• 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,...two years related experience + Healthcare industry knowledge + Medical billing experience Benefits at LogixHealth: We offer a… more
    LogixHealth (07/11/25)
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  • Medical Biller - Healthcare Claims

    Guidehouse (San Marcos, CA)
    …is expected to perform all areas of initial billing, secondary billing, and payer audit follow-up for government and non-government claims . Must work with other ... any and all related job duties as assigned. **_The medical biller will be working a Hybrid schedule based...Billing Emphasis + Correcting and billing electronic and hardcopy claims + Submits Adjusted claims + Provides… more
    Guidehouse (08/24/25)
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  • Bilingual- Medical Claims Specialist…

    Kelly Services (Glastonbury, CT)
    **Job Title:** **Bilingual** Medical Claims Processor / Medical Claims Specialist **Pay Rate:** $24.00 + /hour (Depending on exp) **Schedule:** 11:30 AM ... We are currently seeking a detail-oriented, organized, and compassionate ** Medical Claims Processor / Medical ...accurate financial records and assist with batch processing + Audit outgoing payments for accuracy and compliance + Manage… more
    Kelly Services (06/05/25)
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  • Claims Manager

    CHS (Clearwater, FL)
    claims administration, is where submissions for payment/reimbursement/sharing from medical providers and covered individuals are reviewed, subject to cost ... **Overview** ** Claims Manager** **Servicing** **Health Insurance Policies or Benefits**...Examiner queues waiting to be adjudicated, and in either audit or needing approval status. * Developing and implementing… more
    CHS (08/08/25)
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  • Senior Compliance Coding Analyst - Audit

    Houston Methodist (Houston, TX)
    …and capture potential revenue opportunities. This position performs quality assurance, detailed claims analysis and medical record reviews of complex claims ... FUNCTIONS** + Conducts risk-based and baseline reviews of complex and escalated claims or records in a timely manner, evaluates corrective actions and processes… more
    Houston Methodist (05/30/25)
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  • Claims Auditor (Remote)

    WTW (Chicago, IL)
    …PPO, Indemnity and Managed Care + Must demonstrate a high level of claims administration knowledge, including experience with medical , dental, mental health and ... **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… more
    WTW (08/23/25)
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  • Work Comp Claims Services Associate…

    Sedgwick (Sacramento, CA)
    …in audit exceptions. + Reviews and updates notes/diaries in claims management system as instructed. + Coordinates jurisdictional training on state specific ... Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Work Comp Claims Services Associate | Hybrid | Sacramento, CA Are you looking for an… more
    Sedgwick (07/25/25)
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  • Claims and Call Auditor (Call Center QC)

    CHS (Clearwater, FL)
    … and Call Auditor (Call Center QC) - Clearwater, FL** ** ** **Summary** The Claims & Call Auditor audits processed medical insurance claims and customer ... Duties and Responsibilities:** + In accordance with company guidelines, performs random medical audits, target audits, re-audits, etc and audits for claims more
    CHS (06/14/25)
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  • Compliance Audit Manager

    Cardinal Health (San Juan, PR)
    medical terminology; E/M rules, teaching physician guidelines, and/or medical necessity defense reviews; healthcare compliance audit methodology, principles ... detection and correction of documentation, coding, and billing errors and/or medical necessity of services billed. Particular areas of focus include: evaluation… more
    Cardinal Health (08/27/25)
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  • Coding Audit Response Specialist

    Novant Health (NC)
    …resource to a dynamic team of coders. What You'll Do: + The Coding Audit Response Specialist respond to external and internal audits for OUTPATIENT services that ... the accuracy of assignment for Novant Health Facilities as assigned by Corporate Coding Audit Response Lead. + Audits will include but will not be limited to: coding… more
    Novant Health (08/16/25)
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