- Marshfield Clinic (Marshfield, WI)
- …come together to support the most exciting missions in the world!** **Job Title:** Claims Auditor (Remote - WI or MN) **Cost Center:** 682891379 SHP- Claims ... (United States of America) **Job Description:** **JOB SUMMARY** The Claims Auditor is responsible for performing payment,... has working knowledge of the overall aspects of claim processing, both in and outside of Security Health… more
- Conduent (Los Angeles, CA)
- …be part of a culture where individuality is noticed and valued every day. **Pharmacy Claims Auditor CPhT** **Do you have a CPhT certification?** **Would you like ... behalf of our healthcare payer clients. As a Pharmacy Claims Auditor CPhT, you will examine a...claim data. This is to ensure billed pharmacy claims are being accurately submitted. You will also be… more
- CHS (Clearwater, FL)
- **Overview** ** ** ** Claims and Call Auditor (Call Center QC) - Clearwater, FL** ** ** **Summary** The Claims & Call Auditor audits processed medical ... to bending, reaching, kneeling, stooping and lifting up to thirty (30) pounds. ** ** ** Claims and Call Auditor (Call Center QC) - Clearwater, FL** ** ** PA123… more
- WTW (Chicago, IL)
- **Description** As a Lead Auditor you will apply your audit, project management and client management skills to lead client audits. You will serve as the team leader ... administrators. You will review discrepancy issues identified by field auditors, re-adjudicate claims , resolve open issues, and draft the final report. You will… more
- Robert Half Accountemps (Boston, MA)
- Description Job Title: Medical Claims Auditor - RN Auditor...Type: 1 Year Contract - Potential for Perm Hire Hours : 40 hours per week Start Date: ... 1, 2025 Job Description We are seeking a qualified Auditor with healthcare experience to support Program Integrity activities...perform onsite audits (1-4 times per month) + Evaluate claims and provider documentation for compliance and accuracy +… more
- Amergis (Los Angeles, CA)
- Salary: $50 / Hour Position Overview: + Primary Responsibility: OP Claim Edits - Must have extensive experience in this area + Audit HB SDS / Observation cases (may ... that had errors - the auditors are required to meet with coders for 1 hours to discuss changes Position Requirements: + Level I Trauma & Teaching at Large Hospital… more
- Prime Therapeutics (San Diego, CA)
- …and drives every decision we make. **Job Posting Title** Onsite Pharmacy Auditor (based in Southern California) **Job Description** The Onsite Pharmacy Auditor ... pharmacy audits and is responsible for the selection and auditing of claims , educating Prime's network pharmacies and driving contract compliance, and supporting… more
- New York State Civil Service (Rochester, NY)
- NY HELP Yes Agency Taxation & Finance, State Title Auditor 1 (Tax)/ Auditor Trainee 1 (Tax)/ Auditor Trainee 2 (Tax) (NY HELPS) Occupational Category ... Jurisdictional Class Competitive Class Travel Percentage 10% Workweek Mon-Fri Hours Per Week 37.5 Workday From 8:30 AM To...City Rochester State NY Zip Code 14604 Duties Description Auditor 1 (Tax) performs on-site field audits and examinations… more
- Actalent (West Des Moines, IA)
- …understanding of standard medical coding, including CPT, ICD-10, and HCPCS. The Nurse Auditor is responsible for adjudicating claims to comply with client ... Hybrid Nurse Auditor Job Description This role requires a thorough...claims , auditing and pricing a wide variety of claim types, and ensuring compliance with departmental and company… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Civil Service, Department of Title Internal Auditor 1, or Trainee 1 / Trainee 2 Occupational Category Other Professional Careers Salary Grade NS ... Jurisdictional Class Competitive Class Travel Percentage 0% Workweek Mon-Fri Hours Per Week 37.5 Workday From 8 AM To...into NYSHIP's databases. Under the direction of an Internal Auditor 2 the Internal Auditor 1, or… more
Recent Jobs
-
Document Management Supervisor
- Legend Biotech USA, Inc. (Raritan, NJ)
-
Penske - Truck Driver - CDL Class A - Penske Logistics
- Penske Truck Leasing (Fort Wayne, IN)
-
Associate Specialist, Operations (Onsite)
- Merck & Co. (Rahway, NJ)
-
Case Manager
- Geisinger (Wilkes-Barre, PA)