Medical Claims 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...

CompanyBcforward
AddressAiken, TX
CategoryAccounting/Finance
Job typeContractor
Date Posted 2 months 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...

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...

Medical Billing and Claims Specialist

Robert Half

Texas City, TX

Required Visa Status:CitizenGCUS CitizenStudent VisaH1BCPTOPTH4 Spouse of H1BGC Green CardEmployment Type:Full TimePart TimePermanentIndependent - 1099Contract W2C2H IndependentC2H W2Contract Corp 2 CorpContract to Hire Corp...

Clinical Medical Records Auditor

Elevance Health

PLANO, TX

Audits provider claims for compliance to standard coding and billing practice guidelines. . Reviews the Radiology Interpretive Report as a supporting document for CPT-4 and ICD-9 codes billed. . Identifies providers where upcodin...

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...

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...

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,...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...