• Claims Specialist, Audit…

    LogixHealth (Dania, FL)
    Location: On-Site in Dania, FL This Role: As a Claims Specialist, you will work with internal teams to provide cutting-edge solutions that will directly improve the ... and carry out processes on all out of network claims . The ideal candidate will have strong technological skills,...at LogixHealth: We offer a comprehensive benefits package including health , dental and vision, 401(k), PTO, paid holidays, life… more
    LogixHealth (07/11/25)
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  • Coding Audit Response Specialist

    Novant Health (NC)
    …of ICD-10- CM/PCS, CPT or HCPCS codes and the accuracy of assignment for Novant Health Facilities as assigned by Corporate Coding Audit Response Lead. + Audits ... audits, commercial payers, and CMS payers. Responses will be coordinated through the Audit Response Lead for all applicable Novant Health facilities. + The… more
    Novant Health (08/16/25)
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  • Compliance Audit Manager

    Cardinal Health (San Juan, PR)
    …with other documentation and coding and billing standards; communication of audit results to physicians, physician leadership, senior leadership, management, and ... This position will also support the Director with transactional audit diligence and integration planning, as well as the...records. + Availability to assist with research of denied claims . + Maintains a functional knowledge of enterprise EMRs,… more
    Cardinal Health (08/27/25)
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  • Third Party Audit Coordinator

    CVS Health (Boston, MA)
    At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...each and every day. **Position Summary** The Third Party Audit Coordinator will support the Third Party Audit… more
    CVS Health (08/30/25)
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  • Financial Audit Intern - Health…

    Tennessee Comptroller of the Treasury (Nashville, TN)
    …such as touring the State Capitol and the Tennessee State Museum. Health Provider Review Financial Audit Intern responsibilities may include performing ... 1 - August 7 About Our Program The Comptroller of the Treasury's Audit Internship Program is a 10-week paid educational and experiential learning opportunity… more
    Tennessee Comptroller of the Treasury (08/29/25)
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  • Claims Research Specialist

    Dignity Health (Bakersfield, CA)
    …for audit purposes. - Collaborate with internal departments, including claims processing, UM, compliance, and provider relations, to develop and implement ... **Responsibilities** The Claims Research Specialist will oversee and manage research...Administration, or related field **Overview** The purpose of Dignity Health Management Services Organization (Dignity Health MSO)… more
    Dignity Health (08/28/25)
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  • Claims Manager

    CHS (Clearwater, FL)
    **Overview** ** Claims Manager** **Servicing** ** Health Insurance Policies or Benefits** **Summary:** Premier Administrative Solutions (PAS) is a Third-Party ... Examiner queues waiting to be adjudicated, and in either audit or needing approval status. * Developing and implementing...results will be compared to goals in each period. ** Claims Manager** ** Health Insurance Policies or Benefits**… more
    CHS (08/08/25)
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  • Claims Auditor (Remote)

    WTW (Chicago, IL)
    …the posted locations. **Qualifications** **Qualifications** + 5+ years' experience in health claims adjudication gained preferably in a consulting environment ... **Description** As a Lead Auditor you will apply your audit , project management and client management skills to lead...and/or in a major insurance claims administrator or health plan environment +… more
    WTW (08/23/25)
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  • Claims Compliance Auditor I-4

    Centene Corporation (Sacramento, CA)
    …and process claim audit observations. + Review and analyze responses to claims audit observations and findings and facilitate corrective action plans. + ... 5:30am PT to as late as 8:30am PT. **Position Purpose:** Perform regulatory claims compliance audits to support health plan operations. Completes retrospective … more
    Centene Corporation (08/30/25)
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  • Claims Specialist, Accident…

    Axis (Red Bank, NJ)
    …for candidates taking part in the selection process. Job Title: Accident and Health Claims Specialist Level: "I" Division: A&H Position Summary: This position ... handling expertise for all of the accident and health claims , both claims adjudicated...Duties: + Auditing of third-party administrators, including preparation of audit reports and findings + Assists in the due… more
    Axis (07/31/25)
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