Phoenix, AZ · Remote
$25 - $29/hr
Arizona - Remote What you will be doing: * Conducts medical claims review using current claims ... Validates all appropriate data is supplied with program invoice. * Reviews claim data for process ...
Quick apply
Phoenix, AZ · Remote
$25 - $29/hr
Arizona - Remote What you will be doing: * Conducts medical claims review using current claims ... Validates all appropriate data is supplied with program invoice. * Reviews claim data for process ...
The position is Remote with a strong preference given to candidates located in DC, PA, or WV ... Conduct detailed invoice reviews to validate costs, cost share contributions, and alignment with ...
The position is Remote with a strong preference given to candidates located in DC, PA, or WV ... Conduct detailed invoice reviews to validate costs, cost share contributions, and alignment with ...
New York, NY · Remote
$75 - $85/hr
Business Analyst (Accounting) Hybrid Onsite for first 2 weeks, then 3 days onsite / 2 days remote ... Perform invoice reviews and coordinate resolution with vendors/service providers. Develop formal ...
Quick apply
New York, NY · Remote
$75 - $85/hr
Business Analyst (Accounting) Hybrid Onsite for first 2 weeks, then 3 days onsite / 2 days remote ... Perform invoice reviews and coordinate resolution with vendors/service providers. Develop formal ...
$85 - $95/hr
Perform in-depth data audits and invoice reviews to eliminate billing errors and identify cost ... Remote Job Benefits: * Competitive hourly rate compensation range of $85 to $95 an hour based on ...
$85 - $95/hr
Perform in-depth data audits and invoice reviews to eliminate billing errors and identify cost ... Remote Job Benefits: * Competitive hourly rate compensation range of $85 to $95 an hour based on ...
Invoice Review - Validate invoice pricing, quantities, and alignment with purchase orders. AI Tools ... remote teams and cross-functional stakeholders Experience with Excel, Smartsheet, Salesforce ...
Invoice Review - Validate invoice pricing, quantities, and alignment with purchase orders. AI Tools ... remote teams and cross-functional stakeholders Experience with Excel, Smartsheet, Salesforce ...
Invoice Review - Validate invoice pricing, quantities, and alignment with purchase orders. AI Tools ... remote teams and cross-functional stakeholders Experience with Excel, Smartsheet, Salesforce ...
Invoice Review - Validate invoice pricing, quantities, and alignment with purchase orders. AI Tools ... remote teams and cross-functional stakeholders Experience with Excel, Smartsheet, Salesforce ...
Invoice Review - Validate invoice pricing, quantities, and alignment with purchase orders. AI Tools ... remote teams and cross-functional stakeholders Experience with Excel, Smartsheet, Salesforce ...
Invoice Review - Validate invoice pricing, quantities, and alignment with purchase orders. AI Tools ... remote teams and cross-functional stakeholders Experience with Excel, Smartsheet, Salesforce ...
Mclean, VA · Remote
$75K - $90K/yr
SupportDCAA/DCMA audits, invoice reviews, and government billing inquiries * Respond to government questions and assist with invoice corrections or resubmissions Process and Controls * Support the ...
Quick apply
Mclean, VA · Remote
$75K - $90K/yr
SupportDCAA/DCMA audits, invoice reviews, and government billing inquiries * Respond to government questions and assist with invoice corrections or resubmissions Process and Controls * Support the ...
Property Maintenance Coordinator (Yardi / AppFolio / Buildium) - Remote Position Type: Full-Time, ... Vendor scheduling * Invoice review * Maintenance workflows * Proficiency in Microsoft Office ...
Property Maintenance Coordinator (Yardi / AppFolio / Buildium) - Remote Position Type: Full-Time, ... Vendor scheduling * Invoice review * Maintenance workflows * Proficiency in Microsoft Office ...
Hilton Head Island, SC · Remote
$20 - $25.75/hr
We are looking for someone who is experienced with invoice processing, reconciliations, and vendor ... Receive, review, and code vendor invoices and employee expense reports in the AP system * Route ...
Hilton Head Island, SC · Remote
$20 - $25.75/hr
We are looking for someone who is experienced with invoice processing, reconciliations, and vendor ... Receive, review, and code vendor invoices and employee expense reports in the AP system * Route ...
OR · Remote
$50K - $65K/yr
Provide legal operations support, including invoice review, scheduling, intake of legal requests ... REMOTE
OR · Remote
$50K - $65K/yr
Provide legal operations support, including invoice review, scheduling, intake of legal requests ... REMOTE
This role owns end-to-end process performance and strategy for the Invoice-to-Cash (I2C) tower ... reviews, and commercial discipline across billing, collections, and cash application * Lead daily ...
This role owns end-to-end process performance and strategy for the Invoice-to-Cash (I2C) tower ... reviews, and commercial discipline across billing, collections, and cash application * Lead daily ...
Reston, VA · On-site +1
$50 - $70K/hr
... invoice reviews under supervision of senior staff. • Help draft or update financial procedures, desk guides, and tracking tools. • Participate in internal quality control reviews and support ...
Reston, VA · On-site +1
$50 - $70K/hr
... invoice reviews under supervision of senior staff. • Help draft or update financial procedures, desk guides, and tracking tools. • Participate in internal quality control reviews and support ...
This is a fully remote role. \\n What You\'ll Do: Legal Operations Strategy and Process Improvement ... Experience managing legal spend, outside counsel guidelines, invoice review, accruals, budgeting ...
This is a fully remote role. \\n What You\'ll Do: Legal Operations Strategy and Process Improvement ... Experience managing legal spend, outside counsel guidelines, invoice review, accruals, budgeting ...
Orlando, FL · Remote
$50 - $70K/hr
... invoice reviews under supervision of senior staff. Help draft or update financial procedures, desk guides, and tracking tools. Participate in internal quality control reviews and support responses to ...
Orlando, FL · Remote
$50 - $70K/hr
... invoice reviews under supervision of senior staff. Help draft or update financial procedures, desk guides, and tracking tools. Participate in internal quality control reviews and support responses to ...
Reston, VA · Remote
$50 - $70K/hr
... invoice reviews under supervision of senior staff. Help draft or update financial procedures, desk guides, and tracking tools. Participate in internal quality control reviews and support responses to ...
Reston, VA · Remote
$50 - $70K/hr
... invoice reviews under supervision of senior staff. Help draft or update financial procedures, desk guides, and tracking tools. Participate in internal quality control reviews and support responses to ...
Los Angeles, CA · Remote
$50 - $70K/hr
... invoice reviews under supervision of senior staff. Help draft or update financial procedures, desk guides, and tracking tools. Participate in internal quality control reviews and support responses to ...
Los Angeles, CA · Remote
$50 - $70K/hr
... invoice reviews under supervision of senior staff. Help draft or update financial procedures, desk guides, and tracking tools. Participate in internal quality control reviews and support responses to ...
Chicago, IL · On-site +1
$50K - $65K/yr
Provide legal operations support, including invoice review, scheduling, intake of legal requests ... REMOTE
Chicago, IL · On-site +1
$50K - $65K/yr
Provide legal operations support, including invoice review, scheduling, intake of legal requests ... REMOTE
$85K - $95K/yr
This is a fully remote position. Salary is $85,000-$95,000 annually. Job Summary: The Assistant D ... invoice review and timely, accurate payment processing. * Manage all speaker logistics for ...
$85K - $95K/yr
This is a fully remote position. Salary is $85,000-$95,000 annually. Job Summary: The Assistant D ... invoice review and timely, accurate payment processing. * Manage all speaker logistics for ...
Dallas, TX · Remote
$18 - $23/hr
Reviews and monitors select accounts within the accounts receivable system. * Determines and ... Invoice Balance Responsibility/Applies Invoice Status correctly. * Builds claims and applies ...
Dallas, TX · Remote
$18 - $23/hr
Reviews and monitors select accounts within the accounts receivable system. * Determines and ... Invoice Balance Responsibility/Applies Invoice Status correctly. * Builds claims and applies ...
Job Tittle: Claims Reviewer
Job ID: 75861
Location: Arizona - Remote
What you will be doing:
Conducts medical claims review using current claims processing guidelines and established clinical criteria e.g. CDST and policy keys, to evaluate medical necessity, appropriateness of care and program benefits, exclusions and limitations.
Validates medical determinations through research of resources including regulatory manuals, computer files, and documentation.
Prepares cases program payment or medical director review as indicated.
Validates all appropriate data is supplied with program invoice.
Reviews claim data for process improvements related to all aspects of claims payment.
Ensures contract compliance for timelines regarding resolution of medical claims.
Communicates effectively with management and peers.
Consistently meets medical claims processing quotas.
Identifies and reports any potential quality or fraud issues to management, Quality Management, or Program Integrity as needed.
Provides support regarding clinical and coding questions.
Performs other duties as assigned.
Regular and reliable attendance is required.
What you must have:
High School Diploma or GED
2+ years of claims review experience
Knowledge of all types of Medical claims review
Nice to have:
Claim coding experience
Knowledge of behavioral health claims review
Sourced by ZipRecruiter
TEEMA is an award-winning, industry-leading recruitment agency dedicated to building meaningful relationships across North America. We achieve this time after time by consistently sourcing, screening, managing and securing top talent tailored to employers’ specific needs. The team that makes this happen consists of hundreds of experienced professional recruiters backed by exceptional, tenured leadership and back-office support. No matter how unique or challenging your hiring needs may be or how misunderstood or undervalued your in-demand skills may be in your current role, we have you covered. Our primary objective is to provide an exceptional recruitment experience for our clients and candidates and an ecosystem that empowers our team to thrive.
Recruiting and staffing services
201 - 500 Employees
Litchfield Park, AZ, US
