- UC Health (Cincinnati, OH)
- …Minimum Required: Bachelors Degree - Healthcare. Preferred: Masters Degree. | Professional Medical Auditor (CPMA) or an equivalent certification preferred. | ... Job Description At UC Health , we're proud to have the best and...equitable and diverse place of employment. The Charge Master Auditor is responsible for executing charge related audits. They… more
- Conduent, Inc. (Los Angeles, CA)
- Job Description Pharmacy Claims Auditor CPhT Do you have a CPhT certification? Would you like to audit pharmacy claims for accuracy? About the Role Conduent ... behalf of our healthcare payer clients. As a Pharmacy Claims Auditor CPhT, you will examine a...Working For You Perks and rewards designed for you: Health and Welfare Benefits: Our health and… more
- UnitedHealth Group (Minneapolis, MN)
- …plus 8 Paid Holidays Medical Plan options along with participation in a Health Spending Account or a Health Saving account Dental, Vision, Life& AD&D ... . In this position as a DRG CVA RN Auditor , you will apply your expert knowledge of...sort / filter function, and perform data entry Healthcare claims experience Managed care experience Knowledge of health… more
- Optum (San Juan, PR)
- …Professional Coder (CPC) + CPC A Certified Inpatient Coder (CIC) Certified Outpatient Auditor (COC) Certified Professional Medical Auditor (CPMA) Certified ... will be required for this position) Preferred Qualifications: Experience working with medical claims platforms Medical record coding experience with… more
- CHS (Clearwater, FL)
- …(Call Center QC) - Clearwater, FL** ** ** **Summary** The Claims & Call Auditor audits processed medical insurance claims and customer service calls to ... and compliance with appropriate policies, procedures, and regulations + ** Health , Dental, Vision, and Life Insurance as well as...and lifting up to thirty (30) pounds. ** ** ** Claims and Call Auditor (Call Center QC)… more
- UCLA Health (Los Angeles, CA)
- …Take your career to the next level. You can do all this and more at UCLA Health . The Claims Quality Auditor will be responsible for the daily audit of ... all examiners assigned to the auditor . You will review claims (paid, pending,...GED or equivalent + Four or more years of medical claims payment experience in an HMO… more
- NTT DATA North America (Decatur, IL)
- …when executed as part of an overall sourcing strategy. NTT DATA currently seeks a Claims Auditor to join our team for a remote position. 100% Remote, Client ... of Direct Hire Pay Rate $21-$22/hr **Position Summary:** The Claims Auditor position reports to the Chief...medical , dental, and vision insurance, flexible spending or health savings account, life, and AD&D insurance, short-and long-term… 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...For You** Perks and rewards designed for you: + Health and Welfare Benefits: Our health and… more
- Conduent (Alexandria, VA)
- …where individuality is noticed and valued every day. **Pharmacist - Claims Auditor /Reviewer (Part-Time)** **Conduent Payment Integrity Solutions** **Are you ... behalf of major healthcare payers. As a **Pharmacist - Claims Auditor /Reviewer** , you'll apply your clinical...offer perks and rewards designed to support you:** + ** Health & Welfare Benefits:** Comprehensive plans tailored to your… more
- WTW (Chicago, IL)
- …a high level of claims administration knowledge, including experience with medical , dental, mental health and Medicare + Detailed knowledge of ICD-10 ... the posted locations. **Qualifications** **Qualifications** + 5+ years' experience in health claims adjudication gained preferably in a consulting environment… more
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