Healthcare Claims & Payer Resolution Specialist
SHERLOQ Solutions
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 and verifying patient information. The ideal candidate will have at least three years in the healthcare industry, with a focus on claims billing and an understanding of insurance processes. Comprehensive benefits including medical insurance and paid time off are provided. #J-18808-Ljbffr SHERLOQ Solutions
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Healthcare Claims & Payer Resolution Specialist in Tampa, FL vacancy
- ...Services is a leader in healthcare services, specializing... ...The Medical Billing Specialist is responsible for managing... ...role ensures accurate claim submission, proper... ...companies, and resolution of billing discrepancies... ...maintain compliance with payer requirements. Key Responsibilities...Claims
Blackstone Medical Services
Tampa, FL4 days ago - ...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
The Travelers Companies
Tampa, FL18 hours ago - ...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
Prosper Infusion
Tampa, FL8 hours ago - ...Claims Resolution Specialist 1 The Claims Resolution Specialist I is responsible for the timely and accurate submission, follow-up, and resolution... ...balances in accordance with departmental policies, payer guidelines, and regulatory requirements. The Specialist identifies...ClaimsFull timeWork at officeRemote workMonday to FridayShift work
Tampa General Hospital
Tampa, FL7 hours ago - ...Claims Resolution Specialist 1 The Claims Resolution Specialist I is responsible for the timely and accurate submission, follow-up, and resolution... ...balances in accordance with departmental policies, payer guidelines, and regulatory requirements. The Specialist identifies...ClaimsFull timeWork experience placementWork at officeRemote workMonday to FridayShift work
USF Health
Tampa, FL7 hours ago $18 per hour
...Insurance 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...ClaimsHourly payContract workMonday to Friday$99k - $232k
...machine learning techniques to large-scale claims, clinical, and member data to surface... ...improve population health outcomes for our payer clients. As a Manager, you will lead teams... ...leaders, making a significant impact in healthcare. Responsibilities Apply advanced data...ClaimsFull timeH1bPwC
Tampa, FL3 days ago- AR Specialist / Healthcare Billing / Pharmacy Overview Prosper Infusion is a leading provider in home Infusion therapy. We are looking for a AR... ...appropriate follow up. Resubmit accurate and timely claims in formats including, but not limited to, CMS-1500 and electronic...ClaimsWork at officeMonday to FridayFlexible hoursShift work
- A growing healthcare technology company in Tampa, Florida, is seeking Insurance Claims Representatives to manage insurance claims processes. This role involves following... ...insurance companies, and ensuring timely resolutions. Candidates should be familiar with electronic...Claims
- Tampa General Hospital is seeking a Claims Resolution Specialist I in Tampa, Florida. This role involves submitting, following up, and resolving third-party insurance claims to ensure accurate reimbursements. Candidates should have experience in billing and excellent communication...ClaimsRemote jobFull time
- ...located in the VA Tampa James A. Haley Healthcare System. The VIST Coordinator is responsible... ...Therapy. Orientation and Mobility Specialists (COMS) - for service orientation and mobility... ...level of experience/education/training claimed; otherwise you will not receive credit...ClaimsTemporary workInternshipWork at officeLocal areaRemote workWork from homeMonday to FridayFlexible hours
- ...Elevance Health in Tampa, Florida seeks a Grievance/Appeals Representative I to manage customer claims and ensure resolution of grievances. This role primarily involves analyzing and processing claims, with a significant focus on communication and documentation. The ideal...ClaimsRemote workFlexible hours
Elevance Health
Tampa, FL18 hours ago - ...Time Tampa Accounts Receivables (AR) - Healthcare The Pharmacy AR Specialist is responsible for managing the... ...verifying insurance coverage, submitting claims, resolving billing discrepancies,... ...ensuring timely reimbursement from payers. The role requires collaboration with...ClaimsFull time
- ...Insurance Verification Specialist Location: Remote, with occasional... ...Tampa Family Health Centers, healthcare is more than a service—it's... ...support accurate billing and claims processing. The Insurance Verification... ...claim submission Navigate payer websites and online tools to...ClaimsFull timeWork at officeRemote workMonday to Friday
Tampa Family Health Centers
Tampa, FL5 days ago - ...The AR Specialist I - Deductions role is responsible for managing an assigned AR portfolio... ...of customer short payments, chargebacks, claims and deductions. This role involves identifying... .... Key Responsibilities Research and Resolution: Investigate and resolve customer short...ClaimsWork at officeLocal areaWork from home
Worklane GmbH
Tampa, FL3 days ago $18 - $20 per hour
...Job Full Description Payment Posting Specialist - Medical Billing Location: Tampa, FL 33618 Pay Rate:... ...responsibility balances appropriately for prompt billing Routes claims with secondary payers for secondary billing Protects patient information...ClaimsMonday to FridayExpress Employment Professionals Defunct
Tampa, FL2 days ago- ...resolving serious and complex Construction Defect and Property Damage claims. The position ensures quality claim handling throughout the... ...with established procedures. Develop and employ creative resolution strategies. Ensure prompt disposition of all claims within delegated...ClaimsContract work
The Association of Technology Management and Applied Enginee...
Tampa, FL1 day ago $104k - $171.7k
.... Imagine loving what you do and where you do it. Job Category Claim Compensation Overview The annual base salary range provided for... ...evaluation, reserving, litigation management, negotiation and resolution) including maintaining full compliance with internal and external...ClaimsContract workLocal areaRelocation package020 Travelers Indemnity Co
Tampa, FL3 days ago- ...Position: Patient Collections Specialist Location: Tampa, FL Job Id: 226 # of Openings: 1 South Tampa based Healthcare company in need of a Collections Specialist to join our... ...of insurance verification, authorization, claim filing and appealing claims. Duties include...Claims
Blackstone Medical Services
Tampa, FL3 days ago $78k - $106k
...in the country, serving clients across healthcare, life sciences, education, gaming,... ...days a week. Responsibilities The Claims Specialist under the supervision of the Director... ...mediations as necessary to properly administer resolution of claims. Perform monthly job-...ClaimsTemporary workFor contractorsFor subcontractorWork at officeUnavailable
Tampa, FL1 day ago- ...ESC Specialist The ESC specialist will focus on assisting customers who have purchased... ...They will assist with all aspects of the claim process, from submission to outcome. The... ...to finish regime regarding inquiries and resolution. Knowledge: A clear understanding...ClaimsContract work
- ...About Avalon Healthcare Solutions: Avalon Healthcare Solutions... ...nationwide, Avalon partners with payers and providers to ensure... ...responsible for updating managed care claims processing, maintenance and... ...leadership, problem resolution across multiple groups, etc....ClaimsWork experience placementWork at officeRemote workFlexible hours
Avalon Healthcare Solutions
Tampa, FL3 days ago - ...medication management solutions to support healthcare organizations serving seniors and... ...processing customer bills and insurance claims in an accurate and timely manner. This includes... ...to defend third party audits and ensure payer and company compliance. Accurately enter...ClaimsFull timeTemporary workWork at officeFlexible hoursWeekend work
- ...Reveljobs is assisting a confidential healthcare organization in Tampa, Florida, seeking an Entry-Level Medical Billing Specialist. This role involves supporting medical billing processes, assisting with insurance claims, and providing patient account assistance. Ideal...ClaimsWork at office
Reveljobs
Tampa, FL3 days ago - ...year! We are seeking Insurance Claims Representatives. Duties... ...necessary follow-up to ensure timely resolution of appeals, re-billing's,... ...Apply knowledge of third party payer guidelines in reviewing... ...as awareness increases among healthcare providers and patients. Company...Claims
Blackstone Medical Services
Tampa, FL4 days ago - ...and resolving complex claims, particularly those in... ...stakeholders to optimize claim resolution processes, drive... ..., provider, and payer teams to address claim... ...with payer policies, healthcare regulations, and industry... ...CPC), Certified Coding Specialist (CCS), Certified Professional...ClaimsContract work
$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 workCrawford Thomas Recruiting
Tampa, FL18 hours ago- ...About Avalon Healthcare Solutions: Avalon Healthcare Solutions... ...nationwide, Avalon partners with payers and providers to ensure... ...configuration, utilization, claims processing, and/or reimbursement... ...workgroup leadership, problem resolution across multiple groups, etc....ClaimsWork experience placementWork at officeRemote workFlexible hours
Avalon Healthcare Solutions
Tampa, FL3 days ago - .... Investigate and make recommendations toward the resolution of customer volumetric discrepancy claims. Develop and conduct training for measurement staff... ...responsibility area to assist other Measurement Specialists and support projects. Ability to work on weekends...ClaimsWork at officeHome officeNight shiftWeekend work
- Job Title Senior Specialist - HR Data Administration Location : Tampa, Florida Work Arrangement... ...system (ServiceNow), ensuring timely resolution or escalation. Log cases, track... ...Summer Hours, WFH, etc.). Unemployment claims processing Scheduling Employee exit interviews...ClaimsContract workWork experience placementSummer workWork at officeLocal areaRemote workWork from homeFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Healthcare Claims & Payer Resolution Specialist. Be the first to apply!
Related searches
- insurance claims processor Tampa, FL
- claims consultant Tampa, FL
- remote medical claims processor Tampa, FL
- medical claims analyst Tampa, FL
- claims analyst Tampa, FL
- claims assistant Tampa, FL
- senior claims specialist Tampa, FL
- claims assistant workers compensation Tampa, FL
- medical insurance claims specialist Tampa, FL
- claims specialist remote Tampa, FL