- Molina Healthcare (St. Petersburg, FL)
- …**Job Summary** Responsible for reviewing Medicaid, Medicare, and Marketplace claims for overpayments; researching claim payment guidelines, billing guidelines, ... and provider compliance. Interacts with health plans and vendors regarding recovery outstanding overpayments. **Job Duties** + Prepares written provider overpayment… more
- Sedgwick (Tampa, FL)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Environmental Claims Specialist **Job Description Summary** To analyze complex or ... technically difficult environmental claims ; to provide resolution of highly complex nature and/or...+ Identifies and investigates for possible fraud, subrogation, contribution, recovery , and case management opportunities to reduce total claim… more
- CDM Smith (Tampa, FL)
- …40509BR **Business Unit:** FSU **Job Description:** The Disaster Program Delivery Specialist : * Collects, coordinates and/or reviews applicant data to determine ... gather information from applicants, and understands each applicants' projects and recovery priorities. * Supports the communication process with the applicant about… more
- Elevance Health (Tampa, FL)
- …at least one of the following: AA/AS or minimum of 5 years of experience in claims auditing, quality assurance, or recovery auditing. + Requires at least one of ... auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all...Health Information Technician and/or CCS as a Certified Coding Specialist and/or CIC as a Certified Inpatient Coder. +… more