Claims Processing Clerk, Sr. jobs in Saint Petersburg, FL

Claims Processing Clerk, Sr. receives and inputs new healthcare claims, processes payments, conducts billing research, and responds to telephone inquires. Evaluates claims and administers payment, denies, or returns claims according to policy provisions and organizational guidelines. Being a Claims Processing Clerk, Sr. produces routine and ad hoc reports. Requires a high school diploma. Additionally, Claims Processing Clerk, Sr. typically reports to a supervisor. The Claims Processing Clerk, Sr. works independently within established procedures associated with the specific job function. Has gained proficiency in multiple competencies relevant to the job. To be a Claims Processing Clerk, Sr. typically requires 3-5 years of related experience. (Copyright 2024 Salary.com)

C
Processing technician
  • CSL
  • Pinellas Park, FL FULL_TIME
  • Responsibilities :

    Responsible for the evaluation of donor suitability for automated pheresis procedures. Administration and supervision of approved immunizations other than red blood cell immunizations.

    Provides limited emergency medical care to donors and staff, including the administration of medication or treatments in accordance with licensure or certification.

    • Promotes positive customer relations with all donors.
    • Conducts confidential and effective interviews with donors to obtain necessary information regarding suitability to donate plasma.
    • In conjunction with the Center Medical Director and / or Center Physician responds to medically related questions from staff including donor suitability and provides information to staff on medically related issues.
    • Performs medical history reviews and health assessments on donors. Assesses results of donor screening and laboratory tests to determine initial and continuing donor suitability.
    • Notifies and counsels donors regarding reactive test results. Refers donors to community facilities for follow-up and counseling.
    • Explains informed consent to applicant donors. This includes explanation of procedures, hazards and potential adverse events;
    • explanation of immunization schedules, dose and antibody response; providing clear opportunity for donor to refuse participation;

    obtaining signature and date certifying informed consent.

    Handles medical emergencies at the Center by providing routine care as outlined in Standard Operating Procedures (SOPs);

    elevates situations to Center Physician or local medical service providers as required. Periodically checks emergency kits to assure supplies are present and in-date.

    Reviews test results and determines continued donor suitability. Follows SOPs regarding acceptable ranges of four-month required test (PE / STS) reports.

    Maintains knowledge of and apply all rules regarding four-month approvals and grace periods.

    • Assess signs and symptoms a donor may exhibit that may result in the inability to continue donating.
    • Manages employee hepatitis B and influenza immunization program, including administration of immunizations.
    • Understands the policies and procedures associated with hyper immune programs at the center where applicable, and oversees donor immunization programs.

    Reviews antibody titer results as required. Maintains awareness of appropriate immunization schedule for each antigen.

    • Ensures the accurate recording of donor data in the electronic donor information management system as outlined in the SOPs.
    • Maintains clean efficient work environment, and ensures sufficient operating supplies and forms are available as needed.

    Follows all Health Safety & Environmental (HSE) and Occupational Safety and Health Administration (OSHA) policies and procedures.

    Promotes safety in all actions. May conduct routine audits of these internal procedures and documentation.

    • Maintains confidentiality of all personnel, donor and center information.
    • May be cross-trained in other areas to meet the needs of the business.
    • Bilingual skills may be required, at the discretion of the organization, to meet the needs of the business.
    • Perform other job-related duties as assigned.

    Qualifications :

    • Active state licensure from a paramedic, nursing, physician assistant, chiropractic, naturopathic training program or medical school required OR
    • Completion of a foreign allopathic or osteopathic medical school and only if also currently licensed as a physician or certified as an EMT in the state
    • Minimum of one (1) year experience in a health care environment or one year of clinical experience from a vocational or nursing institution
    • Experience in a plasma or whole blood collection center or other regulated environment preferred
    • Ability to make and analyze a physical assessment of heart, lung sounds, signs of drug use, etc.
    • Ability to instruct donors, staff and community regarding the benefit of plasma donation programs

    Our Benefits

    • CSL offers the following benefits for this full-time position : Options for health care benefits, including choices of plans for medical, dental, and vision, prescription drug coverage;
    • Company-provided basic life insurance and Short- and Long-Term Disability; the option to participate in CSL's 401(k) Savings Program;

    Paid Time Off (PTO) for use in connection with vacations, illness, and other personal business; and paid observed holidays as designated by the Company.

    For more information on CSL Plasma benefits visit https : / / cslbenefits.com / cslp.

    About CSL Plasma

    CSL Plasma is one of the world's largest collectors of human plasma. Our work helps to ensure that people with rare and serious diseases are able to live normal, healthy lives.

    We are committed to our work because lives depend on us. Learn more about CSL Plasma.

    We want CSL to reflect the world around us

    As a global organization with employees in 35 countries, CSL embraces diversity and inclusion. Learn more about Diversity & Inclusion at CSL.

    Do work that matters at CSL Plasma!

    Last updated : 2024-03-07

  • 19 Days Ago

C
Processing technician
  • CSL Plasma
  • Pinellas Park, FL FULL_TIME
  • Responsibilities : Responsible for the evaluation of donor suitability for automated pheresis procedures. Administration and supervision of approved immunizations other than red blood cell immunizatio...
  • 26 Days Ago

B
Sterile Processing Tech I
  • Bayfront Health
  • Petersburg, FL FULL_TIME
  • Position Summary The Sterile Processing tech I is responsible for cleaning, inspection, assembly, sterilization, and distribution of instruments and equipment. Responsibilities Essential Functions The...
  • 22 Days Ago

B
Sterile Processing Tech
  • BayCare
  • Saint Petersburg, FL FULL_TIME
  • At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatie...
  • 2 Days Ago

R
Check Processing Associate
  • Raymond James Financial, Inc.
  • Saint Petersburg, FL FULL_TIME
  • Check Processing Associate-2400259 Description Job Summary: Under limited supervision, uses intermediate skills obtained through experience and training to perform detailed transactional tasks in a fa...
  • 4 Days Ago

J
Gift Processing Supervisor
  • Johns Hopkins Medicine
  • Petersburg, FL FULL_TIME
  • YOU BELONG HERE What Awaits You? Career growth and development Employee and Dependent Tuition Assistance Diverse and collaborative working environment Affordable and comprehensive benefits package Our...
  • 16 Days Ago

Filters

Clear All

  • Filter Jobs by companies
  • More

0 Claims Processing Clerk, Sr. jobs found in Saint Petersburg, FL area

B
Production Underwriter - Commercial Small Business
  • Bankers Financial Corp
  • Saint Petersburg, FL
  • Job Description Job Description Bankers Financial Corporation is a holding company that started in St. Petersburg, FL, i...
  • 3/28/2024 12:00:00 AM

C
Bilingual Licensed Insurance Agent-215
  • CornerStone Staffing
  • Saint Petersburg, FL
  • Job Description Job Description Bilingual Licensed Insurance Agent-215 (L&H) 3 Direct Hire Openings Location: St. Peters...
  • 3/28/2024 12:00:00 AM

A
Insurance Sales Representative
  • Allstate Insurance Agency - Frances Moncada
  • Saint Petersburg, FL
  • Job Description Job Description Successful Agent is seeking a qualified professional to join their winning team for the ...
  • 3/28/2024 12:00:00 AM

M
Independent Insurance Claims Adjuster in Saint Petersburg, Florida
  • MileHigh Adjusters Houston Inc
  • Saint Petersburg, FL
  • Exciting Opportunity for Aspiring Claims Adjusters! INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to ...
  • 3/28/2024 12:00:00 AM

Q
Mail Processing Specialist
  • Quikaid, Inc.
  • Saint Petersburg, FL
  • Job Description Job Description We are seeking a Mailroom Clerk / Document Specialist, who is local to the Tampa Bay are...
  • 3/27/2024 12:00:00 AM

B
Production Underwriter - Commercial Insurance Small Business
  • Bankers Financial Corp
  • Saint Petersburg, FL
  • Job Description Job Description Bankers Insurance Group, a subsidiary of Bankers Financial Corporation, is currently see...
  • 3/27/2024 12:00:00 AM

T
Life Insurance Sales Agent (Remote)
  • The Hirsh Agency
  • Saint Petersburg, FL
  • Compensation: 10K-15K Monthly (Uncapped) *100% Commission Schedule: Employee's choice Location: Work from Home!!! Work/L...
  • 3/24/2024 12:00:00 AM

H
Insurance Benefits Agent
  • Halloum Insurance Agency (ABD-SP)
  • Saint Petersburg, FL
  • Job Description Job Description Make The Difference: Our clients are looking for viable alternatives to their current be...
  • 3/24/2024 12:00:00 AM

St. Petersburg is a city in Pinellas County, Florida, United States. As of the 2015 census estimate, the population was 257,083, making it the fifth-most populous city in Florida and the largest in the state that is not a county seat (the city of Clearwater is the seat of Pinellas County). St. Petersburg is the second-largest city in the Tampa Bay Area, after Tampa. Together with Clearwater, these cities comprise the Tampa–St. Petersburg–Clearwater Metropolitan Statistical Area, the second-largest in Florida with a population of around 2.8 million. St. Petersburg is located on the Pinellas pen...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Clerk, Sr. jobs
$45,614 to $56,263
Saint Petersburg, Florida area prices
were up 1.1% from a year ago

Claims Processing Clerk, Sr. in Anchorage, AK
Is Insurance Claims and Policy Processing Clerk the right career path for you? Take the MyMajors Quiz and find out if it fits one of your top recommended majors.
February 10, 2020
Claims Processing Clerk, Sr. in Chattanooga, TN
The top 3 most similar occupations to Insurance claims & policy processing clerks by wage are Firstline supervisors of housekeeping & janitorial workers, Food service managers, and Electronic home entertainment equipment installers & repairers.
January 16, 2020
Claims Processing Clerk, Sr. in Asheville, NC
When you’re in the beginning stages of writing your insurance claims processing clerk job description, you’ll need to review common qualifications for this job.
January 12, 2020