... Tricare payment and reimbursement rules required 3 years Medical record chart auditing for professional billing required 1 year Medical management information systems (EPIC preferred) required 1 year ...
... Tricare payment and reimbursement rules required 3 years Medical record chart auditing for professional billing required 1 year Medical management information systems (EPIC preferred) required 1 year ...
... TRICARE, etc.) , ensuring compliance, accuracy, and maximum revenue recovery for healthcare ... HBiz complies with all applicable employment laws for remote and multi-state hiring and provides ...
... TRICARE, etc.) , ensuring compliance, accuracy, and maximum revenue recovery for healthcare ... HBiz complies with all applicable employment laws for remote and multi-state hiring and provides ...
PhysicianBillingComplianceAnly | Downtown/Remote - FL, GA, TN, NH, NC ONLY | Days | Full Time
Jacksonville, FL · Remote
... Tricare payment and reimbursement rules required 3 years Medical record chart auditing for professional billing required 1 year Medical management information systems (EPIC preferred) required 1 year ...
PhysicianBillingComplianceAnly | Downtown/Remote - FL, GA, TN, NH, NC ONLY | Days | Full Time
Jacksonville, FL · Remote
... Tricare payment and reimbursement rules required 3 years Medical record chart auditing for professional billing required 1 year Medical management information systems (EPIC preferred) required 1 year ...
Senior Payer Manager Managed Care
Altamonte Springs, FL · Remote
$60K - $111K/yr
Schedule/Shift: Full-Time M/W/Th onsite in Maitland, FL 8a-5p or Fully Remote if not local within a ... Medicaid, Tricare and other government payers. [Preferred] * Patient Accounting knowledge ...
New
Senior Payer Manager Managed Care
Altamonte Springs, FL · Remote
$60K - $111K/yr
Schedule/Shift: Full-Time M/W/Th onsite in Maitland, FL 8a-5p or Fully Remote if not local within a ... Medicaid, Tricare and other government payers. [Preferred] * Patient Accounting knowledge ...
New
Patient Access Representative II - Benefits/Auth- REMOTE (Must Reside in Tampa Bay Region)
Temple Terrace, FL · On-site +1
$16.25 - $20.75/hr
Utilize insurance websites (Availity, Humana Military (Tricare),United Healthcare, etc.) to obtain referrals/authorizations. * Assure compliance with all company plans policies and procedures set ...
Patient Access Representative II - Benefits/Auth- REMOTE (Must Reside in Tampa Bay Region)
Temple Terrace, FL · On-site +1
$16.25 - $20.75/hr
Utilize insurance websites (Availity, Humana Military (Tricare),United Healthcare, etc.) to obtain referrals/authorizations. * Assure compliance with all company plans policies and procedures set ...
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?
| Aspect | Remote Tricare | Remote Medical Billing Specialist |
|---|---|---|
| Credentials | Typically requires military healthcare knowledge, insurance processing, and certification in healthcare billing | Requires medical billing certifications like CPC or CCS, with knowledge of insurance claims |
| Work Environment | Remote, healthcare or military insurance setting | Remote, healthcare billing companies or hospitals |
| Employer & Industry | Military healthcare providers, government agencies | Private 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:
Full-time
Re-posted yesterday
Job description
Overview
Job Duties
Under limited supervision, the Physician Billing Compliance Analyst ("Analyst") will perform physician coding/documentation audits for providers of the University of Florida College of Medicine - Jacksonville ("COM-Jax") and the University of Florida Jacksonville Physicians Group ("UFJPI"). Analyst will also perform abbreviated reviews on newly hired providers' documentation outside of the regular compliance audit cycle. Audit focus will be on physician/advanced practice professional coding and chart documentation to include review of E&M, CPT, ICD-10-CM, HCPCS Level II, teaching physician guidelines and carrier specific policies. The Analyst will utilize medical management systems as well as auditing software applications to perform reviews. The Analyst will prepare and present accurate reports of audit findings to appropriate personnel. The Analyst will coordinate with various COM-Jax and UFJPI representatives to process any resulting refunds and address educational needs from the audit findings.
Responsibilities
Essential Functions
• Within designated timeframes and by utilizing medical management systems, audit chart documentation and professional billing for compliance with E&M, CPT procedure coding, ICD-10-CM diagnosis coding, teaching physician guidelines, payer specific polices and regulatory requirements.
• Perform analysis of audit findings and summarize for placement in the Physician Billing Compliance Services ("PBC") central database.
• Participate in opening and closing audit conferences with representatives of the COM-Jax and UFJPI.
• Identify remedial training needs through audit process and if necessary, conduct remedial training with providers and/or UFJPI billing staff.
• Assist in the development of policies and procedures to complete work in accordance with the COM - Jax Billing Compliance Plan.
• Problem solve issues identified during the audit process.
• Assist with creation and performance of audits through the utilization of various auditing software programs.
• Assist Manager and Director of PBC with research and analysis for special projects and other duties as assigned.
Qualifications
Experience Requirements
2 years Medical billing required
4 years Medical coding (procedural and diagnosis) for multi-specialty providers required
3 years Medicare, Medicaid, and Tricare payment and reimbursement rules required
3 years Medical record chart auditing for professional billing required
1 year Medical management information systems (EPIC preferred) required
1 year Auditing software applications (e.g. MDaudit, Compliance Risk Analyzer) preferred
Education Requirements
High School Diploma or GED required
Associates Business or health care industry related field preferred
Certification/Licensure/Training
Certified Coding Specialist required or at time of hire
Certified Coding Specialist - Physician Based(CCS-P) - AHIMA required or at time of hire
Certified Professional Coder (CPC) required or at time of hire
Certified Professional Medical Auditor (CPMA) required within 6 months
UFJPI is an Equal Opportunity Employer and Drug Free Workplace
Job Duties
Under limited supervision, the Physician Billing Compliance Analyst ("Analyst") will perform physician coding/documentation audits for providers of the University of Florida College of Medicine - Jacksonville ("COM-Jax") and the University of Florida Jacksonville Physicians Group ("UFJPI"). Analyst will also perform abbreviated reviews on newly hired providers' documentation outside of the regular compliance audit cycle. Audit focus will be on physician/advanced practice professional coding and chart documentation to include review of E&M, CPT, ICD-10-CM, HCPCS Level II, teaching physician guidelines and carrier specific policies. The Analyst will utilize medical management systems as well as auditing software applications to perform reviews. The Analyst will prepare and present accurate reports of audit findings to appropriate personnel. The Analyst will coordinate with various COM-Jax and UFJPI representatives to process any resulting refunds and address educational needs from the audit findings.
Responsibilities
Essential Functions
• Within designated timeframes and by utilizing medical management systems, audit chart documentation and professional billing for compliance with E&M, CPT procedure coding, ICD-10-CM diagnosis coding, teaching physician guidelines, payer specific polices and regulatory requirements.
• Perform analysis of audit findings and summarize for placement in the Physician Billing Compliance Services ("PBC") central database.
• Participate in opening and closing audit conferences with representatives of the COM-Jax and UFJPI.
• Identify remedial training needs through audit process and if necessary, conduct remedial training with providers and/or UFJPI billing staff.
• Assist in the development of policies and procedures to complete work in accordance with the COM - Jax Billing Compliance Plan.
• Problem solve issues identified during the audit process.
• Assist with creation and performance of audits through the utilization of various auditing software programs.
• Assist Manager and Director of PBC with research and analysis for special projects and other duties as assigned.
Qualifications
Experience Requirements
2 years Medical billing required
4 years Medical coding (procedural and diagnosis) for multi-specialty providers required
3 years Medicare, Medicaid, and Tricare payment and reimbursement rules required
3 years Medical record chart auditing for professional billing required
1 year Medical management information systems (EPIC preferred) required
1 year Auditing software applications (e.g. MDaudit, Compliance Risk Analyzer) preferred
Education Requirements
High School Diploma or GED required
Associates Business or health care industry related field preferred
Certification/Licensure/Training
Certified Coding Specialist required or at time of hire
Certified Coding Specialist - Physician Based(CCS-P) - AHIMA required or at time of hire
Certified Professional Coder (CPC) required or at time of hire
Certified Professional Medical Auditor (CPMA) required within 6 months
UFJPI is an Equal Opportunity Employer and Drug Free Workplace
About UF Health
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Gainesville, FL, US
Year founded
1958