Medical Claims Audit Jobs (NOW HIRING)

... audit information and reports by collecting, analyzing, and summarizing data and trends. * Improves claims adjustment job knowledge by attending training sessions. Nice to Have: * Medical Claims ...

Senior Medical Claims Processor The Senior Medical Claims Processor is responsible for accurately ... Conduct weekly and bi-weekly claims audits * Perform zero report updates and quality audits

No surprise medical bills Most team members avoid tens of thousands of dollars in healthcare costs ... Conduct weekly and bi-weekly claims audits * Perform zero report updates and quality audits

Billing and Claims Audit: * Analyze medical claims data and associated documentation by conducting continuous auditing with analyses to prevent and address discrepancies and non-conformities in ...

The purpose of the Medical Claims Reviewer position is to work with team members and clients with ... Audit claims and records for compliance with CPT guidelines, Medicaid requirements, Oregon Health ...

Our Medical Claims Repricer/Analyst is responsible for reviewing and processing hospital and ... audit readiness and appeal review. * Accounting Teamwork. Communicate with others in the process ...

Our Medical Claims Repricer/Analyst is responsible for reviewing and processing hospital and ... audit readiness and appeal review. * Accounting Teamwork. Communicate with others in the process ...

Medical Claims Supervisor ALL Full-Time Gastonia, NC, US 3 days ago Requisition ID: 4991 Job ... audits. * Monitor compliance with health plan policies, claims processing standards, HIPAA ...

Review and audit medical claims decisions for accuracy, quality, and compliance. * Analyze claims data and identify trends or discrepancies. * Communicate with arbitrators and stakeholders to obtain ...

Medical Claims Supervisor ALL Full-Time Gastonia, NC, US 2 days ago Requisition ID: 4991 Job ... audits. * Monitor compliance with health plan policies, claims processing standards, HIPAA ...

Medical Claims Supervisor ALL Full-Time Gastonia, NC, US 3 days ago Requisition ID: 4991 Job ... audits. * Monitor compliance with health plan policies, claims processing standards, HIPAA ...

It takes great medical minds to create powerful solutions that solve some of healthcare's most ... Summary Supervises claims audit operations within Pharmacy Benefit Management (PBM) services.

... audits. · Monitor compliance with health plan policies, claims processing standards, HIPAA ... to medical claims processing. · Monitor key performance indicators (KPIs), claims inventory ...

It takes great medical minds to create powerful solutions that solve some of healthcare's most ... Summary Supervises claims audit operations within Pharmacy Benefit Management (PBM) services.

Conduct comprehensive medical claims audits to identify errors, discrepancies, or fraudulent activities. * Analyze claims documentation, including medical records and billing statements, to ensure ...

... claims/audit experience which includes experience with federal programs (Medicaid, CHIP) or in a health plan/payor environment preferred. * 7-10 years of medical claims processing , claim ...

Medical Claims Processor Location: Doral, FL on-site Schedule: Full-Time | 40 hours per week ... Knowledge of CMS regulations and audits . * Experience with dual-eligible populations and Medicare ...

Claims Audit Specialist Claims Audit Specialist Who are we? Versant Health is one of the nation ... Benefits include medical, dental, and paid vision coverage; paid time off and company holidays ...

Audit documentation to ensure claims are complete and compliant before submission. * Collect and ... Experience with medical claims, denials, and appeals preferred. * Knowledge of ICD-10 and HCPCS ...

... claims/audit experience which includes experience with federal programs (Medicaid, CHIP) or in a health plan/payor environment preferred. * 7-10 years of medical claims processing , claim ...