...Career Opportunity:
Job Title: Medical Claims Auditor I
About CodeForce 360
Making a career choice is amongst the most critical choices one can make, and it's important for the choice to be calculated with factors such as a company's run of success...
Medical
Claims
Contract work
Work experience placement
...responsible for reviewing and processing claims, including facility claims, to ensure accuracy... ...Benefits-Eligible: PTO, PSL. Holidays, Medical, Dental, Vision, and more.
Requirement... ...Minimum of 5+ years as a "Medical Claims Auditor," in a health plan, managed service/care...
Medical
Claims
Hourly pay
Holiday work
Full time
Remote job
...if you feel that youre close but not an exact match, we encourage you to apply.
Responsibilities:
A Sr. Consultant (Medical Claim Auditor) is expected to be a knowledgeable and reliable subject matter expert. The Medical Auditor is an integral part of the Medical...
Medical
Claims
Local area
Worldwide
Flexible hours
4/10 shift! In Office Medical Examiners
This Jobot Job is hosted by: John Nacy
Are you a fit? Easy Apply now by clicking... ...us:
Our client is looking for experienced Medical Claims Examiners and Auditors for immediate, long term needs.
Why join us?
Medical...
Medical
Claims
Immediate start
Shift work
Monday to Friday
$46k - $53k
...Imagine360 is currently seeking a Medical Claims Auditor to join the team! This position audits and adjudicates stop loss insurance medical claims. Additional functions may include compiling reporting and communicating with third party administration staff.
Responsibilities...
Medical
Claims
Holiday work
Full time
Contract work
Temporary work
...CornerStone Staffing is hiring career minded candidates with medical provider experience!
We are seeking tenacious candidates with... ...company in Fort Worth!
JOB ID - 144713
Job Title: Medical Claims Analyst
Pay: $18/hr
Location: Fort Worth, TX (76102...
Medical
Claims
Full time
Temporary work
Second job
Monday to Friday
Job Type
Full-time
Description
With general supervision, verify claims processing, system accuracy, and data entry accuracy, identify and communicate errors, and track errors for trends.
Essential Functions
Perform scheduled quality assurance audits...
Claims
Full time
...Claims Auditor
75 Vanderbilt Ave, Staten Island, NY 10304, USA
Req #1153
Monday, April 1, 2024
Centers Plan for Healthy Living's goal is to create the ultimate healthcare experience that provides our members, their families, healthcare decision makers, and...
Claims
...parties, of the combined financially stratified/attribute claim sample of medical and dental claims processed by medical care administrators.... ...management.
* At least three years of experience as a claims auditor or similar role in the health care industry.
Skills
*...
Medical
Claims
Flexible hours
...cultureand history.
Job Opportunity:
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 claims products. This position will...
Medical
Claims
...health care organization in Los Angeles County is seeking a Claim Auditor to join their growing team. If you have at least 3 years of experience... ...and Commercial rules and regulations
5. Knowledge of medical terminology
6. Must have an understanding to read and...
Medical
Claims
...and your career – with us.
Overview of the Role:
The Claims Auditor is responsible for reviewing claims processed by examiners based... ...Required Sills and Experience:
~3+ years medical claims auditing experience in HMO or IPA/Medical Group setting...
Medical
Claims
Remote job
Home office
...products. MUST HAVE Knowledge of CPT, ICD-9/10 and HCPCS codes along with commonly used concepts and practices in Workers Compensation medical bill review/auditing . Prepares and compiles medical provider bill data for Workers Compensation clients.
The successful...
Medical
Full time
Remote job
...Roles and Responsibilities:
Process Adjudication claims and resolve for payment and Denials
Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process
Knowledge of healthcare insurance policy concepts including in network, out of...
Claims
Shift work
Weekend work
Monday to Friday
...continuously support the improvement of the technical quality of the claims product, measuring compliance through the completion of quality... ..., national origin, ancestry, mental and physical disability, medical condition, genetic information, military and veteran status,...
Medical
Claims
Permanent employment
Local area
We are a dynamic team dedicated to ensuring accuracy and integrity in medical claims processing. Our commitment to excellence drives us to seek a detail-oriented and experienced Medical Claims Auditor to join our ranks.
Position Overview:
As a valued member of our...
Medical
Claims
Hourly pay
Full time
Remote job
...must perform the following functions with or without reasonable accommodations.
Under close supervision provided by a Principal Claim Auditor, the incumbent will conduct technical prepayment audits of claim schedules and vouchers submitted by state departments for...
Claims
Permanent employment
Full time
Contract work
Flexible hours
...providers through our comprehensive suite of services, including claims processing, digital transformation, and member and provider... ...We are currently seeking a detail-oriented and experienced Medical Claims Auditor to join our team. As a Medical Claims Auditor, you will play...
Medical
Claims
Hourly pay
Full time
Local area
Remote job
...to Friday, occasional Saturdays
Hourly: $19.94
Warehouse Auditor Summary
This Warehouse Auditor position's focus is inventory... ...,
Insurance benefits offered after 90 days of hire date for medical, dental, vision, short term disability, life insurance,
After...
Medical
Hourly pay
Holiday work
Temporary work
Shift work
Saturday
Monday to Friday
...About the Medical Coding Auditor position
We are looking for a skilled Medical Coding Auditor to join our revenue cycle department and will be responsible for conducting audits according to the Internal Audit Program standards and specifications.
A successful candidate...
Medical
Work experience placement
Local area
...'s offices regarding insurance, billing, invoicing, and other concerns
Entering data into medical office software using ICD-10 billing and coding
Filing insurance claims and adjustments
Prepare for everything to be billed and check details are correct
Other...
Medical
Claims
Holiday work
Full time
Temporary work
Monday to Friday
...needs of brokers and their policyholders. We're confident that you'll love partnering with us.
Job Summary
The Medical Only Examiner reports to the Claims Manager and is responsible for all aspects of handling medical only Workers' Compensation claims from initial set...
Medical
Claims
Temporary work
...Medical Claims Specialist - Full-time
*Onsite - Fort Worth, TX
Serenity Healthcare is seeking a Medical Claims Specialist to provide the billing team with additional support in order to obtain financial compensation for medical claims. The claims specialist reviews...
Medical
Claims
Full time
Work experience placement
Flexible hours
...Department, located at our main office in Anderson, California. This is an excellent opportunity for someone who is either a Medical Biller or Claims Examiner or wants to train to become one.
About The Position
•Review, research, and resolve a variety of health...
Medical
Claims
Hourly pay
Holiday work
Full time
Work experience placement
Gangs
...providers and our various support teams. Our company culture is one of warmth and inclusivity to both staff and clients.
The Medical Claims Specialist plays a vital role in the day-to-day operations of Bright Futures Psychiatry. They are responsible for managing and...
Medical
Claims
Hourly pay
Holiday work
...Job Description
Analyze and adjudicate a variety of claim types to include facility, professional, inpatient and outpatient... ...basic to intermediate mathematical computation routines
• Medical terminology strongly preferred
• Understanding of ICD-9...
Medical
Claims
Remote job
...potential Cyclers with their questions via email; questions will include topics on self-reimbursement with their medical insurance, troubleshooting claim submission and escalating appeals with their insurance company
Communicate in an engaging, caring and credible...
Medical
Claims
For contractors
Remote job
...The Claims Examiner position responsible for processing medical, dental and vision claims. This position is looking for someone to work in the Canfield Ohio office. Upon completion of training and satisfactory meeting quality and production goals. You will be eligible...
Medical
Claims
** MEDICAL CLAIMS ADJUSTER**
**Job Category****:** CLAIMS **Requisition Number****:** MEDIC001205 Showing 1 location **Job Details**
**Description**
**Benefits**
* Health, Prescription Drug and Dental Benefits
* Voluntary Vision, Accident, Critical Illness and Pet...
Medical
Claims
Holiday work
Temporary work
Flexible hours
...Behavioral Health RN - Medical Claim Review - FULLY REMOTE POSITION
MUST HAVE ARIZONA OR COMPACT RN LICENSE
Medix Healthcare
Phoenix, AZ 85016
Monday-Friday 8am-5pm (Employee Time Zone)
$40.00-42.00 hour - FULL TIME
MUST HAVES TO APPLY
~ Arizona RN or...
Medical
Claims
Hourly pay
Full time
Contract work
Temporary work
Work experience placement
Remote job
Currently hiring
Monday to Friday