- International (Lisle, IL)
- Position Overview International is seeking a detail-oriented and motivated Staff Internal Auditor to support the execution of financial, operational, compliance, ... and professional standards. + Draft preliminary audit findings and support management in developing actionable, value-added recommendations. + Collaborate with… more
- Lyric (Newtown Square, PA)
- … editing solution, as a payment, reimbursement or medical policy analyst, medical claims processor, chart auditor /reviewer, or claims edit/denial management ... to work in the US Visa sponsorship/sponsorship assumption and other immigration support are not available for this position. The Senior Manager, Clinical Content… more
- Lyric (Newtown Square, PA)
- …and reduce claim overpayments. This position is instrumental in the support of Lyric clients to find new savings opportunities. **ESSENTIAL JOB RESPONSIBILITIES ... + 5 years or more relevant healthcare experience as a medical coder, medical claims processor medical auditor , clinical editing analyst, or payment or medical… more
- Warner Music Group (New York, NY)
- …WMG label for the audit concerned; + Assist with the review and analysis of audit claims submitted by the auditor in question, as well as the relevant provisions ... including, without limitation, tracking audit notifications, reviewing and analyzing the claims contained in the audit reports we receive, making recommendations to… more
- Robert Half Accountemps (Boston, MA)
- Description Job Title: Medical Claims Auditor - RN Auditor Location: Massachusetts - 90% Remote Job Type: 1 Year Contract - Potential for Perm Hire Hours: 40 ... 1, 2025 Job Description We are seeking a qualified Auditor with healthcare experience to support Program...perform onsite audits (1-4 times per month) + Evaluate claims and provider documentation for compliance and accuracy +… more
- LA Care Health Plan (Los Angeles, CA)
- Financial Compliance Auditor III Claims Job Category: Accounting/Finance Department: Financial Compliance Location: Los Angeles, CA, US, 90017 Position Type: ... County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose....to achieve that purpose. Job Summary The Financial Compliance Auditor III Claims is responsible for audits… more
- Marshfield Clinic (Marshfield, WI)
- …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
- Centers Plan for Healthy Living (Staten Island, NY)
- …teams to match the unique strengths of each individual, tiered roles to support the advancement, and with opportunities for cross-training and education, CPHL is the ... Responsible for the auditing functions of Centers Plan for Healthy Living (CPHL) claims . Collaborates with other Health plan departments and Management to ensure … more
- City of New York (New York, NY)
- …of Medicaid Providers. Utilize standard audit procedures examine records and documents that support claims submitted to Medicaid for reimbursement for goods or ... Job Description APPLICANTS MUST BE PERMANENT IN THE MANAGEMENT AUDITOR CIVIL SERVICE TITLE OR BE PERMANENT IN A COMPARABLE TITLE ELIGIBLE FOR 6.1.9 TITLE CHANGE. IF… more
