Claims Jobs in Tampa

Description The Subrogation Professional 2 identifies, investigates, and collects recoveries from third parties who are legally responsible for paying all or part of medical expenditures for an organization that provides health ..

Description The Bilingual Consumer Service Operations Representative 3 is responsible for the daily activities across multiple service functions area. The Consumer Service Operations Representative 3 performs advanced administrative/operational/customer support duties that ..

Job Information Humana Claims Research & Resolution Representative 2 ... Tampa Florida Description The Bilingual Claims Research and Resolution Representative 2 ... for well-being Responsibilities The Bilingual Claims Research &..

Job Information Humana Associate Director of Clinical Audit, Payment Integrity - REMOTE in US in Tampa Florida Description The Associate Director of Clinical Audit, Payment Integrity uses their clinical experience and ..

Job Information Humana Grievances and Appeals Representative in Tampa Florida Description Do you enjoy helping those in need? Do you love researching, analyzing medical documents to determine if something was missed? ..

Description The Subrogation Professional II identifies, investigates, and collects recoveries from third parties who are legally responsible for paying all or part of medical expenditures for an organization that provides health ..

Description The Grievances & Appeals Representative 4 manages client medical denials by conducting a comprehensive analytic review of clinical documentation to determine if an appeal is warranted. The Grievances & Appeals ..

Description The Consumer Service Operations Representative 2 is responsible for the daily activities across multiple service functions area. The Consumer Service Operations Representative 2 performs varied activities and moderately complex administrative/operational/customer ..

Job Information Humana Subrogation Professional 2-WAH in US in Tampa Florida Description The Subrogation Professional 2 identifies, investigates, and collects recoveries from third parties who are legally responsible for paying all ..

Job Information Humana Grievances & Appeals Representative 4 (FULLY BILINGUAL English/Spanish) Remote, anywhere with-in Eastern Time Zone in Tampa Florida Description The Grievances & Appeals Representative 4 manages client medical denials ..

Description The Bilingual Claims Research and Resolution Representative 2 ... you Come In The Bilingual Claims Research & Resolution Representative 2 ... services in the settlement of claims. Comprised of..

... identify and collect overpayment of claims. Contributes to the investigations of ... systems, and by ensuring correct claims payment. Decisions are typically related ... of work experience related to..

Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, ..

Description The Subrogation Representative 3 identifies, investigates, and collects recoveries from third parties who are legally responsible for paying all or part of medical expenditures for an organization that provides health ..

Description Responsibilities The Payment Integrity Professional 2 contributes to overall cost reduction, by increasing the accuracy of provider payments in our payer systems, and by ensuring correct claims payment. This position ..

Job Information Humana Medical Claims Processing Representative 2 in Tampa ... Tampa Florida Description The Medical Claims Processing Representative 2 reviews and ... and adjudicates complex or specialty claims, submitted..

Description The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization Management ..

Job Information Humana Subrogation Professional 2 Remote/WAH in USA in Tampa Florida Description The Subrogation Professional 2 identifies, investigates, and collects recoveries from third parties who are legally responsible for paying ..

Description The Bilingual Claims Research and Resolution Representative 2 ... you Come In The Bilingual Claims Research & Resolution Representative 2 ... services in the settlement of claims. Comprised of..

Description Full-Time Remote, Telephonic RN opportunity. The Utilization Management Behavioral Health Nurse utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services. Enjoy the flexibility ..

Description The Subrogation Professional 2 iIdentifies, investigates, and collects recoveries from third parties who are legally responsible for paying all or part of medical expenditures for an organization that provides health ..

Job Information Humana Bilingual (English/Spanish) Consumer Service Operations Representative 3 - Tampa, FL in Tampa Florida Description The Bilingual Consumer Service Operations Representative 3 represents the company by addressing incoming telephone, ..

Description The Bilingual Consumer Service Operations Representative 3 is responsible for the daily activities across multiple service functions area. The Bilingual Consumer Service Operations Representative 3 performs advanced administrative/operational/customer support duties ..