9 jobs matching your criteria
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Health Plan Medical Claims Auditor
access_time Posted 1 month ago
account_balance ImageNetLLC
location_on Tampa
As a Medical Claims Auditor, you will be responsible for reviewing and auditing medical claims to ensure accuracy, compliance with regulations, and adherence to company policies and procedures. You ...
Auditor - Insurance Operations
access_time Posted 1 month ago
account_balance Slide
location_on Tampa
Conduct independent audits of claims processing, underwriting decisions, and customer service call ... Support the Insurance Operations Auditing Program in developing and implementing quality ...
Medical Claims Manager - Tampa
access_time Posted 1 month ago
account_balance ImageNetLLC
location_on Tampa
Responsible for new Claims Analyst training and auditing of trainee claim processing * Review Medicare services for appropriateness of charges and will apply pre-existing guidelines during claims ...
Training Specialist- Insurance Operations
access_time Posted 21 days ago
account_balance Slide
location_on Tampa
Provide regular trainee progress reports to Training and Auditing leadership. * Work closely with other training staff, claims managers, and subject matter experts to ensure consistency and alignment ...
GCC - Materials Manager
access_time Posted 1 month ago
account_balance Employee Owned Holdings, Inc.
location_on Tampa
... auditor and GCC Warehouse, Accounting and auditing. Plan the activity and on-going inventory management, to achieve the most favorable audit results. * Negotiate claims and settlements with ...
Sr. Operations Risk Monitoring & Control Analyst
access_time Posted 28 days ago
account_balance Amerantbank
location_on Tampa
... and external auditor's information regarding the Organization's Operational Risk Management ... Serve as the point of contact for insurance related matters including but not limited to claims ...
Controller
access_time Posted 1 month ago
account_balance PrudentRx, LLC
location_on Tampa
A seasoned Controller will be well versed in long-term forecasting and possess prior auditing ... Manage the billing process and analyze claims data used for invoicing. * Implement procedures to ...
Fee For Service Coder
access_time Posted 1 month ago
account_balance MyCare Medical Group
location_on Lutz
... coded claims to third-party payers, minimizing denials and optimizing revenue capture. * Develop and maintain effective relationships with external partners, such as payers and auditors, to ...
Fee-For-Services Coding Manager
access_time Posted 1 month ago
account_balance MyCare Medical Group
location_on Lutz
... coded claims to third-party payers, minimizing denials and optimizing revenue capture. * Develop and maintain effective relationships with external partners, such as payers and auditors, to ...
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