Accounts Payable Claims Adjudicator
Gulfside Healthcare Services, Inc.
Pasco County Central 2061 Collier Pkwy Land O Lakes, FL 34639, USA Analyze claims to determine the extent of insurance carrier liability. Interpret contract benefits in accordance with specific claims processing guidelines. Receive, organize, and make daily use of information. Coordinate daily workflow to coincide with payment cycle. Responsible for participating in management in the overall accounts payable functions in the organization. Reports to the Director of Accounting. EDUCATION AND QUALIFICATIONS: High School diploma or GED equivalent. Associate’s degree in related field is preferred. Minimum of one (1) year related experience required. Experience in medical/insurance preferred. Team-centered with excellent work ethic and reliability. Experience with UB/institutional (CMS-UB04) and HCFA/professional (CMS-1500) claims. Familiarity with medical terminology, procedure and diagnosis codes preferred. Ability to calculate figures and co-insurance amounts. ESSENTIAL JOB RESPONSIBILITIES: Analyze and adjudicate a variety of claim types to include facility, professional, inpatient and outpatient services. Follow claims adjudication rules to assure that all claims are adjudicated in accordance with CMS rules and regulations. Review different payors to include Medicare, Medicaid and Commercial services adherence to the contracts and timeliness guidelines. Support accounts payable activities for accurate and timely processing. Complete coding and record accounts payable entries. Process refunds, appeals, disputes, and adjustments (when applicable). Participate in accounts payable processes. Identify process improvement opportunities and recommend enhancements. Handles any additional responsibility as assigned. EEO Statement: Gulfside Healthcare Services, Inc. is committed to Equal Employment Opportunity (“EEO”) and complies with all federal, state, and local laws that prohibit workplace discrimination and unlawful retaliation. NOTE: All Gulfside Healthcare Services positions (except some Thrift Shoppe Positions) require an AHCA Level 2 Fingerprint screening for eligibility through the AHCA Florida Care Provider Background Screening Clearinghouse. Please refer to this link for more information on this: Licenses & Certifications Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor. #J-18808-Ljbffr
- ...Gulfside Healthcare Services, Inc. is seeking a Claims Processor in Land O' Lakes, Florida. This role involves analyzing claims... .... Responsibilities include adhering to CMS rules, supporting accounts payable functions, and enhancing process efficiencies. Qualified candidates...ClaimsAccounts payable
Gulfside Healthcare Services, Inc.
Lutz, FL14 hours ago $19 per hour
...Claim Adjudicator Location: Tampa, FL (Remote after 8 Week Onsite Training) Duration: Full Time Salary: $19/Hr. + Benefits Job Overview: Key Responsibilities Claims Adjudication: Review, verify, and process medical claims from start to finish, ensuring compliance...ClaimsFull timeRemote workDiverse Lynx
Tampa, FL5 days ago- ...Paradigm is seeking an Accounting Assistant II for a hybrid position based in Tampa, FL. The role emphasizes timely completion of accounts payable activities and supporting claims inquiries. Candidates should have at least two years of accounting experience, preferably...ClaimsAccounts payable
Paradigm
Tampa, FL4 days ago - ...hours to be paid via the Time & Attendance System Assist with accounts payable and accounts receivable as neededAssist the accounting and... ...enrollments/changes and responds to and manages unemployment claims and other duties as assigned Professional Demonstrates initiative...ClaimsAccounts payableWork at office
- ...Job Title Accounts Payable Specialist II Job Overview The Accounts Payable Specialist II is responsible for processing and verifying... ...manner for retirement-related payments, medical and dental claims, hospital drawdowns, payroll taxes, etc. Maintaining payables...ClaimsAccounts payableCasual workWork at officeRemote work
Shriners Children's Chicago
Tampa, FL4 days ago - ...for multiple providers in the office File patient insurance claims and follow up on outstanding claims, verification of benefits and... ...of coverage Post insurance and patient payments and process accounts receivables Review treatment plan fees and payment options...ClaimsAccounts payableDaily paidWork at officeLocal area
Bartram Family Dental Care
Lutz, FL4 days ago - ...for multiple providers in the office File patient insurance claims and follow up on outstanding claims, verification of benefits and... ...of coverage Post insurance and patient payments and process accounts receivables Review treatment plan fees and payment options...ClaimsAccounts payableDaily paidFull timeWork experience placementWork at officeLocal areaFlexible hoursWeekend work
Bartram Family Dental Care
Lutz, FL1 day ago - ...accurate recordkeeping, remote technical assistance, accurate claim processing and proactive support to keep our... ...as assigned. QUALIFICATIONS: ~ Basic bookkeeping, accounts payable, accounts receivable or other billing experience Excellent...ClaimsAccounts payableWork at officeRemote workMonday to Friday
Cornerstone Family Ministries
Tampa, FL5 days ago $40k - $46k
...and with great care. Experience in automotive insurance claims is a plus but not mandatory. Bilingual Abilities: This is... ...clientele. Financial Savvy: You have a basic understanding of accounts receivable and payable. Detail‑Oriented: Your attention to detail ensures...ClaimsAccounts payableFull timeWork at office- ...generous benefits that start on the first day of the month after 30 days of employment Assists in the billing, claims, collections, and accounts payable processes as assigned. Attributes Required: Work Ethic/Integrity must possess intrinsic drive to excel coupled with...ClaimsAccounts payableFull timeTemporary workWork at officeFlexible hours
Guardian Pharmacy
Tampa, FL5 days ago - ...assist the district legal staff by conducting medical claims data analysis, forensic investigations, financial damages... ...earnings and earnings per share, financial ratios, accounts receivable and accounts payable, aging schedules, tax considerations, assessing collectability...ClaimsAccounts payable
ClearanceJobs
Tampa, FL2 days ago - ...anticipated costs prior to contract expiration date. Assists with claims settlements with vendors/contractors when discrepancies exist... ...and RUS for signature as required. Works with users and accounts payable to resolve problem invoices that cause delays in vendor...ClaimsAccounts payableContract workFor contractorsWork experience placementWork at office
Seminole Electric
Tampa, FL2 days ago $15 per hour
...into the ProCare's proprietary system Accounts receivable, check reconciliation, and A/R... ...mail and/or telephone. Billing and Accounts Payable, Accounts Receivable. The coordinator... ...workers and the companies supporting their claims. Additional Benefits: ~ Paid Time...ClaimsAccounts payableBi-weekly payHourly payFull timeCasual workWork at officeMonday to FridayProCare Transportation and Language Services
Tampa, FL7 days ago- Assistant Project Accountant page is loaded## Assistant Project Accountantlocations: TAMPA,... ...Project Accountant’s approval and Accounts Payable processing* Assist in preparation of... ...Prepare releases of lien and releases of claims as required* Order supplies as needed* Perform...ClaimsAccounts payableFull timeFor contractorsWork experience placementFor subcontractorWork at office
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Seminole Electric
Tampa, FL1 day ago - ...Medical Accounts Receivable Specialist - Home Infusion Prosper Infusion is a national home infusion company located in Tampa, FL that... ...understanding of the billing/collection process to resolve outstanding claims. Follow-up on Accounts Receivable/Insurance Aging for claims...ClaimsAccounts payableWork experience placementWork at office
Prosper Infusion
Tampa, FL13 hours ago - We are looking for a Senior Accountant or a Staff Accountant ready to grow into the role of... ...accuracy, overseeing inventory, processing claims, and supporting pricing strategies.... ...Oversee inventory management Handle accounts payable and receivable operations Perform...ClaimsAccounts payableFull timeWork at office
- ...administration of all contractual matters. Where needed, assist Accounts Payable with resolving invoice and payment application issues with... ...relevant correspondence to support reporting, contract audit, claims and litigations, and contract close out Provide pre-claim and...ClaimsAccounts payableContract workFor contractorsFor subcontractorWork at office
Jacobs
Tampa, FL2 days ago - ...for a highly organized, detail-oriented Accountant to lead our corporate accounting operations... ...accuracy, inventory oversight, claims processing, and pricing strategy. You'll... ...Oversee inventory management and accounts payable/receivable operations Ensure compliance...ClaimsAccounts payableFull timeWork at office
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Paradigm
Tampa, FL1 day ago - ...us for another record breaking year! We are seeking Insurance Claims Representatives. Duties include: Following up on outstanding... ...working with the insurance company to get claims paid. Working accounts receivable to get any unpaid balances paid up. Coordinating with...ClaimsAccounts payable
- .... Essential Functions: Utilize accounting-based knowledge and advanced Excel skills... ..., inventory, historical purchases, claims or any other With support of Senior Buyers... ...SharePoint) Key contact for Accounts Payable in charge of providing immediate...ClaimsAccounts payableContract workTemporary workLocal areaImmediate startWorldwideFlexible hours
Refresco
Tampa, FL4 days ago - ...physical therapy company in Tampa, Florida, is seeking a Revenue Cycle Management Specialist I. The role involves managing claims processing, accounts receivable, and ensuring timely collections. The ideal candidate should have 2-3 years of experience, preferably in...ClaimsAccounts payableFull timeRemote work
JAG Physical Therapy
Tampa, FL5 days ago - ...family‑like environment built on respect and open communication. The Pharmacy Technician will assist with billing, claims, collections, and accounts payable processes as assigned, and will participate in the production of collection letters and follow‑up calls to...ClaimsAccounts payableFull timeTemporary workMonday to FridayFlexible hours
- Suncoast Skin Solutions is looking for a Billing Specialist to manage patient billing and insurance claims. This full-time position involves submitting claims to insurance companies, resolving patient billing questions, and maintaining accurate records. The ideal candidate...ClaimsFull time
- A leading insurance claims firm in Lutz, Florida is looking for Licensed Claims Adjusters. This role offers a rewarding career with flexibility and the chance to make a difference in people's lives. Candidates will receive comprehensive training to excel in claims adjustments...Claims
- ...PowerPoint. Essential Functions Utilize accounting-based knowledge and advanced Excel... ...forecasting, inventory, historical purchases, claims or any other With support of Senior... ...(SharePoint) Key contact for Accounts Payable in charge of providing immediate responses...ClaimsAccounts payableContract workTemporary workWork at officeLocal areaImmediate startFlexible hours
$20 per hour
...amounts for third party shipments. Assist with and support the claim process for freight related complaints, and process damage,... ...invoice discrepancies to the Chadwell Supply Corporate Accounts Payable department. Assist with and support fleet vehicle major milestone...ClaimsAccounts payableFull timeLocal areaMonday to FridayFlexible hours- ...Ancillary Collections team. This role involves ensuring timely collections of accounts receivable and monitoring account activities. Candidates should have a strong understanding of medical claims billing and denial management. Key responsibilities include resolving...ClaimsAccounts payableRemote work
Florida Ortho Corp
Tampa, FL3 days ago
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