Medical Claim Auditor jobs
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MEDICAL CLAIMS AUDITOR
Carefully examine Medical Claims documentation, including medical records, bills, and supporting documents, to verify the accuracy and completeness of information submitted by healthcare providers. Apply appropriate coding guideli...
| Company | Bcforward |
|---|---|
| Address | Aiken, TX |
| Category | Accounting/Finance |
| Job type | Contractor |
| Date Posted | 4 weeks ago See detail |
Medical Claims Auditor
Bcforward
Aiken, TX
Carefully examine Medical Claims documentation, including medical records, bills, and supporting documents, to verify the accuracy and completeness of information submitted by healthcare providers. Apply appropriate coding guideli...
4 weeks ago seen See more...
- View all Bcforward jobs - jobs in Aiken, TX
Medical Insurance Claims Specialist
Robert Half
Missouri, United States
Strong understanding of explanation of benefits (EOBs) Demonstrated knowledge of insurance regulations and policies, payment policies/guidelines and the ability to communicate and work with payers to get claims resolved and paid a...
yesterday seen See more...
- View all - jobs in Missouri State
Senior Medical Claims Examiner/Auditor
Jobot
Los Angeles, CA
Easy Apply now by clicking the "Apply Now" buttonand sending us your resume.Salary: $60,000 - $70,000 per yearA bit about us:Our client is looking for experienced Medical Claims Examiners and Auditors for immediate, long term need...
4 weeks ago seen See more...
- View all Jobot jobs - jobs in Los Angeles, CA
Medical Claims Research Representative (REMOTE) in REMOTE at TeamHealth
Teamhealth
Remote
Career Growth Opportunities. Benefit Eligibility (Medical/Dental/Vision/Life) the first of the month following 30 days of employment. 401K program (Discretionary matching funds available). GENEROUS Personal time off. Eight Paid Ho...
6 days ago seen
Medical Claims Analyst
Community Medical Group
Miami, FL
$91,297.17 - $115,243.98 a year
401(k). 401(k) matching. Dental insurance. Health insurance. Life insurance. Paid time off. Vision insurance. 8 hour shift. Day shift. Monday to Friday. Hybrid work. On a scale of 1 - 5 with 1 being a novice and 5 being an expert,...
7 days ago seen See more...
- View all - jobs in Miami, FL
Medical Claims Adjuster
Cvs Health
Tallahassee, FL
This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accele...
a week ago seen See more...
- View all Cvs Health jobs - jobs in Tallahassee, FL
Medical Claims - Call Center Representative
Scufcw Trust Fund
Cypress, CA
Handle all general telephone and walk-in inquires including but not limited to status, complaints, eligibility, benefits, etc.2. Perform other job related duties/special projects as assigned.Qualifications: High School diploma or...
2 weeks ago seen See more...
- View all Scufcw Trust Fund jobs - jobs in Cypress, CA
Claim Auditor
Hca Healthcare
Campbell, CA
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...
2 weeks ago seen See more...
- View all Hca Healthcare jobs - jobs in Campbell, CA
Claims Auditor
Hca Healthcare
Campbell, CA
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...
2 weeks ago seen See more...
- View all Hca Healthcare jobs - jobs in Campbell, CA
Medical Claim Resolution Specialist - Digitech - Remote
Sarnova
Dublin, OH
401(k), remote work
Work claims that are pending, are unable to be released or have been denied or incorrectly paid by Insurance carriers. Review claims that have been put on hold, working to identify causes and address issues causing them to remain...
2 weeks ago seen See more...
- View all Sarnova jobs - jobs in Dublin, OH
Medical Claims Analyst (On-site)
Aspirion Health Resources Llc
Las Vegas, NV
Active listening Ability to multi-task Exceptional phone etiquette Strong written and oral communication skills Effective documentation skills Strong organizational skills Service orientation Reading comprehension Critical thinkin...
2 weeks ago seen See more...
Medical Claims Billing Specialist - Orthopedic
Privia Health
United States
Management of the accounts receivable (AR) including analysis of the aged AR, looking for root cause issues; writing rules where appropriate to stop errors from occurring.. Denial management - investigating denial sources, resolvi...
3 weeks ago seen See more...
- View all Privia Health jobs
Customer Service Rep - (Medical Claims)
Nesco Resource
Remote - Maryland, United States
Up to $18.00 •
The position is responsible for daily claims management and is recognized as a general technical expert in the health benefits program. Requirements: There is a firm start date 6/3/2024.Claims and Customer service is priority for...
3 weeks ago seen See more...
- View all Nesco Resource jobs - jobs in Maryland State
CLAIMS AUDITOR
Clarishealth Inc
Nashville, TN
Experience with payer/provider contracting and claims processing protocols. Working knowledge of the basic principles of terminology in healthcare. 2-3 years of previous medical claim auditing experience. Working knowledge of HCPC...
3 weeks ago seen See more...
- View all Clarishealth Inc jobs - jobs in Nashville, TN
AR Manager (Medical Claims Billing)
Privia Health
United States
Management of the accounts receivable (AR) including analysis of the aged AR, looking for root cause issues; writing rules where appropriate to stop errors from occurring.. Denial management - investigating denial sources, resolvi...
3 weeks ago seen See more...
- View all Privia Health jobs
Medical Coding Auditor
Quadrant, Inc.
Bethesda, MD
Reports or resolves escalated issues as necessaryPerforms a comprehensive medical records review to assure the presence of all component parts including patient and record identification signatures, dates where required, and other...
2 weeks ago seen See more...
- View all Quadrant, Inc. jobs - jobs in Bethesda, MD
Medical Claims Biller-Unpostables
Privia Health
United States
Unpostables management-researching and resolving records that have not been matched to athenaNet related charges (including insurance payments, capitation payments, patient payments, remittance items and voided charges). Reconcil...
3 weeks ago seen See more...
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Medical Claim Analyst
Crawford & Company
Boise, ID
at Crawford & Company in Boise, Idaho, United States Excellence In Everything We Touch Position Summary + GREAT WORK FROM HOME CAREER OPPORTUNITY! + With the team managers guidance, provides input on the completion of status repor...
4 weeks ago seen See more...
- View all Crawford & Company jobs - jobs in Boise, ID
Medical Claims Specialist/ Appeals
Innova Pain Center
Pearland, TX
$17 - $19 an hour
Billing and Coding Claims for inpatient and outpatient services. Work Aging Claims appeals and follow up. Data Entry. Medical Records request for processing of claims. Scanning EOB's and ERA's. Returning patient billing phone call...
a month ago seen See more...
- View all Innova Pain Center jobs - jobs in Pearland, TX
Medical Claims Review Coordinator-San Antonio, TX
Optum
San Antonio, TX
$43.9K - $55.6K a year
Research and resolve UM inventory accordingly to meet productivity and quality standards to include:. Claims reports with reconciliation needs. Information received through Right Fax. Information received through email. Or any oth...
a month ago seen See more...
- View all Optum jobs - jobs in San Antonio, TX
Remote Medical Claim Review LVN - Work PST Hours
Molina Healthcare
Long Beach, CA
$21.60 - $46.81 an hour
Performs clinical/medical reviews of retrospective Medical Claim Reviews, Medical Claims and previously denied cases, in which an appeal has been submitted, to ensure medical necessity and appropriate/accurate billing and claims p...
a month ago seen See more...
- View all Molina Healthcare jobs - jobs in Long Beach, CA
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...
2 months ago seen See more...
Medical Auditor II
Saif
Salem, OR
$60,758 - $71,480 a year
Experience: Three or more years of experience processing medical insurance billings and using medical terminology, ICD-10 and CPT codes. Education: High school graduation or equivalent education and completion of medical terminolo...
2 months ago seen See more...
- View all Saif jobs - jobs in Salem, OR
Supervisor Billing and Follow-up (Hospital Medical Claims Billing) - PFS (Remote)
Trinity Health
Michigan, United States
$26.88 - $40.32 an hour
Monitors and tracks colleague activities against established performance standards and provides immediate feedback to achieve performance improvement.Other duties as needed and assigned by the Manager.Maintains a working knowledge...
2 months ago seen See more...
- View all Trinity Health jobs - jobs in Michigan State
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...
2 months ago seen See more...
- View all Icare Health Options jobs - jobs in Miami, FL
Medical Claims Analyst
Cornerstone Staffing
Fort Worth, TX
Responsible for contacting providers by phone, fax or email to verify/update/correct all pertinent information required to request documentation. Ensures contact information is validated by speaking to highest member of departmen...
2 months ago seen See more...
- View all Cornerstone Staffing jobs - jobs in Fort Worth, TX
Medical Claims Consultant 3
Mitchell International
Remote
$58,345 - $83,200 a year
Experience: Mitchells Medical Claims Consultants are Registered Nurses and will typically have at least 3 years clinical experience and one year as a reviewer. Written Abilities: Proficient grammar, sentence structure and written...
2 months ago seen See more...
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Client Relationship Manager - Medical Claim/Bill Review
Alaffia Health
Remote
$90,000 - $110,000 a year
Managing a portfolio of clients to achieve operation objectives, retain revenue, and identify upsell opportunities. Understand client scope of work and serve as the client advocate when working with internal teams to ensure that c...
2 months ago seen See more...
- View all Alaffia Health jobs
Medical Claims/Risk Mgr / Admin Legal
Hartford Healthcare
Hartford, CT
Full time, in-office position, located in Hartford.Position Responsibilities: Interacting with claimants, insureds, attorneys, risk management and underwriting. Verifying coverage information and/or resolving cov...
2 months ago seen See more...
- View all Hartford Healthcare jobs - jobs in Hartford, CT
Medical Claims Analyst - On-Site White Plains, NY
Stafford Communications Group
Nanuet, NY
Required to work on-site at the White Plains, New York location.. Review and adjudicate all types of claims designated as "production claims", meeting production and quality goals. Review, investigate, and apply all necessary crit...
2 months ago seen See more...
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