Claims Auditor Jobs
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Search Results - Claims Auditor Jobs
Superior Risk Management-Southlake
This is a full-time on-site role for a Quality Trainer/Auditor in Commercial Auto Claims at Superior Risk Management. The role involves conducting quality audits, developing and delivering training programs, and ensuring compliance with industry standards.
The Quality...
mindmatch.ai -
JobGet Staffing-Columbia (MD)
Description of services:
Audit a portion, as mutually agreed between the parties, of the combined financially stratified/attribute claim sample of medical and dental claims processed by medical care administrators. During the identified audit...
IntePros-Philadelphia
Job Title: Senior Client Setup Quality Analyst
Join our team as a Senior Client Setup Quality Analyst and make a significant impact by ensuring accuracy and compliance in client benefit setup and claims auditing. This is an exciting opportunity...
mindmatch.ai -
CornerStone Staffing-Fort Worth
is responsible for analysis and monitoring of claims audit data across multiple platforms. Performs various follow-up activities to ensure the accuracy and appropriateness of reimbursement made to healthcare providers. Responsibilities include identifying payment...
TalentBurst, Inc.-Philadelphia
the managers during in person audits, proactively audit claims for accuracy and support needed regulatory requirements.
The purpose of the Ambulatory Regulatory Technician is to help drive overall fiscal and regulatory performance and manage the daily...
resume-library.com -
CornerStone Staffing-Fort Worth
is responsible for analysis and monitoring of claims audit data across multiple platforms. Performs various follow-up activities to ensure the accuracy and appropriateness of reimbursement made to healthcare providers. Responsibilities include identifying payment...
Metalcraft of Mayville-West Bend (WI)
for all employees; - Facilitate all aspects of employee discipline and terminations, including preparing paperwork for unemployment claims; - Auditing daily time & attendance approvals using Kronos for production employees; process payroll and experience...
Pyramid Consulting, Inc-Philadelphia
Key Skills; Benefits Administration
• Claim
• Auditing /Quality check experience
• Participate with Product teams and Sales in discussions regarding client benefits and setup.
• Identify trends and process improvement opportunities through audit...
mindmatch.ai -
University of Maryland Medical System-Baltimore
Job Description
General Summary
Under general supervision, conducts internal audits of hospital bills working with external auditors to ensure that uncompensated patient revenues resulting from audits of patient service billings (claims...
resume-library.com -
TalentBurst, Inc-Philadelphia
and suburban locations.
In addition to data compilation for fax or electronic audit, the auditing technician will support the managers during in person audits, proactively audit claims for accuracy and support needed regulatory requirements.
The purpose...
Pyramid Consulting, Inc-Philadelphia
Experience:
Key Skills; Benefits Administration
Claim Auditing /Quality check experience
Participate with Product teams and Sales in discussions regarding client benefits and setup.
Identify trends and process improvement opportunities through audit...
resume-library.com -
TBG | The Bachrach Group-Bedminster (NJ)
Agreements and Sub-agreements, teaming and joint venture agreements, claims, audit and regulatory responses.
• · Maintain cognizance of relevant federal procurement laws and regulations, pending changes in legislation, and industry trends impacting...
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 -
KG Workforce Solutions, LLC-Columbia
sponsorship.
Preferred Experience:
2+ years of experience in claims auditing or reviewing legal documents in a financial services or related capacity....
mindmatch.ai -
Rancho Cucamonga
Overview:
What you can expect!
Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience!
As a Claims Compliance Auditor, you...
icims.com -
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