Claim Auditor Jobs (NOW HIRING)

Work assigned claim projects to completion * Provide a high level of customer service to internal ... Proficient in processing/auditing claims for Medicare and Medicaid plans * Strong knowledge of CMS ...

Minimum of five years experience in insurance, medical or managed care environment including two years of claim processing experience required. Previous auditing and/or Amisys experience preferred.

Minimum of five years experience in insurance, medical or managed care environment including two years of claim processing experience required. Previous auditing and/or Amisys experience preferred.

Minimum of five years experience in insurance, medical or managed care environment including two years of claim processing experience required. Previous auditing and/or Amisys experience preferred.

Minimum of five years experience in insurance, medical or managed care environment including two years of claim processing experience required. Previous auditing and/or Amisys experience preferred.

Minimum of five years experience in insurance, medical or managed care environment including two years of claim processing experience required. Previous auditing and/or Amisys experience preferred.

Minimum of five years experience in insurance, medical or managed care environment including two years of claim processing experience required. Previous auditing and/or Amisys experience preferred.

Work assigned claim projects to completion * Provide a high level of customer service to internal ... Proficient in processing/auditing claims for Medicare and Medicaid plans * Strong knowledge of CMS ...

The appeals auditor is responsible for performing an extensive review of the initial claim along with the associated documentation as well as any additional information submitted by the provider on ...

The appeals auditor is responsible for performing an extensive review of the initial claim along with the associated documentation as well as any additional information submitted by the provider on ...

Claims Auditor will be responsible for auditing claims processed by Claims Examiners ... Must be familiar with facility (UB-04) and professional (CMS-1500) claim billing practices. Must ...

Provide feedback and focused educational programs on the results of auditing, review claim denials pertaining to coding, and implement corrective action plans. Exemplifies the Rush mission, vision ...

This AUDITOR position is located in the Office of Enforcement and Regulatory Accounting. For more ... fail basis, your claim of superior academic achievement must be based upon class standing or ...

The Medical Stop Loss Aggregate Auditor is responsible for reviewing and validating medical stop loss aggregate claim reimbursements by auditing claim data, eligibility, plan provisions, and contract ...

We are seeking a Claims Auditor to join our team at Independent Living Systems (ILS). ILS, along ... Analyze claim data and documentation to identify errors, inconsistencies, or potential fraud.

Ability to analyze claims and/or large claim management reports to post and/or adjust reserves. Skills/Abilities * 2-3 years medical claim processing or 3-5+ years Stop Loss Claims Auditing and ...

If necessary, appear as a witness to testify as to the validity of a filed claim * Performs related ... Auditing methodology, techniques, and theories * Accounting principles and their application

Centivo is seeking a Claims Auditor who will be responsible for conducting pre-payment, post ... Confer with Claims QA Lead, Claims Supervisors, Claim Managers, and/or Training Lead on any ...

Opening claims, assigning claim numbers, entering claims data into computer, etc. in a timely manner. * Checking losses to ensure that all supporting documentation is included and auditing claims ...

Overview This auditing role will focus on Coding & Clinical Chart Validation for our Outpatient and ... Enters claim into Cotiviti system accurately and in accordance with standard procedures. * Meets or ...