Claims Auditor Jobs
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Search Results - Claims Auditor Jobs
Alura Workforce Solutions-Rancho Cucamonga
Position
Auditor- Provider Recovery
Description
Under the direction of the Provider Claims Resolution & Recovery Supervisor, the Provider Recovery Auditor is responsible for the audit and recovery of claims overpayments including COB and third...
resume-library.com -
United States
follow-up and oversight of the execution and completion of management action plans.
• Interact with multiple business partners (Claims, External Audit, Compliance, etc.)
• Foster Minuteman’s ongoing digital and process transformations, providing...
icims.com -
CVSHealth-Albany
Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing...
cvshealth.com -
ChristianaCare-Wilmington (DE)
is required: Associates or Bachelor's degree in Nursing (active/unrestricted license) Associate or Bachelor's degree in Health Information Management (RHIA or RHIT) Equivalent experience of 5+ years' experience in provider auditing, claims auditing, compliance...
Equiliem-Bohemia (NY)
Promptly replying to, and satisfactorily clearing, review notes;
Performing internal claims audit procedures in accordance with school district and other clients; and
Preparing nonprofit information returns (IRS Form 990 and New York State CHAR500...
resume-library.com -
QBE Insurance-New York
business objectives by assisting with claims auditing
• Under supervision, provide timely and accurate policy......
efinancialcareers.com -
CH Recruitment Solutions-Mount Vernon (AL)
and interpretation
Experience in clinical claim auditing and clinical quality measurement.
Effective teaching skills and experience in providing training
Experience working as a member of an integrated team
Qualifications
Must hold a medical license from...
resume-library.com -
Liberty Mutual-Boston
resolution process. Actively participates in mediations and arbitrations, within limit of settlement authority.
Participates in Claims audit process.
May provide claims marketing services by participating in meetings with brokers, risk managers and re...
mindmatch.ai -
Cambia Health Solutions, Inc-Portland
and investigates claims/audit inquiries.
• Develops, maintains, and consults on contract policies, procedures, and desk references for the department.
• Prepares provider contract documents and templates, including technical "coding" and strategic system...
Liberty Mutual-Hoffman Estates
resolution process. Actively participates in mediations and arbitrations, within limit of settlement authority.
Participates in Claims audit process.
May provide claims marketing services by participating in meetings with brokers, risk managers and re...
mindmatch.ai -
Morristown (NJ)
steadfast commitment to diversity, equity and Inclusion.
C&F is part of Fairfax Financial Holdings, a global, billion dollar organization. For more information about Crum & Forster, please visit our website: www.cfins.com.
Director – Claims Audit/Best...
icims.com -
Cambia Health Solutions, Inc-Portland
claims/audit inquiries.
• Develops, maintains, and consults on contract policies, procedures, and desk references for the department.
• Prepares provider contract documents and templates, including technical "coding" and strategic system configuration...
mindmatch.ai -
AMI Network-San Leandro
data and concrete metrics to monitor, evaluate, and improve reimbursement performance
• Oversees Claims Auditors, Examiners, Assistant, and Coder
QUALIFICATIONS
• Ability to interpret Medi-Cal benefit rules and apply to provider reimbursement...
jobvertise.com -
QBE Insurance-Lincoln
business objectives by assisting with claims auditing
• Under supervision, provide timely and accurate policy......
efinancialcareers.com -
Remote
processing systems
• Experience in claims auditing a plus
• Ideal candidate will have experience in medical claims for commercial, Medicare, and/or Medicaid.
• Thorough understanding of medical terminology
• Proficient in Microsoft Office and especially Excel...
icims.com -
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