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Remote Tricare Jobs in Florida (NOW HIRING)

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Remote Tricare information

What is a remote Tricare?

A Remote Tricare job refers to a position that supports the Tricare health care program, often in administrative, customer service, or clinical roles, but is performed remotely rather than in a traditional office setting. Tricare is a health care program for U.S. military members, retirees, and their families. Remote Tricare employees may handle claims processing, provide customer support, coordinate care, or manage medical records from home or another off-site location. These roles require familiarity with Tricare policies and strong communication skills, as well as the ability to work independently using secure technology.

What are some common challenges faced by professionals working in remote Tricare roles, and how can they be addressed?

Professionals in remote Tricare roles often encounter challenges such as navigating complex healthcare regulations, managing sensitive patient information securely, and staying updated with frequent policy changes. Effective communication with both beneficiaries and colleagues can also be more difficult in a remote setting. To address these challenges, it is important to have strong organizational skills, maintain regular training on Tricare policies, and utilize secure, reliable communication platforms to ensure compliance and effective teamwork.

What are the key skills and qualifications needed to thrive as a remote TRICARE customer service representative, and why are they important?

To thrive as a Remote TRICARE Customer Service Representative, you need strong communication skills, knowledge of healthcare insurance policies, and typically a high school diploma or equivalent. Familiarity with customer relationship management (CRM) software, call center systems, and secure handling of sensitive patient data is essential. Patience, problem-solving abilities, and empathy help build rapport with military members and dependents seeking assistance. These skills ensure accurate support, compliance with regulations, and a positive customer experience for the TRICARE community.

What is the difference between Remote Tricare vs Remote Medical Billing Specialist?

AspectRemote TricareRemote Medical Billing Specialist
CredentialsTypically requires military healthcare knowledge, insurance processing, and certification in healthcare billingRequires medical billing certifications like CPC or CCS, with knowledge of insurance claims
Work EnvironmentRemote, healthcare or military insurance settingRemote, healthcare billing companies or hospitals
Employer & IndustryMilitary healthcare providers, government agenciesPrivate healthcare providers, billing companies, hospitals

Remote Tricare specialists focus on military health insurance programs, while Remote Medical Billing Specialists handle a broader range of insurance claims across healthcare providers. Both roles are remote, require healthcare billing certifications, and are integral to healthcare administration, but they serve different client bases and industry sectors.

What are the most commonly searched types of Tricare jobs in Florida?

The most popular types of Tricare jobs in Florida are:

What are popular job titles related to Remote Tricare jobs in Florida?

For Remote Tricare jobs in Florida, the most frequently searched job titles are:

What job categories do people searching Remote Tricare jobs in Florida look for?

The top searched job categories for Remote Tricare jobs in Florida are:

What cities in Florida are hiring for Remote Tricare jobs?

Cities in Florida with the most Remote Tricare job openings:

Remote Tricare jobs near you
Infographic showing various Remote Tricare job openings in Florida as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution.

Director, Post Pay Audit

Health Business Solutions LLC

Cooper City, FL • Remote

Full-time

Re-posted 23 days ago

Key responsibilities

  • Lead and manage the end-to-end post-pay audit function, including planning, execution, quality assurance, and reporting.

  • Direct and support a global team of audit professionals, ensuring productivity, accuracy, and compliance across U.S. and offshore operations.

  • Oversee audit processes related to government payers and regulatory programs, and analyze audit outcomes to report performance and risks to senior leadership.

Job description

Job Summary:

We are seeking a highly experienced and strategic Director of Post-Pay Audit to lead our medical revenue recovery audit teams across both onshore (U.S.) and offshore (Philippines) operations. This leader will be responsible for overseeing the execution of comprehensive post-payment audits across commercial and government payers (Medicare, Medicaid, TRICARE, etc.), ensuring compliance, accuracy, and maximum revenue recovery for healthcare provider clients.

The ideal candidate brings deep knowledge of healthcare reimbursement policies, government audit programs (e.g., RAC, UPIC, MAC), and a proven ability to lead cross-functional and cross-cultural teams at scale.

Key Responsibilities:

  • Lead and manage the end-to-end post-pay audit function, including planning, execution, quality assurance, and reporting.
  • Direct and support a global team of audit professionals, ensuring productivity, accuracy, and compliance across both U.S.-based and Philippines-based operations.
  • Oversee audit processes related to government payers and regulatory programs (e.g., CMS RAC, Medicaid Integrity Program, etc.).
  • Establish and refine audit workflows, KPIs, and escalation protocols to optimize audit yield and recovery timelines.
  • Collaborate with compliance, legal, and analytics teams to identify audit opportunities and mitigate risk.
  • Serve as the subject matter expert for payer audit guidelines, CMS regulations, and state-specific requirements.
  • Build strong relationships with internal stakeholders and clients to align audit strategies with broader revenue recovery goals.
  • Develop and execute training programs and professional development plans for onshore and offshore audit staff.
  • Ensure adherence to internal quality standards, HIPAA regulations, and client-specific SLAs.
  • Analyze audit outcomes and present regular performance and risk reports to senior leadership.

Qualifications:

  • Bachelor’s degree in Healthcare Administration, Business, Finance, or related field required; Master’s or MBA preferred
  • Minimum of 7–10 years of experience in post-payment auditing, healthcare reimbursement, or revenue recovery
  • Proven experience managing global teams, including operations based in the Philippines
  • Strong knowledge of government audit programs (RAC, MAC, CERT, ZPIC/UPIC, Medicaid audits)
  • Excellent understanding of healthcare billing, coding (ICD-10, CPT, HCPCS), and payer policies
  • Demonstrated ability to lead process improvement initiatives in large-scale audit operations
  • High proficiency with audit and recovery systems, reporting tools, and workflow platforms
  • Strong communication, leadership, and analytical skills
  • Certification in auditing, billing, or compliance (e.g., CPMA, CPC, CHC) is a plus

Health Business Solutions (HBiz) is an Equal Opportunity Employer. We are committed to providing equal employment opportunities to all employees and applicants without regard to race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age, disability, genetic information, veteran status, or any other status protected by applicable federal, state, or local law.

HBiz complies with all applicable employment laws for remote and multi-state hiring and provides reasonable accommodations as required by law.