chrysler Dodge Jeep Ram Fiat is expanding its customer service and repair offerings with the launch of our Dayton Andrews Glass Specialist Program .We are seeking an experienced Glass Specialist to perform combined Greeter and Lot Porter duties in our service drive while actively identifying and managing opportunities for glass repair and replacement. The Glass Specialist plays a key role in enhancing the service drive experience by greeting customers, maintaining an efficient vehicle flow, inspecting glass for damage, and assisting customers in arranging windshield repairs or replacements.
OPS Property Specialist - 77907644 Government of FloridaOPS Property Specialist - 77907644ST PETERSBURG, FL$24–$25 / hourThe Benefits of Working for the State of Florida: *Eligible OPS positions and qualifying applicants may enjoy top-tier benefits offerings including comprehensive health coverage to meet the needs of you and your family while maintaining low deductibles and low monthly out-of-pocket contributions. Ensures all purchasing activities, including the ethical purchases of commodities and services, comply with federal, state and agency laws, rules and policies with special attention Chapter 287, 255, and 112 F.S.
NewFinancial Operations Recovery Specialist I/Ii/Iii Elevance HealthFinancial Operations Recovery Specialist I/Ii/IiiTampa, FLWe are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. Job Description: Location: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance.
Bilingual Tollway Customer Service Specialist MCI CareersBilingual Tollway Customer Service SpecialistTampa, FloridaFull timeMCI organically grows, acquires, and operates companies that have synergistic products and services portfolios, including but not limited to Automated Contact Center Solutions (ACCS), customer contact management, IT Services (IT Schedule 70), and Temporary and Administrative Professional Staffing (TAPS Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service, Digital Experience Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and Technology Services, to mid-market, Federal & enterprise partners. MCI now employs 10,000+ talented individuals with 150+ diverse North American client partners across the following MCI brands: MCI BPO, MCI BPOaaS, MarketForce, GravisApps, Gravis Marketing, MarchEast, Mass Markets, MCI Federal Services (MFS), OnBrand24, The Sydney Call Center, Valor Intelligent Processing (VIP), BYC Aqua, EastWest BPO, TeleTechnology, and Vinculum.
Health Insurance Revenue Cycle Specialist Blackstone Medical ServicesHealth Insurance Revenue Cycle SpecialistTampa, FloridaBlackstone Medical Services is a rapidly growing diagnostic technology company looking for team members who enjoy working in a productive environment while helping patients improve the quality of their health. Blackstone Medical provides a new sleep medicine technology (In-Home Diagnostic Sleep Testing) which is growing in demand as awareness increases among healthcare providers and patients.
NewFinancial Operations Recovery Specialist I/II/III Elevance Health IncFinancial Operations Recovery Specialist I/II/IIITampa, FLWe are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. Job Description: Location: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance.
Risk Specialist BayCare Health SystemRisk SpecialistClearwater, FLOur network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. Assists in risk management activities, claims management, extensive medical record review, team member and physician interviews, Root Cause Analysis/Quality Practice Review process.
Physician Coding Ed Specialist- St Pete Orlando Health Ventures l LLCPhysician Coding Ed Specialist- St PeteSt. Petersburg, FLLicensure/Certification: Must maintain one (1) of the following national certifications: • Certified Professional Coder (CPC) through the American Academy of Professional Coders • Certified Coding Specialist (CCS) through the American Health Information Management Association (AHIMA) • Certified Coding Specialist-Physician (CCS-P) through the American Health Information Management Association (AHIMA) • Certified Medical Coder (CMC) through Practice Management Institute • Certified Professional Medical Auditor (CPMA) • CEMA certification via National Alliance of Medical Auditing Specialists Experience: • 5-6 years of professional based coding experience isrequired. Qualifications Skills Knowledge: • Excellent knowledge of CPT-4, ICD-10-CM/PCS and HCPCS coding principles, governmental regulations, protocols, and thirdparty payer requirements pertaining to billing, coding and documentation • Knowledge of medical terminology • Experience working with Electronic Medical Records • Ability to work independently • Strong interpersonal and presentation skills paired with advanced written and verbal communication skills • Strong analytical and writing skillsrequired for proposal and report development Education/Training: • Associate degree required.
Absence Management Specialist Unit Leader MetLife IncAbsence Management Specialist Unit LeaderTampa, FL$55,600–$99,300 / yearRecognized on Fortune magazine\''s list of the "World\''s Most Admired Companies", Fortune World's 25 Best Workplaces, as well as the Fortune 100 Best Companies to Work For, MetLife, through its subsidiaries and affiliates, is one of the world's leading financial services companies; providing insurance, annuities, employee benefits and asset management to individual and institutional customers. All employment decisions are made without regards to race, color, national origin, religion, creed, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, marital or domestic/civil partnership status, genetic information, citizenship status (although applicants and employees must be legally authorized to work in the United States), uniformed service member or veteran status, or any other characteristic protected by applicable federal, state, or local law ("protected characteristics").
RCM Specialist- Accounts Receivable & Denial RCS JAG Physical TherapyRCM Specialist- Accounts Receivable & Denial RCSTampa, FloridaJAG Physical Therapy, a comprehensive outpatient, orthopedic physical therapy company with 100 facilities throughout Pennsylvania, New Jersey, and New York, is seeking compassionate and motivated individuals to join our winning team! • Responsible for clean claim billing, claim adjudication, denial management, payment posting, underpayments, patient liability, and other revenue cycle processes.
RCM Specialist I - Billing Support JAG Physical TherapyRCM Specialist I - Billing SupportTampa, FloridaJAG Physical Therapy, a comprehensive outpatient, orthopedic physical therapy company with 100 facilities throughout Pennsylvania, New Jersey, and New York, is seeking compassionate and motivated individuals to join our winning team! Important Disclaimer Notice: The above statements are only intended to represent the essential job functions and general nature of the work being performed and are not exhaustive of the tasks that an Employee may be required to perform.
Specialist, Appeals & Grievances (Must live in TX and Medicaid experience) Molina Healthcare IncSpecialist, Appeals & Grievances (Must live in TX and Medicaid experience)St Petersburg, FLRequests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per protocol and other business partners to determine response; assures timeliness and appropriateness of responses per state, federal and Molina guidelines. Facilitates comprehensive research and resolution of appeals, disputes, grievances, and/or complaints from Molina members, providers, and related outside agencies to ensure that internal and/or regulatory timelines are met.
GE Vernova Project Management Specialist GE Vernova IncGE Vernova Project Management SpecialistClearwater, FL$80,700–$121,100 / yearScope: The Project Management Specialist will report directly to the Site Project Management Leader and will be responsible for coordinating projects scope, delivery, quality, cost, risk mitigation, and customer satisfaction for assigned customer orders of the Capacitor and/or Power Sensing product lines. GE Vernova Inc. or its affiliates (collectively or individually, "GE Vernova") sponsor certain employee benefit plans or programs GE Vernova reserves the right to terminate, amend, suspend, replace, or modify its benefit plans and programs at any time and for any reason, in its sole discretion.
Billing Specialist - Lutz Suncoast Skin SolutionsBilling Specialist - LutzLutz, FloridaPerforms various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers. Billing and coding certification a plus, knowledgeable in computer programs, EMR systems, and clinical and billing terminology preferred.
Accounts Receivable / Revenue Cycle Specialist Ledgent Finance & AccountingAccounts Receivable / Revenue Cycle SpecialistTampa, Florida$22–$28 / hourThe Accounts Receivable / Revenue Cycle Specialist is responsible for managing receivables throughout the revenue cycle, with a strong focus on claims follow-up, denial resolution, and timely reimbursement. Work within EHR and practice management systems (including eClinicalWorks, Athena, or similar platforms) to review claims, patient accounts, and documentation.
Revenue Cycle Specialist Orthopaedic Solutions Management StaffRevenue Cycle SpecialistTampa, FloridaUnder direct supervision of the Worker’s Comp Manager, this position is responsible for assuring timely collection of accounts receivable, monitoring account activity and providing adequate follow up to ensure maximum reimbursement is received for physician billing. Our mission of providing the best care encompasses not only the care the physician provides, but all medical and administrative aspects of the patients encounter with Florida Orthopaedic Institute (FOI) as well.
GE Vernova Project Management Specialist GE VernovaGE Vernova Project Management SpecialistClearwater, FL$80,700–$121,100 / yearScope: The Project Management Specialist will report directly to the Site Project Management Leader and will be responsible for coordinating projects scope, delivery, quality, cost, risk mitigation, and customer satisfaction for assigned customer orders of the Capacitor and/or Power Sensing product lines. GE Vernova Inc. or its affiliates (collectively or individually, "GE Vernova") sponsor certain employee benefit plans or programs GE Vernova reserves the right to terminate, amend, suspend, replace, or modify its benefit plans and programs at any time and for any reason, in its sole discretion.
Senior Specialist - Software Engineering LTIMindtree LtdSenior Specialist - Software EngineeringPlant City, FL$110,000–$120,000 / yearTogether with over 87,000 employees across 40 countries and our global network of partners, LTM - a Larsen & Toubro company - owns business outcomes for our clients, helping them not just outperform the market, but to Outcreate it. Job Summary: Seeking a Specialist with 5 to 7 years of experience in Mainframe technologies including CICS Prompt Engineering JCL GitHub CoPilot and Enterprise COBOL to develop support and optimize mainframe applications.