Top 803 Claims specialist Jobs in Florida

Medical A/R Specialist
Florida Heart Associates —Fort Myers, FL
- Full-time
- Computer literacy
- Pass drug screening
- HIPAA
- Paid holidays
- Disability insurance
Quick Apply
Claim Specialist II or III (Florida WC)
MEMIC —Tampa, FL
- Remote
- Microsoft Word
- Mid-level
- Driver's License
- Paid parental leave
- Health savings account
Senior Claim Benefit Specialist - Remote
CVS Health —Florida
- $18.50 - $42.35 an hour
- Full-time
- Remote
- Mid-level
- High school diploma or GED
- Mentoring
- Health insurance
- Dental insurance
Charge Correction Posting Specialist (Remote)
North American Partners in Anesthesia —Sunrise, FL
- Full-time
- Remote
- Microsoft Word
- Medical office experience
- HIPAA
- Health savings account
- AD&D insurance
VA Claims Specialist II
Allsup Employment Services —Orlando, FL
- $35,360 - $45,000 a year
- Full-time
- Remote
- Microsoft Word
- Mid-level
- Mentoring
- Health savings account
- Paid holidays
Quick Apply
2d
Medicaid Pending Billing Specialist - Remote
Polaris Pharmacy Services —Fort Lauderdale, FL
- Extended hours
- Remote
- Microsoft Excel
- Mid-level
- Finance
- Paid holidays
- Disability insurance
Quick Apply
Appeals and Grievances Specialist
Sidecar Health —Fort Lauderdale, FL
- $65,000 - $75,000 a year
- Remote
- Mid-level
- 3 years
- Analysis skills
- Paid holidays
- Health insurance
Quick Apply
9d
REMOTE Revenue Cycle A/R Specialist (Hospital)(RCAR)
JTS Health Partners —Riverview, FL
- $22 - $25 an hour
- Full-time
- Remote
- 5 years
- High school diploma or GED
- Senior level
- Profit sharing
- Paid holidays
Quick Apply
Claims Specialist-WC
Broadspire Services, Inc. —Tampa, FL
- Full-time
- Writing skills
- Mid-level
- Driver's License
- Paid parental leave
- Health savings account
Quick Apply
3d
Deduction Specialist
Primo Brands —Florida
- $26.98 - $34.51 an hour
- Full-time
- Remote
- Microsoft Excel
- Oracle
- Customer service
- Commuter assistance
- Health savings account
2d
Medicaid Rebate Analyst Services Specialist
Conduent State Healthcare, LLC —Florida
- $30 an hour
- Email
- Remote
- Customer service
- Research
- Mid-level
- Paid training
- Paid holidays
Specialist, Provider Appeals (Florida)
Molina Healthcare —Florida
- $16.40 - $31.97 an hour
- Full-time
- Medical office experience
- Research
- Mid-level
- Health insurance
Senior Leave and Accommodation Specialist
Chewy —Plantation, FL
- Full-time
- Experience working with individuals with disabilities
- Mid-level
- Bachelor's degree
13d
Revenue Cycle Specialist-Remote
TOC —Tallahassee, FL
- Full-time
- Remote
- Anatomy knowledge
- Computer literacy
- Medical office experience
Quick Apply
Operations Training Specialist, Claims
Sidecar Health —Jacksonville, FL
- $68,000 - $75,000 a year
- Remote
- Classroom
- Mid-level
- 3 years
- Paid holidays
- Health insurance
Litigation Specialist - REMOTE
K2 Claims Services, LLC —Miami, FL
- $95,000 - $115,000 a year
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Customer service
- Health insurance
- Dental insurance
Quick Apply
Sub-Servicing Hazard Claim Specialist
Lakeview Loan Servicing —Coral Gables, FL
- $26 - $29 an hour
- Full-time
- Remote
- Microsoft Excel
- Mid-level
- Residential
REMOTE - Retainer Specialist
Advocacy Solutions —Florida
- $18 an hour
- Full-time
- Remote
- Bilingual
- Sales
- Computer literacy
- Paid holidays
- Disability insurance
Quick Apply
First Notice of Loss Specialist
Fortegra —Jacksonville, FL
- Spanish
- Microsoft Outlook
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
Auto Liability Specialist II
First Acceptance Services Inc —Marianna, FL
- Full-time
- Remote
- Customer service
- Mid-level
- High school diploma or GED
- Continuing education credits

I want to receive the latest job alert for claims specialist in florida

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

claims specialist jobs near florida

Accounts Receivable Clerk jobs in Fort Myers, FL

Claims Specialist jobs in Tampa, FL

Senior Claims Specialist jobs in Tampa, FL

Senior Claims Specialist jobs in Florida

Billing Specialist jobs in Fort Lauderdale, FL

Customer Service Representative jobs in Fort Lauderdale, FL

Training Specialist jobs in Jacksonville, FL

Service Technician jobs in Florida

Loss Prevention Manager jobs in Jacksonville, FL

Accounts Payable jobs in Los Angeles, CA

Accounts Receivable Clerk jobs in Indiana

Accounts Payable jobs in El Paso, TX

Accounts Receivable Clerk jobs in Brooklyn Park, MN

Accounts Receivable Clerk jobs in Mineola, NY

Accounts Receivable Clerk jobs in Ames, IA

Claims Adjuster jobs in Maryland

Claims Specialist jobs in Marietta, GA

Claims Specialist jobs in Fort Lauderdale, FL

Claims Specialist jobs in Chelsea, MA

Claims Specialist jobs in Las Vegas, NV

Medical A/R Specialist

Florida Heart Associates
Fort Myers, FL

Quick Apply

Job Details

Full-time

Benefits

Paid holidays
Disability insurance
Health insurance
Dental insurance
401(k)
Paid time off
Employee assistance program
Vision insurance
401(k) matching
Life insurance

Qualifications

Computer operation
Medicare
Computer literacy
Health insurance policy knowledge
High school diploma or GED
ICD-9
ICD-10
Medicare regulations
Centers for Medicare and Medicaid Services (CMS)
Medical billing
CPT coding
Centers for Medicare & Medicaid Services (CMS) billing regulations
Computer skills
Medicaid regulations
Medicaid
Medical terminology

Full Job Description

Florida Heart Associates is seeking a full-time Medical Billing Accounts Receivable Specialist to join our team. The ideal candidate will have at least two years of experience with medical insurance benefits with a working knowledge of insurance companies process and nuances in regard to claim adjudication. The Medical Billing Accounts Receivable Specialist will review aged accounts for anomaly; work with insurance company reps and co-workers to resolve open accounts and ensure a positive cash flow; prepare appeals and respond to patient inquiries. The position will also initiate patient contact to collect insurance information via letters, and telephone.

Located in the attractive Southwest Florida Gulf Coast area, Florida Heart Associates operates a modern medical center dedicated to meeting the cardiac needs of Southwest Florida. We perform diagnostic cardiac testing, in addition to peripheral vascular procedures. We also support an in-house cardiac PET imaging system, stress testing, ECHO, and management of arrhythmia equipment.

Florida Heart Associates offers:

Health, dental, vision plan insurance options
Company paid life insurance and LTD
Accident Insurance
Aflac choices (short-term disability, cancer, hospitalization, and accident plans)
Identity Theft Insurance
401(k) with company match
Generous Paid Time Off
7 paid holidays
Employee Assistance Program (EAP)
Perks and discounts - theme park tickets, travel, & more

EDUCATION: High school diploma or equivalent.

EXPERIENCE: 2 years of experience with medical insurance benefits

DUTIES INCLUDE BUT NOT LIMITED TO:

Review EOB’s for denials/rejections/anomalies in payment within 48 hours of receipt
Review medical insurance claims for resolution and payment
Research, compile and respond to documentation requests from insurance carriers in a timely basis finding resolution to open account balances
Systematically work accounts receivable to improve and reduce A/R days
Perform various collection actions including contacting insurance companies and/or patient by phone, correcting and resubmitting claims
Reviewing claims rejections/denial submit appeals for unpaid claims
Prepare appeals when appropriate and file to insurance timely
Work with insurance company reps to get claims resolved
Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations
Assist with posting insurance payments and patient payments
Review rejected claims report and make appropriate corrections to claims
Transmit electronic claims daily
Review and maintain transmission reports
Compile billing statistics daily, weekly and monthly. Mail paper claims same day as printed
Download and Import electronic remittances
Prepare and submit weekly patient statements
Perform other duties as assigned by supervising manager

PERFORMANCE REQUIREMENTS:

Ability to interpret rules and regulations set by Medicare, Medicaid and Commercial payers
Familiarity with insurance companies processes and nuances in regard to claim adjudication
Knowledge of insurance billing and reimbursement, working knowledge of medical terminology and CPT codes, ICD-9/ICD-10
Previous denials management experience preferred
In-depth understanding of explanation of benefits (EOBs)
Working knowledge of computerized medical management systems and/or web based programs
Strong interpersonal and communication skills including verbal and written communication
Extremely organized and detail oriented with the ability to work on multiple competing priorities
Ability to work within a team setting and independently
Excellent communication skills with internal and external customers
Computer literate
Knowledge of business office procedures

Florida Heart Associates is an Equal Opportunity Employer and is proud to be a drug and tobacco free organization. All potential hires will be required to take and clear a pre-employment drug screen upon job offer.

Job Type: Full-time

Benefits:

401(k)
401(k) matching
Dental insurance
Employee assistance program
Health insurance
Life insurance
Paid time off
Vision insurance

Experience:

Medical billing: 2 years (Required)

Ability to Relocate:

Fort Myers, FL 33907: Relocate before starting work (Required)

Work Location: In person

Quick Apply

Refine Your Search

claims specialist jobs in florida

Medical A/R Specialist

Claim Specialist II or III (Florida WC)

Senior Claim Benefit Specialist - Remote

Charge Correction Posting Specialist (Remote)

VA Claims Specialist II

Medicaid Pending Billing Specialist - Remote

Appeals and Grievances Specialist

REMOTE Revenue Cycle A/R Specialist (Hospital)(RCAR)

Claims Specialist-WC

Deduction Specialist

Medicaid Rebate Analyst Services Specialist

Specialist, Provider Appeals (Florida)

Senior Leave and Accommodation Specialist

Revenue Cycle Specialist-Remote

Operations Training Specialist, Claims

Litigation Specialist - REMOTE

Sub-Servicing Hazard Claim Specialist

REMOTE - Retainer Specialist

First Notice of Loss Specialist

Auto Liability Specialist II

I want to receive the latest job alert for claims specialist in florida

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected