Medical Claims Auditor jobs

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MEDICAL CLAIMS ANALYST - ON-SITE 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 crit...

CompanyStafford Communications Group
AddressNyack, NY
CategoryHealthcare
Job typeFull-Time
Date Posted 2 months ago See detail

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...

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...

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...

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...

Medical Claims Analyst - On-Site White Plains, NY

Stafford Communications Group

Hartsdale, 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...

Medical Claims Analyst - On-Site White Plains, NY

Stafford Communications Group

Mount Vernon, 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...

Medical Claims Analyst - On-Site White Plains, NY

Stafford Communications Group

Greenwich, CT

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...

Medical Claims Analyst

Stafford Communications Group

New York, NY

Review and adjudicate all types of claims designated as "production claims", meeting production and quality goals. Review, investigate, and apply all necessary criteria to determine validity of claim. Understand the Anthem JAA wor...

Medical Claims Analyst - On-Site White Plains, NY

Stafford Communications Group

Yonkers, 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...

Medical Claims Analyst - On-Site White Plains, NY

Stafford Communications Group

Rye, 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...

Medical Claims Analyst - On-Site White Plains, NY

Stafford Communications Group

Scarsdale, 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...

Medical Claims Analyst - On-Site White Plains, NY

Stafford Communications Group

Valhalla, 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...

Medical Claims Analyst - On-Site White Plains, NY

Stafford Communications Group

Spring Valley, 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...

Medical Claims Analyst - On-Site White Plains, NY

Stafford Communications Group

New Rochelle, 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...

Medical Auditor - ED Medical Audit - Remote

Carilion Clinic

Roanoke, VA

Performs chart audits in a timely and accurate manner. Records existing charging weaknesses and notifies internal department of deficiencies and trends. Contacts necessary staff for additional documentation needed to support charg...

Medical Claims Coordinator

Michigan Farm Bureau Family Of Companies

Lansing, MI

OBJECTIVE:Medical Claims Coordinator ObjectiveTo provide technical support and act as a contact point for the Medical Claims Unit/Assigned Claim Unit, resulting in proper disposition of claims.RESPONSIBILITIES:Medical Claims Coord...

Medical Claims Intake Specialist

Multiplan Inc.

Remote

$17 an hour

This is a temporary position which is expected to last approximately 4 months. There is a possibility that this position becomes a temp to perm role. A 5 to 10 day training class is provided. New employees will need to work 8:00 t...

Senior Medical Claim Adjuster

Scufcw Trust Fund

Anaheim, CA

Interface and effectively manage participants, providers, vendors and other external clients when required in person or via email, telephone or other written.8. Adhere to the companys attendance policy.Qualifications:High Schoo...

Supervisor Billing and Follow-up (Hospital Medical Claims Billing) - PFS (Remote)

Trinity Health

Farmington, MI

Employment Type:Full timeShift:Description:POSITION PURPOSEWork Remote Position(Pay Range: $26.8786-$40.3179)Supervises and coordinates the day-to-day Billing and follow-up team responsible for Billing and follow-up government and...

Senior Medical Claims Adjuster

Lhh Recruitment Solutions

Kansas City, MO

Ability to analyze data and reports for trends, pattern analysis and financial exposure.. Knowledge of legal issues and liability related to workers' compensation injuries.. High level of knowledge of the worker's compensation ind...

Medical Claims Examiner

Wipro Limited

Canfield, OH

Review and process Medical Claims according to Plan guidelines within established turnaround time frames. Interpret medical plan to assure system is coded correctly. Review claims for legitimacy and accuracy. Meet production and q...

Medical Claims Specialist

Raven Ridge Llc

Manchester, NH

$45,000 - $55,000 a year

401(k). 401(k) matching. Bonus based on performance. Company parties. Competitive salary. Dental insurance. Health insurance. Opportunity for advancement. Paid time off. Parental leave. Training & development. Vision insurance. Ba...

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...

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...

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...

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...

Medical Management Auditor

Fidelis Care – New Jersey

New Jersey, United States

$52,900 - $95,200 a year

Develop and maintain the audit process and tools related to: authorizations, appeals, quality events, and case management in CCMS; interrater reliability related to InterQual; and data entry into the credentialing subsystem. Devel...

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...

Inpatient Medical Coding Auditor - Remote

St. Luke's Hospital - Mo

Remote

$45.9K - $58.1K a year

Day one benefits package. Pension Plan & 401K. Competitive compensation. FSA & HSA options. PTO programs available. Education Assistance....