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Claims Auditor
access_time Posted 5 days ago
account_balance Delta Health Systems
location_on Stockton
We seek a dynamic Benefits & Eligibility Auditor Trainer to join our team in Stockton, California. Job Summary: Audits Claims, Customer Service and OA personnel. Key Responsibilities: · Audits work ...
Health Plan Medical Claims Auditor - Possibility of Remote - PHOENIX
access_time Posted 1 month ago
account_balance ImageNetLLC
location_on Phoenix
As a Medical Claims Auditor, you will be responsible for reviewing and auditing medical claims to ensure accuracy, compliance with regulations, and adherence to company policies and procedures. You ...
Medical Claims Auditor / Trainer - (Health Insurance, CPT, ICD-10)
access_time Posted 1 month ago
account_balance Midatlantic Employers' Association
location_on Newtown Square
Medical Claims Auditor / Trainer (Health Insurance) (CPT, ICD-10) Newtown Square, PA (Full Time, Permanent Role) We are an established employer in Newtown Square, Delaware County, Pennsylvania, and ...
HealthLock Medical Claims Auditor / Advocate II
access_time Posted 2 months ago
account_balance inAssist
location_on Franklin
HealthLock Medical Claims Auditor / Advocate II HealthLock is a leading provider of Healthcare Management Solutions, utilizing our Medical Claims Auditors / Advocates, comprehensive analytics, and ...
Medical Stop Loss Claims Auditor
access_time Posted 2 months ago
account_balance Berkshire Hathaway Specialty Insurance
location_on Indianapolis
Berkshire Hathaway Specialty Insurance (BHSI) has an exciting opportunity for a Medical Stop Loss Claims Auditor with knowledge of employer group health insurance, managed care and direct medical ...
Manager, Claims Auditing and Reporting
access_time Posted 1 month ago
account_balance Guidehealth
location_on Chicago
As the Manager, Auditing & Reporting you will lead your staff to an exceptional performance level ... Background in Value Based Services. * 1-3 years' experience processing HMO Claims. * CPT and ICD ...
Claims Quality Auditor
access_time Posted 27 days ago
account_balance HealthCare Resolution Services
location_on Columbia
At least three years of experience as a claims auditor or similar role in the health care industry. Skills * Strong analytical and problem-solving skills * Excellent attention to detail * Ability to ...
Claims Audit & Recovery Manager
access_time Posted 5 days ago
account_balance Solis Health Plans
location_on Miami
Proficient in processing / auditing claims for Medicare plans. * Follow all appropriate Federal and State regulatory requirements and guidelines applicable to Health Plan operations. * Excellent ...
Auditor, DRG Coding & Clinical Validation
access_time Posted 2 months ago
account_balance Cotiviti, Inc.
location_on Salt Lake City
The Auditor, DRG Coding & Clinical Validation position has an extensive background in either ... Analyzes and Audits Claims. Integrates medical chart coding principles, clinical guidelines, and ...
Director Compliance and Auditing
access_time Posted 15 days ago
account_balance RiteChoice Pharmacy
location_on Philadelphia
External claims auditing from CMS, PBMs, and other third parties to ensure the appropriateness and ... CHC], Certified Internal Auditor [CIA]) preferred. * Demonstrated experience developing and ...
Claims Analyst
access_time Posted 14 days ago
account_balance GTN Technical Staffing
location_on Phoenix
Understand the clients business model and the products we support under the guidance of the Claims Manager and Lead Claims Auditor. * Effective Correspondence: Correspond accurately and timely with ...
Claims Adjustment and Dispute Specialist
access_time Posted 1 month ago
account_balance SAN JOAQUIN COUNTY HEALTH COMMISSION
location_on Modesto
Under general supervision, responsible for auditing claims data and adjustments for accuracy of input and adjudication, and facilitating the processing of assigned claims. * Reviews claims, appeals ...
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