- TEKsystems (San Bernardino, CA)
- …insurance companies, government payers, third party payers, worker's compensation payers, medical groups, outside hospitals, and physician's offices to ensure timely ... as needed. Will work with follow up on commercial claims and overpayments/underpayments, refunds, auditing, and contract review. Pay...for this temporary role may include the following: * Medical , dental & vision * Critical Illness, Accident, and… more
- Humana (Phoenix, AZ)
- …cycle management (related to billing, coding, collections for Medicare and Medicaid claims ) + Experience with Auditing and monitoring of healthcare records + Must ... your life extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan, time off (including… more
- Lineage Logistics (Henderson, CO)
- …the plant to determine and ensure meet company standards + Report damages and claims to inventory control + Arrange stock parts in a specific order for assembly ... and local law. Benefits Lineage provides safe, stable, reliable work environments, medical , dental, and basic life and disability insurance benefits, 401k retirement… 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 ... and local law. Benefits Lineage provides safe, stable, reliable work environments, medical , dental, and basic life and disability insurance benefits, 401k retirement… more
- Commonwealth Care Alliance (Boston, MA)
- …Summary:** Working under the direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will ... (CPC) + Certified Inpatient Coder (CIC) + Certified Professional Medical Auditor (CPMA) **Desired Education (nice to...Medicare and Medicaid + 7+ years progressive experience in medical claims adjudication, clinical coding reviews for… more
- TEKsystems (Los Angeles, CA)
- …with a passion for healthcare claims and compliance? Join our team as a Claims Compliance Auditor , where you'll play a pivotal role in ensuring accuracy, ... efficiency, and regulatory alignment across our claims operations. In this role, you'll: + Lead audits...for this temporary role may include the following: * Medical , dental & vision * Critical Illness, Accident, and… more
- CVS Health (Scottsdale, AZ)
- … submitted through the CVS Health claims processing systems. The Pharmacy Claims Auditor will identify and rectify claim inaccuracies that would result in ... stay well in body, mind and spirit. The Pharmacy Claims Reviewer is responsible for reviewing pharmacy claims...correction. We offer a comprehensive benefits package which includes medical , dental, vision insurance as well as a wide-ranging… more
- Trinity Health (Columbus, OH)
- …at 3100 Easton Square Pl Suite 300, Columbus, OH 43219 **Position Purpose:** Delegated Claims Auditor executes, in an accurate and timely manner, in accordance ... You Will Do:** + Maintain current knowledge of the claims operating system + Sort and organize incoming mail...Basic computer and data entry skills. + Knowledge of medical billing forms (UB and 1500). **Position Highlights and… more
- St. Luke's University Health Network (Allentown, PA)
- …for health care. The Claim and Denial Coding Analyst role is a Certified Medical Coder who ensures clean claim submission and timely review and resolution of coding ... provider documentation and queries, coding software tools and Insurance carrier medical and reimbursement policies during the claim review process. JOB DUTIES… more
- Sedgwick (Indianapolis, IN)
- …Audit activities. **ESSENTIAL RESPONSIBILITIES MAY INCLUDE** + Manages field data: + Tracks auditor data deliverables. + Processes data. + Enters data. + Reviews and ... + Prepares project instructions: + Creates project instructions. + Posts field auditor instructions to Sedgwick site. + Prints, packs, ships, and emails materials… more