Healthcare Claims Quality Auditor
Leading Edge
Leading Edge is seeking a Quality Auditor in Tampa, Florida, responsible for conducting internal audits and operational quality reviews to ensure compliance and accuracy across operations. The role emphasizes claims auditing and may expand to other operational processes. The ideal candidate will possess audit experience in the health insurance sector, critical thinking skills, and a keen eye for detail. This role fosters a culture of operational excellence while providing opportunities for professional growth. #J-18808-Ljbffr Leading Edge
- ...Location: Tampa, FL Job Id: 226 # of Openings: 1 South Tampa based Healthcare company in need of a Collections Specialist to join our team!... ...previous knowledge of insurance verification, authorization, claim filing and appealing claims. Duties include: Receive and post payments...Claims
- ...Reveljobs is assisting a confidential healthcare organization in Tampa, Florida, seeking an Entry-Level Medical Billing Specialist. This... ...supporting medical billing processes, assisting with insurance claims, and providing patient account assistance. Ideal candidates should...ClaimsWork at office
$24 - $40 per hour
...Location: Remote - EST or CST Time Zone ONLY Industry: Healthcare / Infusion Pharmacy Salary : $24-40/hr Overview We are... ...discrepancies, denials, and missing documentation Track outstanding claims and collaborate with payors and internal teams to resolve...ClaimsRemote work- A growing healthcare technology company in Tampa, Florida, is seeking Insurance Claims Representatives to manage insurance claims processes. This role involves following... ...productive team dedicated to enhancing patient health quality. #J-18808-Ljbffr Blackstone Medical ServicesClaims
- ...Blackstone Medical Services is a leader in healthcare services, specializing in at-home sleep testing for sleep apnea. Our mission is to... ...reimbursement cycle for sleep testing services. This role ensures accurate claim submission, proper follow-up with insurance companies, and...Claims
- ...Job Summary The Quality Auditor is responsible for conducting internal audits and... ...functions. This role is primarily focused on claims auditing, with scope expanding to... ...Responsibilities Conduct internal audits of healthcare claims transactions, reviewing for...ClaimsContract workWork at officeShift work
$20 - $24 per hour
...We’re hiring a Medical Billing Specialist to support a growing healthcare organization in the Tampa area. This is a great opportunity for... ...multiple areas of the revenue cycle, including insurance follow-up, claim denials, appeals, patient correspondence, payment posting, and...ClaimsWork at officeLocal areaRemote work3 days per week- ...A confidential healthcare organization is seeking a detail-oriented Entry-Level Medical Billing Specialist to support medical billing, insurance claims, patient account questions, coding-related workflows, and general administrative functions. This is a great opportunity...ClaimsWork at office
- Full-Time Tampa Accounts Receivables (AR) - Healthcare The Pharmacy AR Specialist is responsible for managing the accounts receivable (AR... ...medications. This includes verifying insurance coverage, submitting claims, resolving billing discrepancies, and ensuring timely...ClaimsFull time
- ...Centers At Tampa Family Health Centers, healthcare is more than a service—it's our mission.... ...Health Center, we provide high-quality, compassionate, and accessible healthcare... ...benefits to support accurate billing and claims processing. The Insurance Verification Specialist...ClaimsFull timeWork at officeRemote workMonday to Friday
- ...A leading healthcare institution is seeking a Revenue Cycle Quality Auditor I in Tampa, FL. In this entry-level role, you will execute quality audits within Finance teams, analyzing risks and ensuring compliance with policies. A Bachelor's degree in Accounting or Finance...Remote work
- ...experience may be creditable for leave purposes. Medical malpractice liability insurance is not required for federal civilian healthcare providers as they are covered by the Federal Tort Claims Act (28 U.S.C. § 1346(b)) while acting within the scope of their employment....ClaimsWork experience placement
$18 per hour
...Revenue Cycle Specialist This position will require the employee to effectively communicate between healthcare providers and health insurance payers to expedite claim resolution. Essential Duties and Responsibilities Resolve healthcare claims through verbal or...ClaimsHourly payContract workMonday to Friday- Tampa General Hospital is seeking a Regulatory Accreditation Specialist to ensure high-quality healthcare through audit activities across the system. You will collect data, monitor compliance, and train users on data tools, all contributing to the continuous accreditation...Full timeRemote work
$78k - $106k
...transformative projects in the country, serving clients across healthcare, life sciences, education, gaming, aviation, transportation, government... ...Beach. In office 5 days a week. Responsibilities The Claims Specialist under the supervision of the Director of Claims is...ClaimsTemporary workFor contractorsFor subcontractorWork at office- ...and each other. Thats the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Construction, Specialist, Business Partner, Travel, Damage, Claims, Healthcare...Claims
- ...medication management solutions to support healthcare organizations serving seniors and... ...processing customer bills and insurance claims in an accurate and timely manner. This includes... ...while adhering to strict deadlines ~ Quality minded; motivated to seek out errors and...ClaimsFull timeTemporary workWork at officeFlexible hoursWeekend work
- ...Prosper Infusion in Westchase, Florida, is seeking a Healthcare Accounts Receivables Specialist to manage accounts receivables and unpaid claims. The ideal candidate will work closely with the AR Lead to ensure prompt payments from insurance plans. Candidates should have...Claims
- ...A healthcare provider for seniors is seeking a Medical Billing Specialist to manage accurate billing operations. This role involves expertise in medical billing, claim submissions, and collaboration with cross-functional teams. Candidates should have over five years of...ClaimsRemote work
- ...creditable for leave purposes. Medical malpractice liability insurance is not required for federal civilian healthcare providers as they are covered by the Federal Tort Claims Act (28 U.S.C. 1346(b)) while acting within the scope of their employment. US Government JobsClaimsWork experience placement
- ...program and patient health. We combine quality data-driven solutions that fuel answers,... ...quality care. With human-centered, healthcare-relevant, and value-based solutions, we... ...working knowledge of Medicare billing, claims, or coverage topics that providers commonly...ClaimsFor contractorsWork experience placementRemote work
- SHERLOQ Solutions located in Tampa, Florida, is seeking a qualified candidate to manage healthcare claims communication and expedite claim resolution. This role requires effective interaction with healthcare providers and insurers, with responsibilities including resolving...Claims
- A leading healthcare provider in Tampa is seeking a Pharmacy Billing Specialist who will handle all billing functions within Pharmacy Services... ...assistance, while also conducting billing audits and resolving claim issues. A Registered Pharmacy Technician designation and an...Claims
$40 per hour
A healthcare quality organization is seeking a Nurse Reviewer to support Medical Review Services. The role involves conducting detailed medical necessity reviews for Medicaid claims in a remote work setting. Candidates should have a BSN with active RN licensure and at least...ClaimsHourly payPart timeRemote work$18 per hour
...NTT DATA is looking for a Remote Claims Processing Associate to support a leading health care company. This role entails processing claims, maintaining compliance, and ensuring quality targets are met. Candidates should have 1-3 years of claims processing experience and...ClaimsHourly payRemote work- ...seeking a detail-oriented Billing Specialist to join their team. This role involves managing the billing process for healthcare services, ensuring accurate claim submissions, and collecting payments. Candidates should have at least 2 years of experience in revenue cycle...Claims
- A healthcare services provider in Tampa, FL, seeks a Medical Billing Specialist to manage the billing cycle for sleep testing services. Responsibilities include submitting claims, verifying insurance eligibility, and resolving discrepancies. Candidates should have at least...Claims
- Cole, Scott & Kissane is seeking an associate attorney to join our Medical Malpractice group, defending healthcare providers against claims. The ideal candidate will perform essential legal tasks, including depositions, legal research, and client communication. Qualified...Claims
$61.2k - $76.5k
Elevance Health is seeking an Investigator I to investigate assigned cases and analyze claim data for potential fraud in a hybrid work environment. The role includes reviewing claims, drafting recommendations, and preparing reports. The ideal candidate will have a BA/BS...Claims$18 per hour
NTT DATA North America is hiring a Remote Claims Processing Associate for a long-term temporary position supporting a leading managed healthcare company. Candidates should have 1-3 years of hands-on healthcare claims processing experience, and strong problem-solving abilities...ClaimsRemote jobHourly payTemporary work
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