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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...

CompanyBcforward
AddressAiken, TX
CategoryAccounting/Finance
Job typeContractor
Date Posted a week 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...

a week ago seen See more...

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...

a week 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...

yesterday seen See more...

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...

2 days ago seen See more...

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...

2 days ago seen See more...

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...

4 days ago seen See more...

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...

7 days ago seen See more...

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...

a week ago seen See more...

Medical Insurance Claims Representative

Hca Healthcare

Denver, CO

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 week ago seen See more...

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...

3 weeks ago seen See more...

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...

3 weeks ago seen See more...

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...

3 weeks ago seen See more...

Senior Compliance Certified Medical Coding Auditor / Administrative Coordinator II / DIS

State Of South Carolina

Columbia, SC

Reads and monitors state and federal rules and regulations; alerts DIS Compliance Officer of changes in regulations. Provides consultation to the Compliance/Privacy Officer. Trains newly hired Licensed Prescribing Practitioners (L...

3 weeks ago seen See more...

WC CLAIMS MEDICAL BILLING ADMIN

Hereford Insurance Corp

Long Island City, NY

$40,000 - $45,000 a year

Mail checks to provider with copy of EOB/Invoice. Respond to calls/email inquiries within 24 hrs. of receipt. Process and mail denial forms for full or partial payment of bills within 45 days of receipt. Process check inquiries wi...

3 weeks ago seen See more...

Clinical Claim Review RN - Medical Disability - Remote

Optum

Nashville, TN

$28.03 - $54.95 an hour

Remain up to date with the contract requirements. Use clinical judgement to ensure a clear, comprehensive, and concise exam documentation that is reflective of the patients service level conditions and in compliance to contract r...

3 weeks ago seen See more...

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...

4 weeks 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...

4 weeks ago seen See more...

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...

4 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...

4 weeks ago seen See more...

Medical Only Claims Examiner

Harford Mutual Insurance Group

Bel Air, MD

$56.3K - $71.2K a year

Receive, review and timely process claims. Proper claim coverage and file documentation. Enter and update claims in claim management system. Establish and update claim reserves promptly. Provide prompt claim acknowledgement to the...

3 weeks ago seen See more...

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...

4 weeks ago seen See more...

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...

4 weeks 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...

3 weeks ago seen See more...

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...

4 weeks ago seen See more...

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...

a month ago seen See more...

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...

a month ago seen See more...

Medical Claims Analyst - On-Site White Plains, NY

Stafford Communications Group

Nyack, 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...

a month ago seen See more...

Medical Claims Analyst - On-Site White Plains, NY

Stafford Communications Group

New York, 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...

a month ago seen See more...

Medical Claims Analyst - On-Site White Plains, NY

Stafford Communications Group

White Plains, 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 cri...

a month ago seen See more...

Medical Claims Analyst - On-Site White Plains, NY

Stafford Communications Group

Port Chester, 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...

a month ago seen See more...

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