Remote Claim Auditor jobs
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CLAIMS SYSTEM CONFIGURATION QUALITY REVIEW SENIOR ANALYST - EVICORE - REMOTE
Resolve non-routine issues escalated from leadership, business, clients and junior team members and act as a subject matter expert (SME) to business and IT for eviCore claims product setups/processes Collaborate with internal and...
| Company | The Cigna Group |
|---|---|
| Address | Franklin, TN |
| Category | Information Technology |
| Job type | Full-time |
| Date Posted | yesterday See detail |
Claims System Configuration Quality Review Senior Analyst - eviCore - Remote
The Cigna Group
Franklin, TN
Resolve non-routine issues escalated from leadership, business, clients and junior team members and act as a subject matter expert (SME) to business and IT for eviCore claims product setups/processes Collaborate with internal and...
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Internal Auditor II- REMOTE
La-Z-Boy
Monroe, MI
**Bilingual in Spanish Preferred** KEY RESPONSIBILITIES (other duties as assigned): Assists in the execution of operational audits to determine adherence to guidelines and regulations and to evaluate the effectiveness of interna...
2 days ago seen See more...
- View all - jobs in Monroe, MI
Auditor, Clinical Services - UM (Remote in TX) - Now Hiring
Molina Healthcare
Houston, TX
$23.76 - $51.49 per hour
Performs monthly auditing of registered nurse and other clinical functions in Utilization Management (UM), Case Management (CM), Member Assessment Team (MAT), Health Management (HM), and/or Disease Management (DM). Monitors key cl...
2 days ago seen See more...
- View all - jobs in Houston, TX
Claims Auditor I
Elevance Health
INDIANAPOLIS, IN
Description Who We AreElevance Health is a health company dedicated to improving lives and communities and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking f...
4 days ago seen See more...
- View all - jobs in INDIANAPOLIS, IN
Senior Internal Auditor - Remote
Labcorp
Washington, United States
Assist the Manager in performing an enterprise-wide annual risk assessment resulting in the development of an annual audit plan. Function as a department resource for business process knowledge or subject matter expertise. Analyze...
4 days ago seen See more...
- View all - jobs in Washington State
Worker's Compensation Claims Representative - REMOTE
Ryder System
Little Rock, AR
$70,000 - $75,000 a year
Investigates and adjusts claims, as well as directs outside defense counsel, independent adjusters, experts, and other vendors in the claim-handling processes. Supervises outside vendors retained for investigations, cost containme...
5 days ago seen See more...
- View all - jobs in Little Rock, AR
Senior Internal Auditor - Remote
Labcorp
Washington, DC
Assist the Manager in performing an enterprise-wide annual risk assessment resulting in the development of an annual audit plan. Function as a department resource for business process knowledge or subject matter expertise. Analyze...
5 days ago seen See more...
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Associate Claims Representative, Property Desk Adjuster (US Remote)
Swyfft
Dallas, TX
This position is a 100% remote U.S. based opportunity that can be based in one of the following states only: AL, AZ, CT, DE, FL, GA, KY, LA, MA, MO, NC, NJ, NY, OH, OR, PA, SC, TN, TX, UT, VA, WA, WI.. Ensure that all assigned cla...
a week ago seen See more...
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Sr. Auditor (Hybrid: Onsite and Remote Work)
Us Foods
Illinois, United States
Leads core internal audits and effectively manages work of audit staff to ensure high quality, alignment with audit plan and compliance with audit methodologies.. Leads audit planning, execution and reporting on audit findings and...
2 weeks ago seen See more...
- View all - jobs in Illinois State
Claims Representative - Remote
The Cigna Group
New York, NY
$17 - $25 an hour
Independently research and navigate various documents and databases to accurately process claims, ensuring compliance and adherence to established guidelines. Confirm the presence of necessary documents within submitted claims. Va...
2 weeks ago seen See more...
- View all - jobs in New York, NY
Senior Internal Auditor - Remote
Labcorp
Texas, United States
Assist the Manager in performing an enterprise-wide annual risk assessment resulting in the development of an annual audit plan. Function as a department resource for business process knowledge or subject matter expertise. Analyze...
3 weeks ago seen See more...
- View all - jobs in Texas State
Senior Internal Auditor - Remote
Labcorp
Texas, United States
Assist the Manager in performing an enterprise-wide annual risk assessment resulting in the development of an annual audit plan. Function as a department resource for business process knowledge or subject matter expertise. Analyze...
3 weeks ago seen See more...
- View all - jobs in Texas State
Senior Internal Auditor - Remote
Labcorp
Texas, United States
Assist the Manager in performing an enterprise-wide annual risk assessment resulting in the development of an annual audit plan. Function as a department resource for business process knowledge or subject matter expertise. Analyze...
3 weeks ago seen See more...
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Senior Internal Auditor - Remote
Labcorp
United, PA
Assist the Manager in performing an enterprise-wide annual risk assessment resulting in the development of an annual audit plan. Function as a department resource for business process knowledge or subject matter expertise. Analyze...
3 weeks ago seen See more...
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Senior Internal Auditor - Remote
Labcorp
Schiller Park, IL
Assist the Manager in performing an enterprise-wide annual risk assessment resulting in the development of an annual audit plan. Function as a department resource for business process knowledge or subject matter expertise. Analyze...
3 weeks ago seen See more...
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Senior Internal Auditor - Remote
Labcorp
Boston, MA
Assist the Manager in performing an enterprise-wide annual risk assessment resulting in the development of an annual audit plan. Function as a department resource for business process knowledge or subject matter expertise. Analyze...
3 weeks ago seen See more...
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Senior Internal Auditor - Remote
Labcorp
New York, NY
Assist the Manager in performing an enterprise-wide annual risk assessment resulting in the development of an annual audit plan. Function as a department resource for business process knowledge or subject matter expertise. Analyze...
3 weeks ago seen See more...
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Senior Internal Auditor - Remote
Labcorp
San Diego, CA
Assist the Manager in performing an enterprise-wide annual risk assessment resulting in the development of an annual audit plan. Function as a department resource for business process knowledge or subject matter expertise. Analyze...
3 weeks ago seen See more...
- View all - jobs in San Diego, CA
Senior Internal Auditor - Remote
Labcorp
Campbell, CA
Assist the Manager in performing an enterprise-wide annual risk assessment resulting in the development of an annual audit plan. Function as a department resource for business process knowledge or subject matter expertise. Analyze...
3 weeks ago seen See more...
- View all - jobs in Campbell, CA
Senior Internal Auditor - Remote
Labcorp
California, United States
Assist the Manager in performing an enterprise-wide annual risk assessment resulting in the development of an annual audit plan. Function as a department resource for business process knowledge or subject matter expertise. Analyze...
3 weeks ago seen See more...
- View all - jobs in California State
Senior Internal Auditor - Remote
Labcorp
California, United States
Assist the Manager in performing an enterprise-wide annual risk assessment resulting in the development of an annual audit plan. Function as a department resource for business process knowledge or subject matter expertise. Analyze...
3 weeks ago seen See more...
- View all - jobs in California State
Auditor | Remote
Allianz
Minneapolis, MN
Perform routine audit activities as assigned.. Review business processes and draft audit programs to effectively test the design and operational effectiveness of the system of internal controls.. Identify and communicate issues an...
3 weeks ago seen See more...
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Remote Claims Adjuster (Automotive Ancillary, Tire & Wheel, GAP, Mechanical Breakdown)
Cna National Warranty Corporation
Remote
From $40,000 a year
Over 40 years of industry leadership. Approval of over 1,200 service contract and warranty claims daily. Over $4 billion paid for customer repairs. A+ accreditation from the BBB since 2010. Consistent recognition as a #1 provider...
4 weeks ago seen
Pharmacy Integrity Auditor – Remote
Iqvia
Bridgewater, NJ
$50,000 - $54,000 a year
Responsible for conducting pharmacy claims audits at the request of operations and management teams. May leverage health care providers, medical facilities, various billing portals, and contracting teams, as necessary. Responsible...
3 weeks ago seen See more...
- View all - jobs in Bridgewater, NJ
Pharmacy Integrity Auditor – Remote
Novasyte
Bridgewater, NJ
$50,000 - $54,000 a year
Responsible for conducting pharmacy claims audits at the request of operations and management teams. May leverage health care providers, medical facilities, various billing portals, and contracting teams, as necessary. Responsible...
3 weeks ago seen See more...
- View all - jobs in Bridgewater, NJ
REMOTE Loss Mitigation FHA Claims Specialist
Carrington Mortgage Holdings, Llc
United States
$22 - $26 an hour
Prepare and file all HUD claims timely and accurately according to investor/insurer/CMS guidelines and requirements. Follow up semi-daily on all outstanding claim proceeds. Perform a loan level reconciliation for all final claim p...
3 weeks ago seen
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...
a month 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...
a month ago seen See more...
- View all Hca Healthcare jobs - jobs in Campbell, CA
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 months ago seen See more...
- View all Clarishealth Inc jobs - jobs in Nashville, TN
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...
2 months ago seen See more...
- View all Bcforward jobs - jobs in Aiken, TX
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