Tampa General Hospital · 1 month ago
Claims Resolution Specialist 1 - USFTGP RCO
Tampa, FL
Full-time
Hybrid
Entry, Mid, Senior Level
$35K/yr - $35K/yr
2+ years expTampa General Hospital is seeking a Claims Resolution Specialist 1 to ensure the prompt and accurate submission of third party claims. The role involves reviewing accounts, performing status inquiries, and processing appeals to secure reimbursement while adhering to departmental guidelines.
Health CareHospitalMedicalNon Profit
Responsibilities
Responsible for prompt and accurate submission and follow-up of all third party claims
Reviews assigned accounts perform status inquiry and appeals to 3rd party payers to ensure reimbursement
Reviews assigned accounts, determines appropriate action to resolve outstanding balances
Works within the established guidelines of the department’s procedures, policies and goals
Conduct studies/special projects to resolve outstanding accounts receivables
Contact payers regarding outstanding claim status and determine appropriate action for swift resolution of outstanding claims
Process appeals and claim resubmissions per payer policy and identify any trends that may allow for a front end edit to be put in place to assist with clean claim filing
As a Senior Claims Specialist, you will be expected to provide assistance to coworkers on the floor ensure all are supported in their daily functions
Responsible for 2nd/3rd level appeals for any and all payers, making certain documentation being sent includes all necessary items to support our claim
Stay current on carrier guidelines, as well as State and Federal regulations
Qualification
Required
High School Diploma
Preferred
2 years experience in physician billing and collection experience
CPT ICD9 experience
IDX Software
Company
Tampa General Hospital
Tampa General Hospital is a medical center.
10001+ employees
Funding
Current Stage
Late StageTotal Funding
unknown2024-09-26Grant
Leadership Team
Jennifer Crabtree
President, Tampa Medical & Research District | Senior Vice President, Tampa General Hospital
Kate Ulrich
SVP Perioperative Services
Recent News
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2026-01-23
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2026-01-16
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