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Claim Auditor jobs

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CLAIMS AUDITOR I

Perform concurrent and retro claims audits on new Claims examining staff and on claims processed by existing Claims staff as outlined in Claims Operating Instruction Memorandums for all lines of business. Document audits and repor...

CompanyPartnership Healthplan Of California
AddressFairfield, CA
CategoryAccounting/Finance
Salary$25.81 - $31.62 an hour
Job typeFull-time
Date Posted 3 weeks ago See detail

Claims Auditor I

Partnership Healthplan Of California

Fairfield, CA

$25.81 - $31.62 an hour

Perform concurrent and retro claims audits on new Claims examining staff and on claims processed by existing Claims staff as outlined in Claims Operating Instruction Memorandums for all lines of business. Document audits and repor...

3 weeks ago seen See more...

Claims Auditor

Icare Health Options

Miami, FL

Job TypeFull-timeDescriptionWith 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 a...

3 weeks ago seen See more...

Hospice Pre-Claim Auditor

American River Healthcare

Sacramento, CA

$60.6K - $76.7K a year

Review hospice documentation, patient records, and EMR to ensure compliance with Medicare guidelines and regulations. Conduct detailed audits of clinical documentation to verify accuracy and completeness. Identify any discrepancie...

a month ago seen See more...

Claim Auditor WFH

Hca Healthcare

Nashville, TN

Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transporta...

a month ago seen See more...

Claim Auditor WFH

Work From Home

Nashville, TN

Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transporta...

a month ago seen See more...

Claims Auditor

Franciscan Health

Munster, IN

$63.8K - $80.8K a year

Perform professional internal auditing work including conducting performance, operational, financial and/or compliance audit projects.. Perform audit procedures, including identifying and defining issues, developing criteria, revi...

a month ago seen See more...

Remote Claims Auditor II

National General Insurance

Winston-Salem, NC

$66.5K - $84.2K a year

Performs oversight to ensure adherence to current estimating and file handling standards Performs claim reviews including targeted and transactional reviews Completes desk reviews on estimates, compares to current estimating stand...

2 months ago seen See more...

Internal Claims Auditor

Guidehealth

Chicago, IL

$21 - $23 an hour

Conducting routine monitoring and audits of procedures, including but not limited to billing systems audits, Encounter submission audits, and client audits. Understanding and staying current with client contract criteria and requi...

2 months ago seen See more...

HealthLock Medical Claims Auditor / Advocate II

Healthlock

Franklin, TN

$21 - $23 an hour

3-5+ years experience in Medical Billing, Coding, A/R follow up and Collections experience preferred, including manual Out of Network (OON). Extensive Explanation of Benefits (EOB) knowledge. Experience with Out of Network (OON) B...

2 months ago seen See more...

Medical Claims Auditor / Healthcare Advocate

Inassist

Franklin, TN

$18 - $20 an hour

3+ years experience in medical Billing and A/R follow up or Guild experience preferred. Extensive Explanation of Benefits (EOB) knowledge. Understanding of general coordination of benefit (COB) rules, Guild experience, benefit ana...

2 months ago seen See more...

Healthcare Claims Auditor

Ust Healthproof

Remote

$32,000 - $48,000 a year

401(k). 401(k) matching. Dental insurance. Employee discount. Health insurance. Health savings account. Life insurance. Paid time off. Referral program. Retirement plan. Vision insurance. Work from home. 8 hour shift. Day shift. M...

2 months ago seen See more...

Claims Quality Assurance Auditor

Altais

Remote

$80,000 - $95,000 a year

Responsible for reviewing claims transaction audit reports, perform claims adjudication quality review to ensure compliance with health plan audits. Complete daily, weekly, and monthly audits. Perform daily review of focused pre-p...

2 weeks ago seen See more...

Health Claims Stop Loss Auditor

Risk Strategies

Remote

$19.24 - $33.65 an hour

Analyze Specific Stop Loss claims. Identify and isolate the data that is specific to a particular claim submission. Validate which expenses are eligible under the Stop Loss policy. Accurately apply all deductibles, coinsurances, a...

3 weeks ago seen See more...

Auditor (Claims)

Southwest Service Administrators Inc

Remote

$19.00 - $25.50 an hour

Gain and maintain the understanding of the plan designs and effectively apply that knowledge. Maintain a comprehensive working knowledge of Policies, Procedures, Compliance Regulations, Schedule of Benefits and turnaround times ac...

a month ago seen See more...

Claims and Quality Mgmt System Auditor

Birdsong Hearing Benefits

United States

$61.1K - $77.3K a year

Plan, coordinate, develop and implement approved projects in order to enhance the overall efficiency of operational procedures, methods, controls and performance. Responsible for compiling and reporting trainee performance up to v...

a month ago seen See more...

Claims Quality Assurance Auditor

Altais

Oakland, CA

Responsible for reviewing claims transaction audit reports, perform claims adjudication quality review to ensure compliance with health plan audits. Complete daily, weekly, and monthly audits. Perform daily review of focused pre-p...

2 months ago seen See more...

What should I search to find Claim Auditor jobs?

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What are the top cities open Claim Auditor jobs?

There are open Claim Auditor jobs in several cities including South Burlington, Anaheim, Bluffton, Waukesha, San Diego, Greenwood, Eureka, Worcester, Columbia, Park Ridge, Philadelphia, West Covina, Providence, Lake Forest, Irvine,

What companies are hiring for Claim Auditor jobs?

The top companies hiring now for Claim Auditor jobs are Allied Benefit Systems, LLC, Allied Benefit Systems, LLC, Amwins Group, Inc., Amwins Group, Inc., Blue Cross & Blue Shield of Rhode Island, Bright Health, Community Care, Inc., Community Care, Inc., Dynam Invest LLC, Group 1001, Mb2 Hr, Minuteman Adjusters, PrecisionGx, Regal Medical Group, State of California,

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