- Aramco Services Company (Houston, TX)
- OVERVIEW: This position serves as the in-charge auditor on large, complex and sensitive internal auditing assignments. Audits are directed at reviewing internal ... of fraud, waste or abuse committed by employees or contractors against the Company . Reviews and researches evidence/documents to analyze the overall fact pattern of … more
- Elevance Health (Mason, OH)
- **Clinical Provider Auditor II** **Location:** _Hybrid1:_ This role requires associates be in the office 1-2 days per week, fostering collaboration and connectivity, ... is granted as required by law. The **Clinical Provider Auditor II** is responsible for identifying issues and/or entities...abuse. **How you will make an Impact:** + Examines claims for compliance with relevant billing and processing guidelines… more
- Highmark Health (Helena, MT)
- ** Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding ... and ensures compliance with DRG/APC structure and regulatory requirements. Performs periodic claim form reviews to check code transfer accuracy from the abstracting… more
- Alphabroder (Middleboro, MA)
- …+ Process customer returns by sorting/inspecting/identifying product and updating items/quantities on claims in IRMS. Determine if claim is complete. Close/post ... update customer returns in FDM4. Determine if a new claim must be entered or if it is necessary...claims . + Adhere to established safety regulations and company policies/procedures. + Serve as a member of the… more
- Boar's Head Brand/Frank Brunckhorst Co., LLC (Brooklyn, NY)
- Hiring Company : Delicatessen Services Co., LLC Overview:Join the Boar's Head Audit Team in conducting comprehensive Food Safety and Product Quality audits across a ... product specifications, allergen forms, weight and tare information, and other product claims , as applicable. + Maintain accurate supplier information in the QMS… more
- TEKsystems (Honolulu, HI)
- QNXT quality auditor reviews and tests the configuration and performance of the QNXT platform, a healthcare claims and benefits management system. The role is ... crucial for ensuring accurate claims processing, regulatory compliance, and overall system integrity. Key...power of true partnership. TEKsystems is an Allegis Group company . The company is an equal opportunity… more
- International (Lisle, IL)
- …the 15,000-person-strong company we are today, few companies can lay claim to a history like International. Based in Lisle, Illinois, International Motors, LLC* ... Position Overview International is seeking a strategic and analytical Senior Internal Auditor with a strong foundation in internal controls, audit methodologies, and… more
- TEKsystems (Honolulu, HI)
- Description Key Responsibilities + Claims Auditing: + Reviewing medical claims to verify accurate coding, correct benefit payments, and adherence to contract ... terms and company policies. + Issue Resolution: + Investigating and resolving...+ Issue Resolution: + Investigating and resolving discrepancies in claims payments and identifying underlying system or benefit inaccuracies.… more
- Lineage Logistics (Henderson, CO)
- …Weigh or count items for distribution within the plant to determine and ensure meet company standards + Report damages and claims to inventory control + Arrange ... fill customer orders to be shipped while following all regulatory and company safety standards, policies, and procedures. **KEY DUTIES AND RESPONSIBILITIES** +… more
- Lineage Logistics (Riverside, CA)
- …and virtual product inventories via daily activities of cycle counting, claims management and accounts administration within the facility. Manage data concerned ... handling equipment to move product while following all regulatory and company safety standards, policies, and procedures. **MINIMUM REQUIREMENTS (KNOWLEDGE, SKILLS,… more